[{"gicategorycode":"","giinfoid":"299064","giindentifier":"11532328015177503N-/2024-0312008","giuuid":"D0ED1B44A27740F881A4ECA0650F09DB","gititle":"医保可以报销哪些医疗费用?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办","gidate":"2024-03-12 17:59:07","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"一般情况下,医保费用的报销遵循以下规则,只要符合这些规则的医疗费用,就可以报销:正常享受待遇期内(医保没断缴);在定点医疗机构就医;符合医保报销范围;在起付线以上和封顶线之内。相对的,在规则外的费用就不可以报销。"},{"gicategorycode":"","giinfoid":"299063","giindentifier":"11532328015177503N-/2024-0312007","giuuid":"79F21085D6234E888A0A03427329EFCB","gititle":"如果实在无力缴纳每年的医疗保险费,政府有没有相应的措施帮助获得医疗保障?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2024-03-12 17:57:56","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"政府有相应的帮扶措施。根据有关规定,城乡居民医保实行国家普遍性财政补助和个人缴费相结合的筹资方式,对低保对象、特困人员、农村建档立卡贫困人口等个人缴费有困难的城乡困难群众,政府对其个人缴费部分给予补贴。其中,特困人员给予全额资助,城乡低保对象、丧失劳动能力的一二级重度残疾人、低收入家庭中的60周岁以上的贫困老年人和未成年人,按照每人每年120元的标准定额资助;25个边境县、市一线行政村的农村居民,以及..."},{"gicategorycode":"","giinfoid":"299057","giindentifier":"11532328015177503N-/2024-0312006","giuuid":"0CC09E3A3570478D892C5B7931F16662","gititle":"什么是居民大病保险?怎么缴费?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2024-03-12 17:51:35","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"城乡居民大病保险是基本医疗保障制度的拓展和延伸,主要对参保患者高额医疗费用在基本医保支付基础上再给予进一步支付。参加城乡居民基本医疗保险的人员,不用额外缴费,同时参加居民大病保险,享受城乡居民大病保险规定的相关待遇。对参保居民经基本医保支付后,个人负担的合规医疗费用给予保障。大病保险起付线按统筹地区、上一年度居民人均可支配收入的50%确定,报销比例不低于60%,原则上,分段提高报销比例,费用越高则报..."},{"gicategorycode":"","giinfoid":"299056","giindentifier":"11532328015177503N-/2024-0312005","giuuid":"282843D17E3F40A88DEF32826C57EE3E","gititle":"近年来,为什么城乡居民医保的缴费金额不断提高?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2024-03-12 17:50:17","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"适度提高个人缴费标准是国家从长远考虑解决城乡居民“病有所医”作出的重要决策。2022年较2021年个人缴费新增30元,达到每人每年350元;城乡居民医保人均财政补助标准也同步新增30元,达到每人每年不低于610元。坚持筹资与待遇挂钩,合理确定大病保险人均筹资标准,大病保险由城乡居民基本医保基金划拨,个人不缴费。国家适度提高缴费标准,对于个人而言是好事,个人多交30,财政就再给大家补助30,大病保险还不用单独买,受益的..."},{"gicategorycode":"","giinfoid":"299055","giindentifier":"11532328015177503N-/2024-0312004","giuuid":"9C810244EEE94EA1B11BAB53CD0A4FDA","gititle":"城乡居民医保有国家补贴!这项“福利”大家知道吗?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2024-03-12 17:46:49","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"城乡居民医保,实行政府补贴和个人缴费相结合的筹资机制。与个人缴费相比,在整个居民医保的筹资结构中,财政补贴占了大头。2019年国家对每位参保人补贴了520元。2020年国家对每位参保人补贴了550元。2021年国家对每位参保人补贴了580元,2022年国家对每位参保人补贴了610元,所以有些人2022年参加居民医保的时候,虽然个人缴费为350元,但最终的医保参保费用至少有960元,可以说个人实际只缴纳了较小的比例,国家在帮助居民参..."},{"gicategorycode":"","giinfoid":"276980","giindentifier":"11532328015177503N-/2023-0927085","giuuid":"C53412DBC95F4FFDB0B3874E9744D02C","gititle":"新生儿如何参加城乡居民医疗保险?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:36:34","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"参保地户籍新生儿,落户后由监护人带其户口册到社区办理参保核定手续;非参保地户籍新生儿,落户后由监护人带其户口册和父母在参保地办理的《云南省居住证》到社区办理参保核定手续。新生儿未落户的,可以凭出生医学证明到经办机构办理参加。"},{"gicategorycode":"","giinfoid":"276979","giindentifier":"11532328015177503N-/2023-0927084","giuuid":"56B9301B7D724BC88059A02D5CC1DB56","gititle":"省属在昆高校大学生新参保如何办理?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:35:33","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"每年9月至12月,由省属在昆各高校提交大学生参保基础信息统一申办。