每日一詞|兒童參加基本醫療保險專項行動 campaign to expand basic medical insurance coverage for children
中國日報網 2024-03-05 14:52
國家醫保局、教育部、國家衛生健康委等部門3月2日發布通知,開展兒童參加基本醫療保險專項行動,保障兒童參保權益,維護兒童健康。通知明確提出力爭到2024年底,80%以上新生兒在出生當年參保。
Chinese authorities on March 2 released a circular on the launch of a campaign to expand basic medical insurance coverage for children, aiming to safeguard the rights, interests and health of children in the country. The circular, issued by the National Healthcare Security Administration, the Ministry of Education and the National Health Commission, sets the goal that by the end of 2024, over 80 percent of newborns are covered by national basic medical insurance in the year of birth.
【知識點】
在優化新生兒參保流程層面,通知要求各地落實“出生一件事”集成化辦理,對尚未落實的地區,醫保、衛生健康等部門應加強信息共享,及時做好新生兒參保工作。新生兒原則上在出生后90天內按規定參保繳費,自出生之日起所發生的符合規定的醫療費用均可納入醫保報銷范圍。
同時,鼓勵地方探索憑出生醫學證明辦理新生兒參保,并可通過親情賬戶或經辦機構為其辦理醫保碼,在出生后180天內均可憑醫保碼在定點醫療機構直接就醫結算。醫保部門指導新生兒父母在為新生兒辦理落戶后,要及時更新新生兒參保信息。
全國已有湖南、浙江、福建、云南、江西等20多個省(區、市)開展了“出生一件事”試點工作,上海市還將推動長三角區域“出生一件事”跨省通辦,新生兒可憑戶籍或出生醫學證明辦理醫保參保,生育醫療費用可“一站式”報銷,不需要到多個部門跑腿、多次提交材料。
【重要講話】
促進多層次醫療保障有序銜接,完善大病保險和醫療救助制度,落實異地就醫結算,建立長期護理保險制度,積極發展商業醫療保險。
We will promote the orderly linking up of medical insurance programs at different levels, improve major disease insurance and medical assistance schemes, and see that medical expenses are settled where they are incurred. We will institute an insurance system to support long-term care and vigorously develop commercial medical insurance.
——2022年10月16日,習近平在中國共產黨第二十次全國代表大會上的報告
【相關詞匯】
基本醫療保險基金支出
the expenditure for the basic medical insurance funds
商業醫療保險
commercial medical insurance
社會保險基金
social security fund
中國日報網英語點津工作室(本文于“學習強國”學習平臺首發)