社会保障研究
社會保障研究
사회보장연구
SOCIAL SECURITY STUDIES
2014年
4期
58-61
,共4页
流动性%异地就医%医疗保险关系转移接续
流動性%異地就醫%醫療保險關繫轉移接續
류동성%이지취의%의료보험관계전이접속
fluidity%treatment in non - local%transferring and continuing for basic medical insurance
福建省基本医疗保险体系在适应流动性方面还存在有待改进的地方,表现在参保(合)人的跨省流动的就医报销难、医保关系转移接续规定有不合理之处、流动参保(合)人用社会保障卡不顺畅。为此,通过建立跨省异地就医结算机制、在医疗保险关系转移时一并转移统筹基金、统一各统筹区及各医疗保险制度的社会保障卡,以促进福建基本医疗保险体系更好适应流动性的要求。
福建省基本醫療保險體繫在適應流動性方麵還存在有待改進的地方,錶現在參保(閤)人的跨省流動的就醫報銷難、醫保關繫轉移接續規定有不閤理之處、流動參保(閤)人用社會保障卡不順暢。為此,通過建立跨省異地就醫結算機製、在醫療保險關繫轉移時一併轉移統籌基金、統一各統籌區及各醫療保險製度的社會保障卡,以促進福建基本醫療保險體繫更好適應流動性的要求。
복건성기본의료보험체계재괄응류동성방면환존재유대개진적지방,표현재삼보(합)인적과성류동적취의보소난、의보관계전이접속규정유불합리지처、류동삼보(합)인용사회보장잡불순창。위차,통과건립과성이지취의결산궤제、재의료보험관계전이시일병전이통주기금、통일각통주구급각의료보험제도적사회보장잡,이촉진복건기본의료보험체계경호괄응류동성적요구。
ABstract:There is room for improvement of the basic medical insurance of Fujian in aspects of adapting to fluidity,showing in medical reimbursement difficult of the insured person’s interprovincial mobility,unreasonable in the provision of transferring and continuing for basic medical insurance,unsmooth in using the social security card for the flowing insured person. Therefore,establishing mechanisms of medical settle accounts for inter -provincial medical,transfering the co - ordinate funds when transferring for basic medical insurance,unifying the social security card of all co - ordination area and the different medical insurance systems,which promote to meet requirements of fluidity in the basic medical insurance of Fujian.