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id="tmyyfroktkho" class="ar_con_nr"> <div id="tmyyfroktkho" class="con_l fl">  <article class="ar_con bg louti"> <div id="tmyyfroktkho" class="ar_title"> <h1>昆明市醫(yī)?？ㄔ趺床?/h1> <div id="tmyyfroktkho" class="ar_title_b"> <div id="tmyyfroktkho" class="sub_title clear"> <span id="tmyyfroktkho" class="sp2 c6 fl">時(shí)間：<time class="fxtime">2017-08-17 14:21:39</time></span> <span id="tmyyfroktkho" class="sp1 c6 fl"><em id="zuozhe" class="noshow">嘉敏</em><em class="user_id noshow">1004</em>由 <em class="nickname"></em> 分享</span> <span id="tmyyfroktkho" class="fl arc_btn"></span> </div> </div> </div> <div id="tmyyfroktkho" class="y_ju"><script type="text/javascript">a("title");</script></div> <div id="tmyyfroktkho" class="con_article con_main" id="contentText"> <p> 　　昆明醫(yī)保查詢的有哪些<a href='http://m.rzpgrj.com/way/' target='_blank'><u>方法</u></a>,其中昆明查詢醫(yī)保的窗口是什么.昆明的醫(yī)?？ㄓ心男┦褂貌襟E。昆明的社保繳費(fèi)基數(shù)是多少。學(xué)習(xí)啦小編給大家整理了關(guān)于昆明市醫(yī)保卡查詢，希望你們喜歡!</p><h2> 　　昆明市醫(yī)?？ú樵?點(diǎn)擊進(jìn)入↓↓↓</h2><h2 style="text-align: center;"><a onclick="window.open(this.href, '', 'resizable=no,status=no,location=no,toolbar=no,menubar=no,fullscreen=no,scrollbars=no,dependent=no'); return false;"></a></h2><h2> 　　云南2017年1月1日起實(shí)施“醫(yī)保新政”</h2><p> 　　省政府近日出臺(tái)《關(guān)于整合城鄉(xiāng)居民基本醫(yī)療<a href='http://m.rzpgrj.com/live/cai/baoxian/' target='_blank'><u>保險(xiǎn)</u></a>制度的實(shí)施意見》(下稱《意見》)。提出在全省范圍內(nèi)整合城鎮(zhèn)居民醫(yī)保和新農(nóng)合制度，從2017年1月1日起，全省各地統(tǒng)一執(zhí)行城鄉(xiāng)居民基本醫(yī)保政策，并提出“九統(tǒng)一” ：即統(tǒng)一覆蓋范圍、統(tǒng)一籌資政策、統(tǒng)一保障待遇、統(tǒng)一醫(yī)保目錄、統(tǒng)一定點(diǎn)管理、統(tǒng)一基金管理、統(tǒng)一統(tǒng)籌層次、統(tǒng)一歸口管理、統(tǒng)一信息系統(tǒng)。</p><p><strong>　　消除“城鄉(xiāng)差別”實(shí)行全民參保</strong></p><p> 　　統(tǒng)一覆蓋范圍：城鄉(xiāng)居民基本醫(yī)保的參保范圍覆蓋統(tǒng)籌區(qū)域內(nèi)除職工基本醫(yī)療保險(xiǎn)應(yīng)參保人員以外的其他所有城鄉(xiāng)居民，包括農(nóng)村居民、城鎮(zhèn)非從業(yè)居民、大中專院校就讀的在校學(xué)生、長(zhǎng)期投資經(jīng)商和務(wù)工的外來人員的未成年子女、以及國(guó)家和我省規(guī)定的其他人員。農(nóng)民工和靈活就業(yè)人員依法參加職工基本醫(yī)療保險(xiǎn)，有困難的可按照當(dāng)?shù)匾?guī)定參加城鄉(xiāng)居民基本醫(yī)保。參保居民不再區(qū)分農(nóng)村和城鎮(zhèn)居民，不受城鄉(xiāng)戶籍限制。省政府要求各地要完善參保方式，實(shí)施全民參保登記，在鄉(xiāng)鎮(zhèn)(街道)、行政村、社區(qū)服務(wù)中心和學(xué)校提供便民參保服務(wù)，既做到應(yīng)保盡保又要避免重復(fù)參保。