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<div id="boqj3cm" class="con_l fl">  <article class="ar_con bg louti"> <div id="khal3v3" class="ar_title"> <h1>昆明市醫(yī)保卡怎么查</h1> <div id="h4yjzwp" class="ar_title_b"> <div id="8uib788" class="sub_title clear"> <span id="uzcifcu" class="sp2 c6 fl">時間：<time class="fxtime">2017-08-17 14:21:39</time></span> <span id="rfo43g8" class="sp1 c6 fl"><em id="zuozhe" class="noshow">嘉敏</em><em class="user_id noshow">1004</em>由 <em class="nickname"></em> 分享</span> <span id="njszeya" class="fl arc_btn"></span> </div> </div> </div> <div id="erk4eph" class="y_ju"></div> <div id="bgz3frs" class="con_article con_main" id="contentText"> <p> 　　昆明醫(yī)保查詢的有哪些<a href='http://lpo831.com/way/' target='_blank'><u>方法</u></a>,其中昆明查詢醫(yī)保的窗口是什么.昆明的醫(yī)?？ㄓ心男┦褂貌襟E。昆明的社保繳費基數是多少。學習啦小編給大家整理了關于昆明市醫(yī)?？ú樵?，希望你們喜歡!</p><h2> 　　昆明市醫(yī)?？ú樵?點擊進入↓↓↓</h2><h2 style="text-align: center;"><a onclick="window.open(this.href, '', 'resizable=no,status=no,location=no,toolbar=no,menubar=no,fullscreen=no,scrollbars=no,dependent=no'); return false;"></a></h2><h2> 　　云南2017年1月1日起實施“醫(yī)保新政”</h2><p> 　　省政府近日出臺《關于整合城鄉(xiāng)居民基本醫(yī)療<a href='http://lpo831.com/live/cai/baoxian/' target='_blank'><u>保險</u></a>制度的實施意見》(下稱《意見》)。提出在全省范圍內整合城鎮(zhèn)居民醫(yī)保和新農合制度，從2017年1月1日起，全省各地統一執(zhí)行城鄉(xiāng)居民基本醫(yī)保政策，并提出“九統一” ：即統一覆蓋范圍、統一籌資政策、統一保障待遇、統一醫(yī)保目錄、統一定點管理、統一基金管理、統一統籌層次、統一歸口管理、統一信息系統。</p><p><strong>　　消除“城鄉(xiāng)差別”實行全民參保</strong></p><p> 　　統一覆蓋范圍：城鄉(xiāng)居民基本醫(yī)保的參保范圍覆蓋統籌區(qū)域內除職工基本醫(yī)療保險應參保人員以外的其他所有城鄉(xiāng)居民，包括農村居民、城鎮(zhèn)非從業(yè)居民、大中專院校就讀的在校學生、長期投資經商和務工的外來人員的未成年子女、以及國家和我省規(guī)定的其他人員。農民工和靈活就業(yè)人員依法參加職工基本醫(yī)療保險，有困難的可按照當地規(guī)定參加城鄉(xiāng)居民基本醫(yī)保。參保居民不再區(qū)分農村和城鎮(zhèn)居民，不受城鄉(xiāng)戶籍限制。省政府要求各地要完善參保方式，實施全民參保登記，在鄉(xiāng)鎮(zhèn)(街道)、行政村、社區(qū)服務中心和學校提供便民參保服務，既做到應保盡保又要避免重復參保。</p><p> 　　統一籌資政策：《意見》提出，2016年8月底，制定出臺城鄉(xiāng)居民基本醫(yī)保統一的財政補助辦法。城鄉(xiāng)居民基本醫(yī)保實行個人繳費和政府補助相結合的籌資方式，全省執(zhí)行相對統一的城鄉(xiāng)居民基本醫(yī)?