Nanjing will cancel public medical expenses

On the afternoon of December 8, the Nanjing Municipal Party Committee and the Municipal Government held a press conference on the reform of the publicly funded medical system, announcing that Nanjing will cancel the publicly funded medical care system from next year. All personnel of the city's government and public institutions will enter the medical insurance system, and the employees of the entire company will participate in the payment and treatment standard for the unified insurance coverage. , also holding a citizen card to buy medicine. At present, the Nanjing Human and Social Department is in close cooperation with the relevant departments in accordance with the deployment of the municipal party committee and municipal government, and hastened the establishment of a database of units and personnel, produced and issued citizen cards, developed system software, and made various preparations.

200,000 institutions and institutions personnel into the medical insurance

The main content of the reform of the public medical system in Nanjing is to cancel the publicly funded medical system in the city from January 2013. All organs and public institutions participate in the medical insurance for employees, and realize the unified system policy for the basic medical insurance for employees and employees of the whole city, and uniform insurance. Payment, unified payment ratio, unified treatment standards, unified handling procedures, and unified medical services.

Chen Jianning, deputy director of the Nanjing Municipal Bureau of Human and Social Affairs, introduced that the old five counties in Nanjing (Jiangning District, Pukou District, Liuhe District, Gaochun County, and Qinshui County) had already cancelled public-funded medical care. This reform involves the municipal organs of Nanjing City. With institutions and public institutions and institutions and institutions in the eight regions of the southern city, it is estimated that the total number of people is about 200,000.

Does this allocation of medical insurance into the hospital affect the treatment of the original insured? In this regard, Chen Jianning explained that at present, the number of employees participating in medical insurance in Nanjing is 3.3 million. Currently the social security fund is working well. This reform will not affect the interests of other insured personnel.

Units can establish their own "supplementary health insurance"

According to the "Nanjing City Basic Social Health Insurance Measures" (City Government Order No. 265) and the "Measures of the Municipal Government on the Abolition of Public Expenditure Medical System to Participate in Basic Medical Insurance for Staff and Workers" (Ning Zhengfa [2012] No. 326) The regulations stipulate that the staff and retirees of all organs and institutions in the city of Nanjing shall participate in basic medical insurance for employees and medical aid for serious illnesses, enjoy the benefits of medical insurance for employees, and establish a supplemental medical insurance unit in accordance with the regulations of the state and the province.

The "unit supplementary medical insurance" stipulated in the document has attracted much attention. For the design of this supplementary medical insurance, Chen Jianning explained that this is set by the unit based on their own situation. According to the current experience, some units implement their own management units to supplement medical insurance, but also use commercial insurance to do supplementary medical insurance.

Civil servants and employees are treated in the same way
Chen Jianning, deputy director of the Nanjing Municipal Bureau of Human and Society, said that, in simple terms, staff of government agencies and enterprises will participate in the same payment standard for employees participating in insurance. Specifically, the cost of participating in employee medical insurance is paid by the employer and the employee on a monthly basis. The employing unit shall go through the registration formalities for the medical insurance of the employees according to the provisions of the social insurance agency, and shall pay the basic medical insurance premium at the rate of 9% of the contribution base of the employed staff. The in-service employees are paid according to 2% of their payment base, and the medical salvage fees for serious illness are paid according to the prescribed standards. The medical insurance premiums paid by serving employees shall be withheld and paid by the employing unit on a monthly basis. Currently retired employees of Nanjing institutions do not have to pay.

The basic medical insurance premiums paid by the insured personnel are all transferred to my personal account. The pooled funds shall be allocated to the individual accounts of the insured personnel monthly according to a certain percentage of the paid-for-service employee's own contribution base or a certain percentage of the retirees' personal monthly retirement fees or pensions. The ratio of working staff accounted for 35 years old and below 1%; 35 years old to 45 years old 1.4%; 45 years old to 1.7% before retirement. Retired staff accounted for 5.4% of the rate.

The working age can be seen as the medical insurance payment term

According to the reform regulations, if a person who has retired after taking part in the insurance and has paid the basic medical insurance premium for a period of less than 25 years and a woman less than 20 years during his employment, he shall make up for the basic medical insurance premium for the employee in the year of the difference in accordance with the regulations. Only to enjoy retiree medical insurance benefits. However, this reform also made it clear that the number of consecutive years of service or years of service before the insured’s participation in the insurance meets the requirements of the state can be considered as the year of medical insurance payment. The supplementary part does not cover the individual account.

After the reform of the public medical service system, the participating personnel of the institutions and public institutions will, like the employees participating in the enterprise, hold cardholders for medical treatment and purchase drugs at designated medical institutions and designated retail drugstores, and enjoy corresponding treatment in accordance with the relevant policies and regulations concerning medical insurance for employees and medical assistance for serious illnesses.

In addition, the insured personnel with outpatient chronic diseases, outpatient specific items, and outpatient mental illness shall go through the formalities for admission of diseases as required. Persons stationed in foreign countries need to go to the municipal medical insurance agency to handle long-term foreign registration procedures. The expenses incurred in the local designated medical institutions will be reimbursed according to the policy.