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<img src="http://www.rmzxb.com.cn/images/logo.png" class="logo" /> </div> <div id="i2i2jyu4k" class="layout pv_nav"><a >首页</a> <a href="/zszq/tj/" target="_blank">推荐</a> <a href="/zszq/kb/" target="_blank">快报</a> <a href="/zszq/ck/" target="_blank">参考</a> <a href="/zszq/gc/" target="_blank">观察</a> <a href="/zszq/jd/" target="_blank">解读</a> <a href="/zszq/kd/" target="_blank">看点</a> </div> </div> <div class="i2i2jyu4k" id="content"> <div id="i2i2jyu4k" class="pv_box m_p ov_hi"> <div id="i2i2jyu4k" class="bw_750 fl"> <h1 class="pv_title_2"> <span id="i2i2jyu4k" class="site fr"><a href='/'>首页</a>><a href='/zszq/'>政声·政情</a>><a href='/zszq/tj/'>推荐</a></span> <span id="i2i2jyu4k" class="t" id="a1"><a href="/zszq/tj/">推荐</a></span> </h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">17省明确将城乡居民基本医保划归人社部门统一管理</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2016年08月04日 13:43 | 来源：<a target="_blank">央广网</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="jiathis_style_24x24"> <a class="jiathis_button_qzone"></a> <a class="jiathis_button_tsina"></a> <a class="jiathis_button_tqq"></a> <a class="jiathis_button_weixin"></a> <a class="jiathis_button_renren"></a> <a class="jiathis jiathis_txt jtico jtico_jiathis" target="_blank"></a> </div> <script type="text/javascript" src="http://v3.jiathis.com/code_mini/jia.js?uid=1399539302485450" charset="utf-8"></script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="http://www.rmzxb.com.cn/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <p style="text-indent: 2em; text-align: left;">央广网北京8月4日消息（记者何源）据中国之声《央广新闻》报道，今年年初的时候，国务院印发了《关于整合城乡居民基本医疗保险制度的意见》，要求整合城镇居民基本医疗保险和新农合两项制度，建立统一的城乡居民基本医疗保险制度。</p><p style="text-indent: 2em; text-align: left;">按照人社部最新的统计，截至目前，全国已有包括河北、上海、浙江、山东等17个省区市，对本地整合城乡居民医保制度作出了规划部署，突破医疗保险城乡分割的体制障碍，明确将整合后统一的城乡居民医?；槿松绮棵殴芾?。为什么要完成这两种制度的整合？整合之后，城乡居民的医保待遇将发生怎样的变化？</p><p style="text-indent: 2em; text-align: left;">我国现行的医保制度分为三种：城镇职工医疗保险、城镇居民医疗保险，以及新型农村合作医疗。目前，这三种医保覆盖人口已超过13亿，我国已进入“全民医保时代”。</p><p style="text-indent: 2em; text-align: left;">但随着城镇化和人口流动的加快，由于新农合和城镇居民两种医保制度的报销目录、就诊范围的不同，造成了城乡参保居民的待遇不均衡。因此，年初国务院要求整合这两种医保制度，形成统一的城乡居民基本医疗保险制度。中国医疗保险研究会副会长吴光解释，把新农合和城镇居民医疗保险整合成一个制度，主要是为了进一步促进社会公平正义，通过整合，能够进一步实现公共服务均等化，以及城乡居民享受医疗保险待遇的一体化。</p><p style="text-indent: 2em; text-align: left;">按照国务院给出的时间表，各地要在今年6月底前，拿出整合的规划部署。人社部最新统计显示，截至目前，全国已有包括河北、天津、上海、山东等17个省区市明确了城乡居民医保整合的总规划，将整合后统一的城乡居民医?；槿松绮棵殴芾怼?/p><p style="text-indent: 2em; text-align: left;">河北邢台威县农村的李大妈，因为患有慢性肾病，经常需要从县里转诊到邢台市人民医院做治疗，不但手续复杂，而且转诊后，报销比例也会随之降低。两种制度整合后，李大妈今后从县里到市里看病，不但可以直接报销；而且报销过程、报销比例，和城里居民毫无差别。</p><p style="text-indent: 2em; text-align: left;">吴光解释说，这实际上意味着医保统筹层次的提高。比如李大妈，此前享受的新农合医疗为县级统筹，整合后就提升为市级统筹，所以她到邢台市的医院看病，就不再属于“异地就医”，报销待遇自然享受本地区内的政策。</p><p style="text-indent: 2em; text-align: left;">对大部分农村居民来说，城乡居民医保制度的整合，还意味着药品报销目录的扩大。例如，此前河北省新农合药品报销目录为1000多种，城镇医疗报销目录为2000多种，整合后的城乡居民医保药品报销目录，将会按照“就高不就低”的原则。邢台市人民医院工作人员介绍，比如哌拉西林，原来不在新农合报销范围。现在合并后，患者也能报销了。</p><p style="text-indent: 2em; text-align: left;">在报销比例上，按照此前国务院的要求，各地整合后要逐步统一保障范围和支付标准，政策范围内住院费用支付比例要保持在75%左右；同时将逐步提高门诊保障水平。河北省人社厅医保处处长张均表示：“医保目录肯定是要让农村的百姓和城镇的参保居民，都享受到更大的医保目录，享受更多的可以报销的药品和诊疗项目。门诊的政策、住院的各项政策都可以享受。同时享受后，还按照报销比例高的来执行。”</p><p style="text-indent: 2em; text-align: left;">吴光表示，总体来说，城镇居民医保和新农合整合后，城乡居民将不再受身份限制，按照统一的政策参保、享受城乡居民医保。尤其对农村居民来讲，会明显感受到医保待遇的提高。对于老百姓，特别是原来参加新农合的农民来说，最直接的感受是就医可以选择的范围扩大了。扩大药品适用范围、医疗服务项目的报销范围。就是服务包的扩大，肯定意味着保障水平的适度提高。</p><p><br style="text-indent: 2em; text-align: left;"/></p> </div> <p class="Editor">编辑：玄燕凤 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：城乡居民基本医保人社部门</p> <h1 class="pv_title_2 mt_15"><a target="_blank" 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