论文部分内容阅读
医疗保险的范围包括两方面内容,一是覆盖范围(即保障对象的范围),二是受理范围(即保障项目的范围)。关于基本医疗保险的覆盖范围,国务院<关于建立城镇职工基本医疗保险制度的决定》已作明确规定,但对于基本医疗保险的受理范围目前尚没有明确的规定,与工伤、生育保险和商业性、企业性补充医疗保险之间缺乏整体上的衔接,各地自行其是,在实际工作中产生了一些矛盾,需引起重视。笔者就界定医疗保险受理范围易发生分歧的几个问题谈点看法。
The scope of health insurance covers two aspects. One is the scope of coverage (that is, the scope of safeguards) and the other is the scope of coverage (that is, the scope of the protection project). Regarding the coverage of basic medical insurance, the State Council’s “Decision on Establishing the Basic Medical Insurance for Urban Workers and Staff” has been clearly stipulated. However, there is currently no clear stipulation on the scope of the basic medical insurance and no reference is made to the scope of work injury, maternity insurance and commercial, The lack of overall convergence between the enterprise supplementary medical insurance, all over its own, in the actual work has produced some contradictions, need to pay attention. The author talked about several issues that define differences in medical insurance coverage.