学校需提交材料:1.学校新参保:正式书面申请;学校成立批文复印件;学校统一社会信用登记证复印件;单位开户银行许可证。2.学生新参保:通过微信小程序自主办理参保登记,或者是由学校通过基层网厅办理参保登记。"},{"gicategorycode":"","giinfoid":"276978","giindentifier":"11532328015177503N-/2023-0927083","giuuid":"9109EAB4707D48728B0ECD1F6132AD2C","gititle":"城乡居民已办理参保登记之后如何缴纳医疗保险参保费?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:34:49","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"税务部门负责城乡居民医疗保险费的征收工作;医保部门负责城乡居民的参保登记、实收处理并牵头做好财政补助汇算工作,不再办理缴费业务。已办理参保登记的城乡居民缴费人可通过线上缴费、线下缴费的方式缴纳费款。线上缴费方式为:缴费人可关注“云南省网上税务局”微信公众号或下载“云南税务”APP、“云南农信”APP自助完成在线缴费;线下缴费方式为:缴费人可前往省农村信用合作社联合社及其下辖机构(含农村商业银行、农村合作..."},{"gicategorycode":"","giinfoid":"276977","giindentifier":"11532328015177503N-/2023-0927082","giuuid":"08257E4D59324AA19EE82700E653C46A","gititle":"如何参加城乡居民基本医疗保险?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:34:15","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"(1)本州、市户籍新参保人员,本人携带身份证、户口册,于每年居民医保参保期到就近、就便的社区居委会办理参保业务。续保人员也可通过微信公众号云南省网上税务局自助缴费。(2)非本州、市户籍新参保人员,本人携带身份证、在参保地办理的《云南省居住证》,于每年居民医保参保期到居住的社区居委会办理参保业务。未成年人可凭父母亲在参保地的《云南省居住证》办理参保手续。续保人,员可通过微信公众号云南省网上税务局自助..."},{"gicategorycode":"","giinfoid":"276976","giindentifier":"11532328015177503N-/2023-0927081","giuuid":"E254C74ED5EC45A4B32E864789565FD1","gititle":"哪些人员可以参加居民医保?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:33:40","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"除职工以外的其他所有城乡居民,包括农村居民、城镇非从业居民、在校就读学生、在园儿童、婴幼儿、新生儿、宗教教职人员、长期投资经商和务工的外来人员的未成年子女、以及国家和我省规定的其他人员都纳入城乡居民参保范围。"},{"gicategorycode":"","giinfoid":"276975","giindentifier":"11532328015177503N-/2023-0927080","giuuid":"5ACDEF811C1C47F0B5E6DB661CB17921","gititle":"单位给职工缴纳医保,能否只要单位出钱、职工个人不出钱?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:32:48","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"也是不行的。职工医保的缴费,单位和职工个人双方都要负责。根据《中华人民共和国社会保险法》和基本医保有关规定,所有用人单位及其职工,都应按属地原则参加所在统筹地区的职工基本医疗保险,由用人单位和职工共同缴纳基本医疗保险费。在用人单位为职工参保缴费的同时,个人也有缴费的义务。所以大家在参加职工医保的同时,自己也是需要缴费的。退休人员参加基本医疗保险,个人不缴纳基本医疗保险费。"},{"gicategorycode":"","giinfoid":"276974","giindentifier":"11532328015177503N-/2023-0927079","giuuid":"FF0AED1F18B3456B84AF8423971697A7","gititle":"如果单位不给职工缴纳医保,职工该如何维护自己的权益?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:32:01","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"一般来说,职工的五项社会保险是单位一起缴纳的(其中包含医保),如果单位拒绝给职工缴纳医保,很可能其他社保也没有缴纳。职工可以这样维护自己的权益:第一,与单位交涉或协商。如果工作单位不为员工办.理社会保险,员工可以向单位工会反映,请求工会出面与单位管理层进行协商解决;没有工会组织的,员工代表可直接和公司高层进行协商和沟通。第二,提起劳动仲裁。与公司协商不能解决题的,可向当地劳动仲裁部门提起仲裁。..."},{"gicategorycode":"","giinfoid":"276973","giindentifier":"11532328015177503N-/2023-0927078","giuuid":"14239DD2A2104EE6BCFB5CBB274E9168","gititle":"企业在招人的时候会说每月多发给员工一点儿工资,就不给员工缴纳基本医疗保险了。这样可以吗?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:31:18","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"坚决不可以!首先,用人单位有为职工参加职工医保的法定义务。根据《社会保险法》,所有用人单位,包括企业(国有企业、集体企业、外商投资企业、私营企业)、机关、事业单位、社会团体、民办非企业单位及其职工,都要参加职工基本医疗保险,不给员工缴纳医保是违法的!其次,如果不缴纳医保,就会无法享受医保的保障,如果职工生了重病,无法享受医保待遇,他个人的损失绝不是老板多发的一点工资能弥补的。所以,绝对不应同意老板..."},{"gicategorycode":"","giinfoid":"276972","giindentifier":"11532328015177503N-/2023-0927077","giuuid":"AD2D15F7AE23481B9B31BDA526EACF33","gititle":"单位参加职工基本医疗保险缴费基数如何确定?