Completed by 2023!Tianjin has fully implemented the medical security benefits list system

2022-05-02 0 By

Jinyun News:Recently, the municipal Medical Insurance Bureau publicly released the Notice on the Establishment of the Medical Security Treatment List System on its official website (Tianjin Medical Insurance Bureau issued no. 2021), aiming to establish and improve the Medical security treatment list system in Tianjin by 2023, and comprehensively build a multi-level medical security system with clear rights and responsibilities, moderate security and sustainable security.We will more equitably and appropriately protect people’s rights and interests in basic medical care, and improve people’s livelihood.The so-called medical security treatment list is a list that clarifies the connotation of the basic system, the boundary of treatment payment, the authority of policy adjustment, and the decision-making process, including the basic system, basic policy, and the scope of medical insurance fund payment and non-payment.The basic system includes basic medical insurance, supplementary medical insurance and medical assistance system.No new system shall be established outside the framework of the basic system, and no other basic medical security system beyond the scope of the basic system shall be established by itself.The basic policies include insurance participation policy, financing policy, treatment and payment policy, etc. The city formulates the protection policy for special groups uniformly according to the requirements of the state, and shall not independently introduce new special treatment policies based on occupation, age, identity, etc.The payment scope of the fund includes the list of drugs, the list of medical consumables and the payment scope of medical service items determined by the access and exclusion laws.Our city strictly implements the national basic medical insurance drug list. Unless explicitly stipulated by the state, it is not allowed to make the list by itself or add drugs in the list by flexible methods.Fund does not pay limits to include the scope that the regulation such as national laws and regulations does not pay basic system, or the medical treatment service that has other safeguard system, fund channel arrangement solves and project.In accordance with the relevant opinions on the list of guaranteed benefits, and in accordance with the requirements of eliminating incremental increases and standardizing stock, no more policies beyond the authorized scope of the list shall be issued in principle.Previous policies and measures that do not conform to the list should be sorted out and standardized gradually by the end of 2023, and policies should be coordinated in transition to maintain social harmony and stability.Statement: The copyright of this article belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through email or wechat, we will deal with it in time.Email address: jpbl@jp.jiupainews.com;Wechat id: Jiupai6688 (Note to add and withdraw)