；I資標準。2016年城鄉(xiāng)居民基本醫(yī)保政府補助標準人均提高到420元。在提高政府補助標準的同時，適當提高個人繳費比重。對符合條件的城鄉(xiāng)居民困難群眾參加城鄉(xiāng)居民基本醫(yī)保，政府給予補助，補助標準隨個人繳費標準、城鄉(xiāng)醫(yī)療救助資金總量等因素動態(tài)調整。</p><p><strong>　　住院費支付比例保持在75%左右</strong></p><p> 　　統一保障待遇：到2016年9月底，制定出臺統一城鄉(xiāng)居民保障待遇的政策<a href='http://lpo831.com/fwn/cuoshi/' target='_blank'><u>措施</u></a>。在確保整合后居民基本醫(yī)療保險總體待遇不降低的前提下，合理確定門診和住院起付標準、最高支付限額和支付比例。調整完善不同級別醫(yī)療機構的差異化政策，適當提高基層醫(yī)療衛(wèi)生機構和中醫(yī)藥服務醫(yī)保支付比例。穩(wěn)定住院保障水平，政策范圍內住院費用支付比例保持在75%左右，逐步縮小政策范圍內支付比例與實際支付比例間的差距。城鄉(xiāng)居民大病保險政策按照國家和省統一政策規(guī)定執(zhí)行。</p><p> 　　統一醫(yī)保目錄：到2016年10月底，調整制定全省統一的城鄉(xiāng)居民基本醫(yī)保藥品目錄、診療項目目錄、醫(yī)用耗材目錄和醫(yī)療服務設施范圍。在現有城鎮(zhèn)居民醫(yī)保和新農合目錄的基礎上，適當考慮參保人員需求變化，調整制定統一的醫(yī)保目錄，明確藥品、耗材和醫(yī)療服務支付范圍。</p><p><strong>　　公立民營：統統一視同仁</strong></p><p> 　　統一定點管理：將現有城鎮(zhèn)居民醫(yī)保和新農合定點醫(yī)療機構整體納入城鄉(xiāng)居民基本醫(yī)保定點范圍。統一定點機構管理辦法，強化定點服務協議管理，建立健全考核評價機制和動態(tài)準入退出機制，經考核不符合定點條件且未按照規(guī)定整改的，取消定點資格。對非公立醫(yī)療機構與公立醫(yī)療機構實行同等的定點管理政策，同等準入退出、同等監(jiān)管處罰。到2016年9月底，制定定點醫(yī)療機構的準入原則和管理辦法。</p><p> 　　統一基金管理：城鄉(xiāng)居民基本醫(yī)保執(zhí)行國家統一的基金預決算管理制度、基金財務制度和會計制度。城鄉(xiāng)居民基本醫(yī)保基金納入財政專戶，實行“收支兩條線”管理?；皙毩⒑怂恪艄芾?，任何單位和個人不得擠占或挪用。</p><p> 　　統一統籌層次：到2016年10月底，各地全面推行城鄉(xiāng)居民基本醫(yī)保州市級統籌。</p><p> 　　統一歸口管理：我省鼓勵有條件的州、市理順基本醫(yī)保管理體制、統一行政管理職能、整合經辦機構、實行歸口管理。</p><p> 　　統一信息系統：《意見》要求，要按照標準統一、資源共享、服務延伸要求，整合現有信息系統并升級改造，逐步建立覆蓋城鄉(xiāng)基本醫(yī)療保險的管理信息系統，為城鄉(xiāng)居民基本醫(yī)保制度運行和功能拓展提供支撐。</p><h2> 　　昆明靈活就業(yè)醫(yī)保繳費基數</h2><p> 自2017年7月起，昆明自謀職業(yè)、靈活就業(yè)在職參保人基本醫(yī)療保險繳費基數為：5297.00元/月。</p><p> 　　個人參加城鎮(zhèn)職工基本醫(yī)療保險的參保人，繳費費率分別為9%或5%。</p><p> 　　重特病統籌繳費標準也以上年度昆明市城鎮(zhèn)單位從業(yè)人員平均工資×0.6%+1元的公示來計算，每個月將繳納費用為32.78元。</p><p> 　　自謀職業(yè)參保人員繳納醫(yī)保：</p><p> 　　A.選擇9%的費率</p><p> 　　基本醫(yī)療保險繳費標準：</p><p> 　　5297×9%=476.73元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：1528.54元</p><p> 　　B.選擇5%的費率</p><p> 　　基本醫(yī)療保險繳費標準：</p><p> 　　5297×5%=264.85元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：892.90元</p><p> 　　靈活就業(yè)參保人員繳納醫(yī)保：</p><p> 　　A.