随州城镇医保门诊统筹受益面稳步扩大
2013
05/24
11:15
2157
自去年实施职工和居民医保门诊统筹制度以来，随州市合理引导职工和居民“门诊到基层、小病进社区”，参保职工和居民得到实惠，受益面稳步扩大。
该制度规定：职工和居民门诊统筹基金是从医保统筹基金中分别按15%和20%的比例划入，单独建账、单独核算、单独管理。参保职工和居民实行签约式定点就医，职工和居民就近选择一家具备门诊定点资格的医疗机构（社区卫生服务中心或一级定点医院）为约定医疗机构，并填写《随州市城镇基本医疗保险门诊医疗签约单》。职工门诊年发生100元以上、600元以下，每次50元以内费用按50%比例报销；居民门诊年发生50元以上、400元以下，每次40元以内的费用按50%比例报销。
据统计，截至今年3月底，随州市有超过80家基层医疗机构被纳入医保门诊统筹定点，有近15.5万名职工和居民与基层医疗机构签约，签约率达41%，比去年底增加12%，有近3.5万人次享受门诊统筹待遇，人均报销19.6元，医疗保险基金支付69万元。
发布人：
xineeg
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