Xuzhou medical insurance bureau Telephone

1, unified medical insurance inquiry telephone number of Xuzhou Medical Insurance Bureau: (05 16-83726006) The contents include: medical insurance payment base, proportion inquiry, medical insurance card balance inquiry, etc.

2. For consultation needs, telephone agents can reply in real time according to the data of 12393 medical insurance knowledge base and medical insurance system, and more complicated queries can be transferred to medical insurance agents to answer; The medical insurance business needs that cannot be solved online will be transferred to the medical insurance department at the same level in the form of work orders, which will be completed within a limited time and fed back to the medical insurance department at the same level. The plaintiff follows the process standard of hotline 12345; According to the needs of medical insurance business and the work requirements of the municipal hotline 12345, the company will follow up and supervise the whole process, incorporate the "advantages and disadvantages assessment" management mechanism, and pay a timely return visit to solve problems and service satisfaction.

Compared with the current policy, the main contents of the policy adjustment of Xuzhou Urban and Rural Residents' Medical Insurance Measures are as follows:

1, unify the city's financing standards and methods. First, the payment standard for individual residents is uniformly determined as 300 yuan per person per year, with counties, tongshan district and jiawang district each raising 20 yuan and urban areas unchanged. College students continue to maintain the standard of 2 10 yuan. Second, according to the methods of counties, cities, tongshan district and jiawang district, individual contributions are fully subsidized by the government.

2, unified the city's hospitalization. The first is to unify the proportion of hospitalization reimbursement. On the basis of 90% and 80% reimbursement rates for hospitalization in primary and secondary medical institutions respectively, the New Deal uniformly adjusted the reimbursement rate for hospitalization in tertiary medical institutions to 70%. The second is to cooperate with the health department to do a good job in graded diagnosis and treatment. Appropriately liberalize the minimum payment standard for hospitalization in primary and secondary medical institutions and tertiary medical institutions. The minimum payment standard for hospitalization in tertiary medical institutions was raised from 1 100 yuan to 1500 yuan, while the minimum payment standard for hospitalization in secondary and secondary medical institutions remained unchanged in 400 yuan and 700 yuan. The third is to strengthen medical insurance to help the poor accurately. Establish a retrospective mechanism for enjoying the treatment of special groups. Newly-added medical assistance recipients, disabled people who have lost the ability to work, and elderly people aged 70 and above can enjoy medical insurance benefits (identity) normally after going through the formalities of insurance and subsidy payment from the date of obtaining corresponding qualifications. The fourth is to unify the city's policy of seeking medical treatment in different places. The minimum qifubiaozhun for the insured's hospitalization in different places was raised from 1.500 yuan to 1.800 yuan, and the reimbursement rate was 60%. The treatment of migrant workers and other long-term overseas personnel is the same as that of this Municipality.

3. Further optimize the handling services. First, the insured persons in counties (cities), tongshan district and jiawang district no longer go through the urban referral procedures, but can seek medical treatment for free in big cities. The second is to further extend the payment period. 202 1 The payment period of residents' medical insurance was extended from the end of February to March 3 1. The third is to reasonably control the growth of medical expenses. In order to reduce the burden of medical treatment for the masses, the new policy intends to stipulate that, in addition to emergency rescue, higher-priced drugs, diagnosis and treatment items, special medical materials and medical service facilities are used outside the scope of medical insurance payment. Individuals who pay more than 30% (including 30%) in advance for drugs and medical treatment projects, designated medical institutions shall fulfill the obligation to inform, and can only use them with the consent of the insured.