The reimbursement rate for major illness insurance has increased to 60%. 24 provinces have completed the integration of urban and rural residents’ medical insurance system.
Beijing, May 11 (Reporter Li Hongmei) Recently, the State Medical Insurance Bureau and the Ministry of Finance formulated and issued the Notice on Doing a Good Job in the Basic Medical Insurance for Urban and Rural Residents in 2019 (hereinafter referred to as the Notice), Notice It is clear that the per capita financial subsidy standard for residents’ medical insurance in 2019 is 30 yuan, which is no less than 520 yuan per person per year. The reimbursement rate within the scope of major illness insurance policy is increased from 50% to 60%. Before the end of the year, the urban residents’ medical insurance and the new rural cooperative medical system were all integrated and operated.
Half of the new financial subsidies are used to improve the ability to support major illness insurance, that is, the major illness insurance will increase by 15 yuan in the per capita funding standard in 2018. The personal payment for medical insurance for urban and rural residents will be increased by 30 yuan, reaching 250 yuan per person per year.
For patients with major and chronic diseases, medical expenses will be reimbursed more. The “Notice” clarifies that the new fundraising is used to consolidate and increase the proportion of hospitalization expenses reimbursement within the scope of policies, establish and improve the overall medical insurance outpatient expenses and payment mechanism, and include outpatients such as hypertension and diabetes in medical insurance reimbursement. On the other hand, it will be used to improve the security of major illness insurance. Reducing and unifying the deductible line is, in principle, determined by 50% of the per capita disposable income of the previous year; the reimbursement rate within the policy range is increased from 50% to 60%; the payment for the poor is increased, and the deductible line is lowered. 50%, the payment ratio increased by 5 percentage points on the basis of a complete cancellation of the capping line.
According to statistics, 24 provinces have completed the integration of urban and rural residents’ medical insurance system, and the remaining 7 provinces’ urban residents’ medical insurance and the new rural cooperative medical system are still in parallel operation. The “Notice” focuses on the areas where urban residents’ medical insurance and the new rural cooperative medical system have not been fully integrated and unified, and clearly requires that the integration be accelerated. By the end of 2019, the transition of the two systems will be realized to the unified resident medical insurance system.
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