</p><p> 　　統(tǒng)一籌資政策：《意見》提出，2016年8月底，制定出臺(tái)城鄉(xiāng)居民基本醫(yī)保統(tǒng)一的財(cái)政補(bǔ)助辦法。城鄉(xiāng)居民基本醫(yī)保實(shí)行個(gè)人繳費(fèi)和政府補(bǔ)助相結(jié)合的籌資方式，全省執(zhí)行相對(duì)統(tǒng)一的城鄉(xiāng)居民基本醫(yī)?；I資標(biāo)準(zhǔn)。2016年城鄉(xiāng)居民基本醫(yī)保政府補(bǔ)助標(biāo)準(zhǔn)人均提高到420元。在提高政府補(bǔ)助標(biāo)準(zhǔn)的同時(shí)，適當(dāng)提高個(gè)人繳費(fèi)比重。對(duì)符合條件的城鄉(xiāng)居民困難群眾參加城鄉(xiāng)居民基本醫(yī)保，政府給予補(bǔ)助，補(bǔ)助標(biāo)準(zhǔn)隨個(gè)人繳費(fèi)標(biāo)準(zhǔn)、城鄉(xiāng)醫(yī)療救助資金總量等因素動(dòng)態(tài)調(diào)整。</p><p><strong>　　住院費(fèi)支付比例保持在75%左右</strong></p><p> 　　統(tǒng)一保障待遇：到2016年9月底，制定出臺(tái)統(tǒng)一城鄉(xiāng)居民保障待遇的政策<a href='http://m.rzpgrj.com/fwn/cuoshi/' target='_blank'><u>措施</u></a>。在確保整合后居民基本醫(yī)療保險(xiǎn)總體待遇不降低的前提下，合理確定門診和住院起付標(biāo)準(zhǔn)、最高支付限額和支付比例。調(diào)整完善不同級(jí)別醫(yī)療機(jī)構(gòu)的差異化政策，適當(dāng)提高基層醫(yī)療衛(wèi)生機(jī)構(gòu)和中醫(yī)藥服務(wù)醫(yī)保支付比例。穩(wěn)定住院保障水平，政策范圍內(nèi)住院費(fèi)用支付比例保持在75%左右，逐步縮小政策范圍內(nèi)支付比例與實(shí)際支付比例間的差距。城鄉(xiāng)居民大病保險(xiǎn)政策按照國(guó)家和省統(tǒng)一政策規(guī)定執(zhí)行。</p><p> 　　統(tǒng)一醫(yī)保目錄：到2016年10月底，調(diào)整制定全省統(tǒng)一的城鄉(xiāng)居民基本醫(yī)保藥品目錄、診療項(xiàng)目目錄、醫(yī)用耗材目錄和醫(yī)療服務(wù)設(shè)施范圍。在現(xiàn)有城鎮(zhèn)居民醫(yī)保和新農(nóng)合目錄的基礎(chǔ)上，適當(dāng)考慮參保人員需求變化，調(diào)整制定統(tǒng)一的醫(yī)保目錄，明確藥品、耗材和醫(yī)療服務(wù)支付范圍。</p><p><strong>　　公立民營(yíng)：統(tǒng)統(tǒng)一視同仁</strong></p><p> 　　統(tǒng)一定點(diǎn)管理：將現(xiàn)有城鎮(zhèn)居民醫(yī)保和新農(nóng)合定點(diǎn)醫(yī)療機(jī)構(gòu)整體納入城鄉(xiāng)居民基本醫(yī)保定點(diǎn)范圍。統(tǒng)一定點(diǎn)機(jī)構(gòu)管理辦法，強(qiáng)化定點(diǎn)服務(wù)協(xié)議管理，建立健全考核評(píng)價(jià)機(jī)制和動(dòng)態(tài)準(zhǔn)入退出機(jī)制，經(jīng)考核不符合定點(diǎn)條件且未按照規(guī)定整改的，取消定點(diǎn)資格。對(duì)非公立醫(yī)療機(jī)構(gòu)與公立醫(yī)療機(jī)構(gòu)實(shí)行同等的定點(diǎn)管理政策，同等準(zhǔn)入退出、同等監(jiān)管處罰。到2016年9月底，制定定點(diǎn)醫(yī)療機(jī)構(gòu)的準(zhǔn)入原則和管理辦法。</p><p> 　　統(tǒng)一基金管理：城鄉(xiāng)居民基本醫(yī)保執(zhí)行國(guó)家統(tǒng)一的基金預(yù)決算管理制度、基金財(cái)務(wù)制度和會(huì)計(jì)制度。城鄉(xiāng)居民基本醫(yī)?；鸺{入財(cái)政專戶，實(shí)行“收支兩條線”管理?；皙?dú)立核算、專戶管理，任何單位和個(gè)人不得擠占或挪用。</p><p> 　　統(tǒng)一統(tǒng)籌層次：到2016年10月底，各地全面推行城鄉(xiāng)居民基本醫(yī)保州市級(jí)統(tǒng)籌。</p><p> 　　統(tǒng)一歸口管理：我省鼓勵(lì)有條件的州、市理順基本醫(yī)保管理體制、統(tǒng)一行政管理職能、整合經(jīng)辦機(jī)構(gòu)、實(shí)行歸口管理。