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所有人医保要多缴费系误读 对上班族几乎没影响

2016-01-13 10:31:45   中国新闻网

国务院近日发布《关于整合城乡居民基本医疗保险制度的意见》,提出整合城镇居民医保和新农合,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。农民工和灵活就业人员将参加职工基本医疗保险。

对于此次出台的《意见》,这些要点你需要了解——

覆盖哪些人群?

主要是城镇无工作人群和农村居民

《意见》明确了覆盖范围: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。

如何筹集资金?

提高政府补助标准适当提高个人缴费比重

《意见》提出,坚持多渠道筹资,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。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。

所有人要多缴费?

这是误读!对上班族几乎没影响

本次出台的新政策,针对的是城乡居民医保的筹资,而非职工医保。也就是说主要是适当提升无业人员以及没有参加工作的人这一部分的个人缴费比重,对于广大上班族几乎没什么影响。

哪些人将受益?

现有保障水平低的人群

《意见》指出将统一保障待遇,稳定住院保障水平。政策范围内住院费用支付比例保持在75%左右。

进一步完善门诊统筹,逐步提高门诊保障水平。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。

何时开始实施?

各统筹地区实施方案年底前出台

《意见》强调,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,明确时间表、路线图,确保各项政策措施落实到位。各统筹地区要于2016年12月底前出台具体实施方案。

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