選擇9%的費率</p><p> 　　1.首次參保年齡未滿45周歲的按9%的費率繳費</p><p> 　　基本醫(yī)療保險繳費標準：5297×9%=476.73元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：1528.54元</p><p> 　　2.首次參保年齡已滿45歲的按10%費率繳費</p><p> 　　基本醫(yī)療保險繳費標準：5297×10%=529.70元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：1687.45元</p><p> 　　3.首次參保年齡已滿55歲的按11%費率繳費</p><p> 　　基本醫(yī)療保險繳費標準：5297×11%=582.67元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：1846.36元</p><p> 　　B.選擇5%的費率</p><p> 　　1.首次參保年齡未滿45周歲的按5%的費率繳費</p><p> 　　基本醫(yī)療保險繳費標準：5297×5%=264.85元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：892.90元</p><p> 　　2.首次參保年齡已滿45歲的按6%費率繳費</p><p> 　　基本醫(yī)療保險繳費標準：5297×6%=317.82元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：1051.81元</p><p> 　　3.首次參保年齡已滿55歲的按7%費率繳費</p><p> 　　基本醫(yī)療保險繳費標準：5297×7%=370.79元/月</p><p> 　　重特病統籌繳費標準：32.78元/月</p><p> 　　每季度應繳合計：1210.72元</p><h2> 　　昆明試點生育醫(yī)療保險合并</h2><p> 　　國務院辦公廳印發(fā)了《生育保險和職工基本醫(yī)療保險合并實施試點方案》，要求在2017年6月底前，昆明等12個城市啟動合并實施試點。人力資源和社會保障部相關負責人4日表示，兩項保險合并實施，不會導致參保職工的生育保險待遇降低。隨著基金共濟能力的提高，還有利于更好地保障參保人員待遇。</p><p> 　　試點方案明確提出，“遵循保留險種、保障待遇、統一管理、降低成本的總體思路，推進兩項保險合并實施”。</p><p> 　　這位負責人說，之所以提出這一總體思路，主要是考慮兩項保險在運行操作層面具有合并實施的條件，且時機是成熟的：醫(yī)療服務項目上有共同之處，特別是在醫(yī)療待遇支付上有很大共性。</p><p> 　　同時，管理服務基本一致，執(zhí)行統一的定點醫(yī)療機構管理，執(zhí)行統一的藥品、診療項目和服務設施范圍，使用同一信息系統平臺。</p><p> 　　此外，地方有實踐基礎。近年來，部分地區(qū)按照生育保險與醫(yī)療保險協同推進的工作思路，實行兩項險種統一參保登記，統一征繳費用的管理模式，取得了良好效果。</p><p> 　　這位負責人強調，生育保險與醫(yī)療保險相比具有不同的功能和保障政策，作為一項社會保險險種，還有保留的必要：一是生育保險具有維護女性平等就業(yè)權益和女職工勞動保護的獨特功能;二是體現雇主責任，個人不繳納生育保險費;三是待遇上符合規(guī)定的醫(yī)療費實報實銷，同時還有生育津貼。</p><p> 　　因此，這次合并實施試點不是簡單地將兩項保險在制度層面合并，不涉及生育保險待遇政策的調整，而是在管理運行層面合并實施，目的是通過整合兩項保險基金及管理資源，強化基金共濟能力，提升管理綜合效能，降低管理運行成本。</p><p> 　　我國生育保障制度發(fā)展歷程</p><p> 　　方案要點</p><p> 　　四統一</p><p> 　　統一參保登記</p><p> 　　參加職工基本醫(yī)療保險的在職職工同步參加生育保險。實施過程中完善參保范圍，結合全國參保登記計劃摸清底數，促進實現應保盡保。</p><hr /><p style="margin: 5px 0px; color: rgb(0, 0, 0); font-family: 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