What do you mean by three holidays for medical insurance?

This special rectification work will comprehensively rectify the illegal activities of designated medical institutions, and at the same time focus on rectifying the "three fakes" fraud and medical chaos problems such as "fake patients", "fake diseases" and "fake bills" in designated specialized hospitals and first-class general hospitals. The purpose of the special treatment work is to draw lessons from the medical institutions' insurance fraud, resolutely stop the unhealthy trend of insurance fraud, explore the establishment of a strict and powerful medical insurance fund supervision mechanism, and ensure the safe, efficient and rational use of the "treatment money" and "life-saving money" of the insured.

The key contents of this governance involve medical insurance management of medical institutions, general violations of laws and regulations, and insurance fraud.

The problems existing in the medical insurance management of medical institutions include that the internal management system for the use of medical insurance funds has not been established, and there is no specialized agency or personnel responsible for the management of the use of medical insurance funds; Financial accounts, accounting vouchers, prescriptions, medical records, treatment and inspection records, expense details, medicines and medical consumables warehousing records, etc. are not kept. According to the regulations.

Identity, pseudonym, fake address.

Fraudulent medical insurance can be fined up to 5 times.

/kloc-From May, the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds will be formally implemented throughout the country. The Regulations define the obligations of the insured for the first time. Individuals who give medical insurance certificates to others for the purpose of defrauding insurance money, or repeatedly enjoy medical insurance benefits, shall suspend the online settlement of medical expenses for 3 to 12 months and impose a fine of more than 2 times and less than 5 times.

In addition, designated medical institutions should also ensure that the expenses paid by the medical security fund meet the prescribed scope of payment; Except in special circumstances such as emergency and rescue, the provision of medical services beyond the scope of medical security fund payment shall be subject to the consent of the insured or their close relatives and guardians.

According to the financial situation of governments at all levels and farmers' income growth and affordability, we will gradually improve the financial subsidy standards and farmers' individual financing level, and actively explore the establishment of a stable, reliable and reasonable growth financing mechanism. In 2009, the national fund-raising level of the new rural cooperative medical system will reach 100 yuan per person per year, in which the central government will subsidize farmers in the central and western regions according to 40 yuan standards, and the eastern provinces will subsidize farmers in the central and western regions according to a certain proportion; The local financial subsidy standard is not lower than that of 40 yuan, and the individual contributions of farmers are raised to not less than that of 20 yuan. The per capita financing level in the eastern region should not be lower than that in the central and western regions. Starting from 20 10, the national fund-raising level of the new rural cooperative medical system has been raised to 150 yuan per person per year, in which the central government subsidizes farmers in the central and western regions according to the standards of 60 yuan, and the central and western regions subsidize eastern provinces according to a certain proportion; The local financial subsidy standard will be raised to 60 yuan accordingly, and areas with real difficulties can be put in place within two years. The local increased funds should be mainly borne by the provincial finance, so as to reduce the burden of difficult counties (cities, districts) as much as possible. Individual farmers' contributions will be raised from 20 yuan to 30 yuan per person per year, and it will be available in difficult areas in two years. All localities should continue to adhere to the principle of voluntary participation in the family as a unit, and actively explore a new type of personal payment method for rural cooperative medical care that is in line with local conditions, easy for farmers to accept, and simple. Farmers can pay fees regularly, entrust township finance and taxation offices and other institutions to collect them, collect them by villagers' committees with the consent of villagers' congresses or remit them by financial institutions through farmers' savings or settlement accounts with the consent of farmers, and gradually change door-to-door collection to guide farmers to pay voluntarily, reducing financing costs and improving work efficiency. You'd better ask the local medical insurance agency for the standard there.

Legal basis:

Article 16 of the Resident Identity Card of the People's Republic of China shall be given a warning by the public security organ and imposed a fine of not more than 200 yuan in case of any of the following acts. Illegal income, confiscate the illegal income:

(a) using false certification materials to defraud the resident identity card;

(2) Renting, lending or transferring a resident identity card;

(3) illegally detaining another person's identity card.