</p><p> 　　統(tǒng)一信息系統(tǒng)：《意見》要求，要按照標(biāo)準(zhǔn)統(tǒng)一、資源共享、服務(wù)延伸要求，整合現(xiàn)有信息系統(tǒng)并升級(jí)改造，逐步建立覆蓋城鄉(xiāng)基本醫(yī)療保險(xiǎn)的管理信息系統(tǒng)，為城鄉(xiāng)居民基本醫(yī)保制度運(yùn)行和功能拓展提供支撐。</p><h2> 　　昆明靈活就業(yè)醫(yī)保繳費(fèi)基數(shù)</h2><p> 自2017年7月起，昆明自謀職業(yè)、靈活就業(yè)在職參保人基本醫(yī)療保險(xiǎn)繳費(fèi)基數(shù)為：5297.00元/月。</p><p> 　　個(gè)人參加城鎮(zhèn)職工基本醫(yī)療保險(xiǎn)的參保人，繳費(fèi)費(fèi)率分別為9%或5%。</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)也以上年度昆明市城鎮(zhèn)單位從業(yè)人員平均工資×0.6%+1元的公示來計(jì)算，每個(gè)月將繳納費(fèi)用為32.78元。</p><p> 　　自謀職業(yè)參保人員繳納醫(yī)保：</p><p> 　　A.選擇9%的費(fèi)率</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：</p><p> 　　5297×9%=476.73元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：1528.54元</p><p> 　　B.選擇5%的費(fèi)率</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：</p><p> 　　5297×5%=264.85元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：892.90元</p><p> 　　靈活就業(yè)參保人員繳納醫(yī)保：</p><p> 　　A.選擇9%的費(fèi)率</p><p> 　　1.首次參保年齡未滿45周歲的按9%的費(fèi)率繳費(fèi)</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：5297×9%=476.73元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：1528.54元</p><p> 　　2.首次參保年齡已滿45歲的按10%費(fèi)率繳費(fèi)</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：5297×10%=529.70元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：1687.45元</p><p> 　　3.首次參保年齡已滿55歲的按11%費(fèi)率繳費(fèi)</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：5297×11%=582.67元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：1846.36元</p><p> 　　B.選擇5%的費(fèi)率</p><p> 　　1.首次參保年齡未滿45周歲的按5%的費(fèi)率繳費(fèi)</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：5297×5%=264.85元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：892.90元</p><p> 　　2.首次參保年齡已滿45歲的按6%費(fèi)率繳費(fèi)</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：5297×6%=317.82元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：1051.81元</p><p> 　　3.首次參保年齡已滿55歲的按7%費(fèi)率繳費(fèi)</p><p> 　　基本醫(yī)療保險(xiǎn)繳費(fèi)標(biāo)準(zhǔn)：5297×7%=370.79元/月</p><p> 　　重特病統(tǒng)籌繳費(fèi)標(biāo)準(zhǔn)：32.78元/月</p><p> 　　每季度應(yīng)繳合計(jì)：1210.72元</p><h2> 　　昆明試點(diǎn)生育醫(yī)療保險(xiǎn)合并</h2><p> 　　國(guó)務(wù)院辦公廳印發(fā)了《生育保險(xiǎn)和職工基本醫(yī)療保險(xiǎn)合并實(shí)施試點(diǎn)方案》，要求在2017年6月底前，昆明等12個(gè)城市啟動(dòng)合并實(shí)施試點(diǎn)。