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 14:30:32","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"用人单位应缴基本医疗保险费的基数为本单位上年度职工月平均工资总额,职工缴纳基本医疗保险费的基数为本人上年度月平均工资收入。职工本人上年度月平均工资收入超过统筹地区上年度职工月平均工资300%的,以300%作为缴费基数;低于60%的,以60%作为缴费基数。"},{"gicategorycode":"","giinfoid":"276942","giindentifier":"11532328015177503N-/2023-0927076","giuuid":"B6FC0AC6A39C45E7AE63C214BB6A0449","gititle":"参保单位及个人如何缴费,应缴医疗保险费有哪些?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 11:44:20","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"职工医保每月缴费一次,由用人单位和职工共同缴纳。在职职工个人应当缴纳的医保费由用人单位代扣代缴,用人单位应当按月将缴纳医保的明细情况告知本人。应缴的医疗保险费为以下两项:(1)基本医疗保险费(含生育保险费):职工缴纳的基本医疗保险费为本人工资收入的2%,用人单位缴纳的基本医疗保险费为职工工资总额的6%左右;(2)职工大额医疗费补助:由单位和个人共同负担。退休人员基本医疗保险个人不缴费,职工大额保险费补助由单位..."},{"gicategorycode":"","giinfoid":"276941","giindentifier":"11532328015177503N-/2023-0927075","giuuid":"BF53F87A838346709A98A1C127753FDB","gititle":"如何参加职工医保?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 11:43:14","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"职工医保主要面向单位的职工,包括进城务工的农民工,只要在单位就业、签订劳动合同并与单位建立稳定劳动关系的劳动者,用人单位应依法按照国家规定明确缴费责任,为其参加职工基本医疗保险。灵活就业人员(包括无雇工的个体工商户、未在用人单位参加职工基本医疗保险的非全日制从业人员以及其他灵活就业人员)也可参加职工基本医疗保险,由个人按照国家规定缴纳基本医疗保险费。"},{"gicategorycode":"","giinfoid":"276911","giindentifier":"11532328015177503N-/2023-0927074","giuuid":"46ACB78338814C0EA2356D973947CE4F","gititle":"职工基本医疗保险和城乡居民基本医疗保险有什么区别?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 11:40:23","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"首先,缴费多少不同。职工医保每月缴费一次,居民医保每年缴费一次;累计算下来,职工医保每年缴费会更多。其次,享受待遇不同。职工医保缴费多,享受的待遇也要比居民医保高一些,比如报销比例高一些,还有个人账户可以用来在门诊看病、药店买药。第三,职工医保在缴纳规定年限后能够享受退休免缴待遇,居民医保不存在免缴待遇,每年必须按时缴费才能够享受待遇。"},{"gicategorycode":"","giinfoid":"276908","giindentifier":"11532328015177503N-/2023-0927073","giuuid":"5198F5A9E55D4EF4B5A0B7A1D1E635B4","gititle":"参加医保缴了费却没有用到是不是亏了?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 11:30:39","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"国家建立基本医疗保险制度就是运用保险的“大数法则”,实施互助共济,用大家一起出的钱帮助生病的人抵御疾病医疗带来的费用风险。医保对于每个参保人来讲都是公平的一一只要参加了医保,在生病的时候就能够通过医保获得医疗费用的报销;因对疾病及疾病带来的费用风险难以预测,以前没用到医保,不代表以后都用不到,参保人以后在生病需要用钱的时候,医保可以报销很多钱,这时也就是“人人为我”了。"},{"gicategorycode":"","giinfoid":"276901","giindentifier":"11532328015177503N-/2023-0927070","giuuid":"18446B5160D6496696BF92FBB52122EC","gititle":"为什么要参加医保?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 11:25:51","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"我们每个人生活中都面临着不确定的疾病风险,参加基本医疗保险可以化解不可预知的疾病风险所带来的灾难性医疗支出,让我们的生活获得持续、稳定的安全感。基本医疗保险的原则是互助共济,健康的人帮助生病的人,大家每人拿出一小部分钱放到一起,汇成一个大的基金池,给有需要的人用,也就是“我为人人,人为我”。"},{"gicategorycode":"","giinfoid":"276881","giindentifier":"11532328015177503N-/2023-0927060","giuuid":"2C4CC961EA654F15A0B5D3AD2EC2EC0C","gititle":"基本医疗保险有哪些类型?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"元谋县政府办、","gidate":"2023-09-27 11:14:22","gidocno":"","gisubterm":"","gipubcode":"ymx","summary":"基本医疗保险是面向我国所有公民的社会保险制度,无论有没有工作,都能参加医保。目前我国基本医保有两种:职工基本医疗保险(简称:职工医保)、城乡居民基本医疗保险(简称:居民医保)。职工医保主要面向单位的职工(机关、企业、事业单位、社会团体、民办非企业单位),如果有了正式工作,就能够随单位参加职工医保;进城务工的农民工也有权参加职工医保,只要是有就业单位、签订劳动合同并与企业建立稳定劳动关系的劳动者,用人单位..."}]