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居民医保个人缴费比重将提高 年底前出具体方案

2016-01-13 08:11:40   京华时报

(原标题:居民医保个人缴费比重将提高(图))

居民医保个人缴费比重将提高 年底前出具体方案

1月7日,河北省沧州市中心医院工作人员在医保住院收费窗口为患者办理相关手续。

国务院日前印发《关于整合城乡居民基本医疗保险制度的意见》(以下简称“意见”),就整合城镇居民基本医疗保险和新型农村合作医疗两项制度,建立统一的城乡居民基本医疗保险制度提出明确要求。意见强调,各省(区、市)要于2016年6月底前对制度整合作出规划和部署,各统筹地区要于2016年12月底前出台具体实施方案。意见明确,在提高政府补助标准的同时,适当提高个人缴费比重。

重点

年底前出具体实施方案

意见表示,城乡居民医保制度覆盖范围包括现有城镇居民医保和新农合所有应参保(合)人员,即覆盖除职工基本医疗保险应参保人员以外的其他所有城乡居民。农民工和灵活就业人员依法参加职工基本医疗保险,有困难的可按照当地规定参加城乡居民医保。

为整合城乡居民基本医保,意见提出“六统一”的要求:统一覆盖范围、统一筹资政策、统一保障待遇、统一医保目录、统一定点管理、统一基金管理。意见明确提出了工作进度和责任分工。各省(区、市)要于2016年6月底前对整合城乡居民医保工作作出规划和部署,确定时间表、路线图,健全工作推进和考核评价机制,落实责任制,确保各项政策措施落实到位。

不仅如此,各统筹地区要于2016年12月底前出台具体实施方案。综合医改试点省要将整合城乡居民医保作为重点改革内容,加强与医改其他工作的统筹协调,加快推进。

个人缴费不低现有水平

在筹资方面,意见提出,继续实行个人缴费与政府补助相结合为主的筹资方式,鼓励集体、单位或其他社会经济组织给予扶持或资助。各地要合理确定城乡统一的筹资标准。现有城镇居民医保和新农合个人缴费标准差距较大的地区,可采取差别缴费的办法,利用2—3年时间逐步过渡。整合后的实际人均筹资和个人缴费不得低于现有水平。

各地要完善筹资动态调整机制,逐步建立个人缴费标准与城乡居民人均可支配收入相衔接的机制。合理划分政府与个人的筹资责任,在提高政府补助标准的同时,适当提高个人缴费比重。

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