人力資源和社會(huì)保障部相關(guān)負(fù)責(zé)人4日表示，兩項(xiàng)保險(xiǎn)合并實(shí)施，不會(huì)導(dǎo)致參保職工的生育保險(xiǎn)待遇降低。隨著基金共濟(jì)能力的提高，還有利于更好地保障參保人員待遇。</p><p> 　　試點(diǎn)方案明確提出，“遵循保留險(xiǎn)種、保障待遇、統(tǒng)一管理、降低成本的總體思路，推進(jìn)兩項(xiàng)保險(xiǎn)合并實(shí)施”。</p><p> 　　這位負(fù)責(zé)人說，之所以提出這一總體思路，主要是考慮兩項(xiàng)保險(xiǎn)在運(yùn)行操作層面具有合并實(shí)施的條件，且時(shí)機(jī)是成熟的：醫(yī)療服務(wù)項(xiàng)目上有共同之處，特別是在醫(yī)療待遇支付上有很大共性。</p><p> 　　同時(shí)，管理服務(wù)基本一致，執(zhí)行統(tǒng)一的定點(diǎn)醫(yī)療機(jī)構(gòu)管理，執(zhí)行統(tǒng)一的藥品、診療項(xiàng)目和服務(wù)設(shè)施范圍，使用同一信息系統(tǒng)平臺(tái)。</p><p> 　　此外，地方有實(shí)踐基礎(chǔ)。近年來，部分地區(qū)按照生育保險(xiǎn)與醫(yī)療保險(xiǎn)協(xié)同推進(jìn)的工作思路，實(shí)行兩項(xiàng)險(xiǎn)種統(tǒng)一參保登記，統(tǒng)一征繳費(fèi)用的管理模式，取得了良好效果。</p><p> 　　這位負(fù)責(zé)人強(qiáng)調(diào)，生育保險(xiǎn)與醫(yī)療保險(xiǎn)相比具有不同的功能和保障政策，作為一項(xiàng)社會(huì)保險(xiǎn)險(xiǎn)種，還有保留的必要：一是生育保險(xiǎn)具有維護(hù)女性平等就業(yè)權(quán)益和女職工勞動(dòng)保護(hù)的獨(dú)特功能;二是體現(xiàn)雇主責(zé)任，個(gè)人不繳納生育保險(xiǎn)費(fèi);三是待遇上符合規(guī)定的醫(yī)療費(fèi)實(shí)報(bào)實(shí)銷，同時(shí)還有生育津貼。</p><p> 　　因此，這次合并實(shí)施試點(diǎn)不是簡(jiǎn)單地將兩項(xiàng)保險(xiǎn)在制度層面合并，不涉及生育保險(xiǎn)待遇政策的調(diào)整，而是在管理運(yùn)行層面合并實(shí)施，目的是通過整合兩項(xiàng)保險(xiǎn)基金及管理資源，強(qiáng)化基金共濟(jì)能力，提升管理綜合效能，降低管理運(yùn)行成本。</p><p> 　　我國(guó)生育保障制度發(fā)展歷程</p><p> 　　方案要點(diǎn)</p><p> 　　四統(tǒng)一</p><p> 　　統(tǒng)一參保登記</p><p> 　　參加職工基本醫(yī)療保險(xiǎn)的在職職工同步參加生育保險(xiǎn)。實(shí)施過程中完善參保范圍，結(jié)合全國(guó)參保登記計(jì)劃摸清底數(shù)，促進(jìn)實(shí)現(xiàn)應(yīng)保盡保。</p><hr /><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 猜你喜歡：</p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 1.<a _href="http://m.rzpgrj.com/zhishi/chaxun/2297693.html" href="http://m.rzpgrj.com/zhishi/chaxun/2297693.html" target="_blank">昆明醫(yī)保查詢個(gè)人賬戶</a></p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 2.<a _href="http://m.rzpgrj.com/zhishi/chaxun/3037001.html" href="http://m.rzpgrj.com/zhishi/chaxun/3037001.html" target="_blank">昆明醫(yī)?？ㄓ囝~查詢</a></p><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: sans-serif; font-size: 16px;"> 3.<a _href="http://m.rzpgrj.com/zhishi/chaxun/2971495.html" href="http://m.rzpgrj.com/zhishi/chaxun/2971495.html" target="_blank">云南醫(yī)保卡查詢</a></p><p style="margin: 5px 0px; 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