The "Implementation Measures for Xi College Students to Participate in the Basic Medical Insurance for Urban Residents" was deliberated and adopted by the 82nd executive meeting of the Municipal People's Government 14, and the latest measures such as specific insurance, medical treatment and treatment were determined, marking that all kinds of full-time ordinary colleges and universities (including private colleges, independent colleges and adult colleges) and scientific research institutes (hereinafter referred to as colleges and universities) in the administrative area will receive ordinary higher education from September 1 day.
The individual contributions of college students shall not exceed those of 20 yuan.
The standard for college students to participate in the basic medical insurance for urban residents is 100 yuan per person per year, of which individuals pay 20 yuan and financial subsidies to 80 yuan; Urban and rural college students with severe disabilities (holders of People's Republic of China (PRC) Disabled Persons' Card Grade II or above) with minimum living allowances are paid by individuals 10 yuan, and financial assistance is given to 90 yuan.
Provincial college students are insured, and the central and provincial finances subsidize 40 yuan every year.
In principle, individual contributions are borne by college students themselves and their families, and colleges and universities with conditions can subsidize their contributions. The basic medical insurance premium that college students from poor families should pay can be subsidized by various ways, such as the financial aid system for students from poor families and social charitable donations.
You can apply to the school voluntarily with valid documents.
College students hold student ID cards, ID cards and their photocopies, and two one-inch bareheaded photos with the same background. In line with the principle of voluntariness, I will be insured in colleges and universities, and fill in the Registration Form for Xi College Students to Participate in the Basic Medical Insurance for Urban Residents. Colleges and universities are responsible for the identification, registration and payment of insurance qualifications. Among them, college students from urban and rural low-income families and families with severe disabilities hold relevant certificates issued by the district (county) civil affairs department and the Disabled Persons' Federation where their household registration is located, and their identity is confirmed by the attending colleges and universities, and the amount of individual contributions is approved.
You can enjoy the treatment of the year of payment.
College students participate in the basic medical insurance for urban residents and pay according to the academic year. The payment period is from September 1 day to February 1 day, and the treatment period is from September 1 day of the payment year to August 3 1 day of the following year.
College students who meet the insurance conditions should go through the insurance procedures and pay in full during the payment period; After 65438+February 3 1 every year, college students should apply to their colleges and universities in time for enrollment, transfer and withdrawal, and the colleges and universities should go through the formalities of insurance or surrender.
The expenses for hospitalization of two diseases in other places shall be paid by individuals in advance.
Insured college students must hold the "Xi urban residents (college students) basic medical insurance certificate" in the designated medical institutions for urban residents' basic medical insurance. In the outpatient treatment of accidental injury diseases, chronic diseases and diseases in designated medical institutions of urban residents' basic medical insurance, in the field of hospitalization, the individual students pay in advance, collect summary bills in colleges and universities, and report them to Xi medical insurance agencies.
Personal expenses shall be settled by myself at one time.
In the basic medical insurance for urban residents designated medical institutions hospitalization, special disease outpatient treatment, maternity expenses, by the admissions hospital and medical insurance agencies and individuals were borne. Among them, the expenses that should be settled by the medical insurance agency and the expenses that should be borne by the individual should be settled by myself when leaving the hospital.
The coverage of college students' participation in the basic medical insurance for urban residents includes outpatient treatment of accidental injuries, outpatient treatment of special diseases, outpatient treatment of chronic diseases and hospitalization (including accidental injuries and childbirth).
The outpatient treatment of accidental injury includes three common diseases: fracture, joint dislocation and foreign body in respiratory tract. When the above-mentioned diseases caused by accidental injuries are treated in outpatient department, the annual accumulated medical expenses will be paid by the overall fund at the rate of 50%, and the maximum payment limit is 1000 yuan.
Insured college students take anti-rejection drugs after receiving outpatient treatment such as radiotherapy and chemotherapy for malignant tumors, renal dialysis and organ transplantation in designated medical institutions of urban residents' basic medical insurance. When treating special diseases, the overall fund shall be paid at the rate of 60%, and the specific management measures shall be implemented in accordance with the relevant provisions of the basic medical insurance for urban residents. The scope of outpatient treatment of chronic diseases is also implemented according to the same provisions.
Qifubiaozhun is set according to the level of designated medical institutions: 200 yuan, a first-class community health service institution; 300 yuan, a first-class hospital; 400 yuan, a secondary hospital; 500 yuan, a tertiary hospital.
Qifubiaozhun above in line with the provisions of the policy of hospitalization medical expenses, depending on the hospital level, according to the following proportion:
Community health service institutions: 80% paid by the overall fund and 20% borne by individuals; First-class hospital: 70% from the overall fund and 30% from individuals; Secondary hospitals: 60% of the overall fund and 40% of individuals; Tertiary hospitals: 50% from the overall fund and 50% from individuals.
Within one year, the accumulative maximum payment limit of the overall planning fund (including accidental injury, chronic disease, special disease and hospitalization expenses) is 70,000 yuan, among which the accumulative maximum payment limit of the overall planning fund for college students suffering from leukemia, aplastic anemia and hemophilia (including accidental injury, chronic disease, special disease and hospitalization expenses) is 654.38+10,000 yuan.
If the insured college students drop out of school due to illness, they can continue to enjoy the medical insurance benefits of the year, and if they retain their school status in the next year, they can continue to participate in the insurance and enjoy the corresponding treatment; Insured college students whose enrollment status has been revoked for various reasons can continue to enjoy the medical insurance benefits of the year, and can no longer participate in the basic medical insurance for urban residents as college students.
College students who participate in the basic medical insurance for urban residents and have stable employment after graduation shall participate in the basic medical insurance for urban employees with the employer; Flexible employees can participate in the basic medical insurance for urban workers as flexible employees; Unemployed or unemployed people can continue to participate in the basic medical insurance for urban residents and pay according to the standard of urban non-employed residents.
The number of years of college students participating in the basic medical insurance for urban residents during school and the number of years of participating in the basic medical insurance for urban employees after employment shall be calculated together, and the specific measures shall be implemented in accordance with the relevant provisions of the basic medical insurance for urban residents. Matters not covered herein shall be implemented according to the Interim Measures for Basic Medical Insurance for Urban Residents in Xi and relevant regulations.