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新疆乌鲁木齐医保兜底普惠各族市民

2017-09-05 20:32:06   央广网

央广网乌鲁木齐9月5日消息(记者张雷 乌鲁木齐台记者潘静)近5年尤其是近一两年来,随着一项项医保惠民新政的陆续落地,乌鲁木齐市逐步完善的社会保障网为各族市民兜住幸福底线,人们在享受到更多便利、更大实惠的同时,也感受到更多温暖和幸福。

“我老公是1月9日喂牛的时候从墙上掉下来的,20日就去世了,在重症监护室总共花费了11万多,几乎都是借的。享受的5万块钱的人身意外保险、1万5的医药费保险,总共是6.52万元。对于我来说差不多是救命的钱,真的等于是雪中送炭……”

今年39岁的刘春玲是乌鲁木齐市达坂城区达坂城镇西沟乡泉泉湖村一名普通的农家妇女,全家4口人的生活都靠丈夫一个人的务农收入。今年1月,一场突发的意外中丈夫不幸去世,整个家庭陷入困境,此时,一笔6万多元的人身意外伤害保险理赔从天而降,这正是乌鲁木齐市今年1月1日起实施人身意外伤害保险工作以来受理的第一起理赔。

作为新疆社保惠民的一项重要举措,意外伤害险的最大亮点是个人不缴费,由政府埋单为各族群众提供免费保障,合计每人年度最高赔付额度达6.68万元。

刘春玲说:“像我们都是普通的工薪家庭,比较严重的一些疾病,几万十几万的承受起来真的有困难。这个政策一出来,就感觉心里有着落了,政府给我们提供的保障越来越多。”

从今年开始,乌鲁木齐市城镇职工大病保险政策也正式落地。作为基本医疗保障制度的扩展和延伸,同城镇职工基本医疗保险一起,构成职工医疗保障的“双保险”。

自治区第二济困医院医保办负责人刘蕾介绍:“启动了大病以后是按照95%报销的,而且是上不封顶, 切实是解决了我们住院患者的一个经济负担。”

除了重大的意外伤害和疾病都由政府埋单、由商业保险公司承保实现全面免费覆盖,现在乌鲁木齐市民在门诊看病也能享受一定比例的报销。

前几天,在小西门经营服饰生意的市民魏倩因为嗓子不舒服来到乌鲁木齐眼耳鼻喉专科医院就诊,在门诊就医过程中花费近400元,因为享受到了门诊统筹的政策,最终报销了240元:“平时看病这一块全都是自费,医院纳入了门诊统筹了以后,我们一半都能报销了,以后看病也有保障了。”

近年来,随着全民医保体系的不断健全,越来越多曾经的医疗盲区被纳入保障范围。今年3月,乌鲁木齐市民吕建的女儿因为早产,一出生就住进了医院的新生儿科进行救治。因为享受到了乌鲁木齐市今年刚出台的“新生儿落地参保、追溯报销”的政策,原本该由他们全额承担的医药费报销了一大半:“我交了1.5万元,最后报销退回来了8000元,原来都没有想到过还有这个,小孩她还有医保的。”

粗略统计,仅今年1月以来,乌鲁木齐市就有8项医保新政陆续出台,出台力度和频次均创下历年之最。而今后,这样的惠民大礼包份量还会更足,更贴合老百姓的心意。

乌鲁木齐市人社局医疗生育保险处处长杨秀春介绍:“虽然老百姓在医保报销的层次上已经做到全覆盖了,上不封顶了,但是实际上有一些包括药品、包括实际比例达不到的。我们今后还要出台补充报销的一些办法,包括一些对老年人中需要长期护理的怎么补偿的办法,覆盖到全社会的每一个层次。”

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