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莆田市在城镇职工基本医疗保险制度改革过程中,根据实际情况,以减轻参保职工负担、提高医疗消费需求为出发点,医保体系建设取得较好成效。2000年市政府出台相关规定,对患有冠心病、高血压、糖尿病等11个病种的人员,可直接在门诊治疗,医疗保险统筹基金支付一定比例的医疗费,2002年又对其用药范围进行了补充和完善,用药范围达到600多种。2001年市政府又出台相关政策,由各级医保经办机构统一征缴基金向商业保险公司投保,对参保职工超过3万元(基本医疗保险最高支付限额)以上18万元以内的大病患者由商业保险公司进行赔付,利用商业补充医疗保险,扩大赔付范围,降低个人自付比例。2002年市劳动保障局及市财政局联合出台了暂行办法,对已参加各类社会保险及莆田市城镇职工商业补充医疗保险、并能及时缴费的企业,有条件的可以为本企业参保人员建立补充医疗保险,以解决企业高出基本医疗保险待遇以上的
Putian City, in the process of reform of basic medical insurance for urban workers, according to the actual situation, in order to reduce the burden on insured workers, improve medical care consumer demand as the starting point, the medical insurance system achieved good results. 2000 municipal government promulgated the relevant provisions of the suffering from coronary heart disease, hypertension, diabetes and other 11 kinds of personnel, can be outpatient treatment, medical insurance co-fund to pay a certain percentage of medical expenses in 2002 and its medication Has been added and improved, the scope of medication reached more than 600 kinds. In 2001, the municipal government promulgated the relevant policies, and the medical insurance agencies at all levels unified the insurance funds to insure the commercial insurance companies. For serious illness patients above RMB 30,000 (the maximum payment limit of basic medical insurance) exceeding RMB 180,000 Payments by commercial insurance companies, the use of commercial supplementary medical insurance, to expand the scope of payments, reduce the proportion of individuals pay. In 2002, the Municipal Labor Security Bureau and the Municipal Finance Bureau jointly promulgated the Interim Measures. Enterprises that have participated in various types of social insurance and commercial supplementary medical insurance for urban employees in Putian City, and can pay the bills in time, may, if necessary, The establishment of supplementary medical insurance to solve the business above the basic medical insurance benefits above