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2017年武漢市在職職工住院醫療互助活動知識問答

來源:     發布日期:2016-11-24

  yi、zhigongzhuyuanyiliaohuzhuhuodongyuchengzhenzhigongjibenyiliaobaoxianshishenmeguanxi?

  zuzhikaizhanzhigongzhuyuanyiliaohuzhuhuodong,shiduichengzhenzhigongjibenyiliaobaozhangzhidudezhongyaobuchong,shizairenliziyuanheshehuibaozhangbumenjibenyiliaobaoxiangongzuojichushangdeyanshen,shi“jielibang”deguanxi。

  er、zhigongyiliaohuzhuhuodongyushangyeyiliaobaoxianyoushenmequbie?

  zhigongyiliaohuzhuhuodongyushangyeyiliaobaoxianyoubenzhidequbie。shangyeyiliaobaoxianshibaoxianqiyexingwei;erzhigongyiliaohuzhuhuodongbuyiyingliweimude,shitongguogonghuizuzhidongyuanzhigongziyuancanjiadehuzhuhezuoxingwei,shixingminzhujuece、minzhuguanli、minzhujiandu,yibangzhujiejuezhigongteshukunnanweimubiao。

  san、canjiazhuyuanyiliaohuzhuhuodongdeduixianghetiaojianshishenme?

  fanyicanjiawuhanshichengzhenzhigongjibenyiliaobaoxianhedaeyiliaobaoxiandezaizhizhigong(yixiajianchengcanjiaren),kezaibendanweigonghuitongyizuzhixiatuanticanjiazhuyuanyiliaohuzhuhuodong。canjiaderenyuanzhong,zaizhizhigongbushaoyubendanweicanjiajibenyiliaobaoxiandezaizhizhigongzongshude80%,danweicanjiajibenyiliaobaoxiandezaizhizhigongzongshushaoyuhuodengyu30rende,xu100%canjia。

  si、weishenmeyaocaiqutongyizuzhituanticanjiadefangshi?

  caiqutongyizuzhituanticanjia,zhuyaoshiyouyu:huzhuhuodongbixuzunxundashufaze,canyumianyueguang,tadehuzhuliyueqiang,zhigongshouzhuyueduo。ruguomeiyoudaduoshuzhigongdecanjia,jiubukenengjileiqizugoudezijin,huzhuhujishenzhinanyizhengchangyunzhuan。erzuzhizhigongdecanyu,zhiyouyituogegedanweituanticainengshixian。

  wu、ruhecanjiazhuyuanyiliaohuzhuhuodong?

  zhuyuanyiliaohuzhuhuodongcaiqutuantihuiyuanzhi。canjiarenyousuozaidanweigonghui(yixiajianchengcanjiadanwei)tongyizuzhijiaonahuzhufei,bingyoucanjiadanweijiangxiangguanziliaojinxingwangshangshenbao,shenbaochenggonghoudayin《wuhanshizhigongzhuyuanyiliaohuzhucanjiashenqingshu》,tongshi,tigongbendanweijinqicanjiawuhanshichengzhenzhigongjibenyiliaobaoxianderenyuanmingcehejibenyiliaobaoxianjiaofeipingzhengfuyinjiangeyifen。ranhouyousuoshuqu、ju(zonggongsi)、zhishudadanweigonghui(yixiajianchengdailidanwei)daowuhanshizhigongyiliaohuzhubangongshi(yixiajianchenghuzhuban)tongyibanlicanjiashouxu。

  liu、zhuyuanyiliaohuzhuhuodongdeqixianshizenyangguidingde?

  zhuyuanyiliaohuzhuhuodongmeiqizhouqiweiyinian,benqicong2017nian1yue1riqizhi2017nian12yue31rizhi。canjiadanweizaibenqihuzhuhuodongkaishiqianyibanlilecanjiahuzhushouxude,qihuzhuyouxiaoqiwei2017nian1yue1rilingshiqizhi2017nian12yue31riershisishizhi;ruzaibenqihuzhuhuodongkaishihoubanlicanjiahuzhushouxude,qihuzhuyouxiaoqiweijiaonahuzhufeibingjiaoqifuheyaoqiudecanjiaziliaodecirilingshiqizhi2017nian12yue31riershisishizhi,qieqihuzhufeirenganbenbanfaguidingdejiaofeibiaozhunjiaona。benqihuzhuhuodongcanjiajiezhishijianwei2017nian1yue31ri。

  qi、huzhufeijiaofeibiaozhunshiduoshao?

  huzhufeibiaozhunyiqiyiding,meiqicanjiashiyicixingjiaona。canjiarenbenqijiaonadehuzhufeiweimeirenmeifen100yuan,meirenxianjiaoyifen。huzhufeiyijingjiaona,buyutuihuan。

  ba、zhuyuanyiliaohuzhufeidechoujifangshiyounaxie?

  1、gerenjiaona;

  2、danweifulifeikaizhi;

  3、gonghuijingfeiliezhi;

  4、qita。

  xiangguanzhengce:《guowuyuanguanyujianlichengzhenzhigongjibenyiliaobaoxianzhidudejueding》zhongguanyu“buchongyiliaobaoxianfeizaigongzizonge4%yineidebufen,congzhigongfulifeizhongliezhi”;《caizhengbuguojiashuiwuzongjuguanyubuchongyanglaobaoxianfeibuchongyiliaobaoxianfeiyouguanqiyesuodeshuizhengcewentidetongzhi》(caishui[2009]27hao)zhongguanyu“buchongyiliaobaoxianfeizaibuchaoguozhigonggongzizonge5%biaozhunneidebufen,zaijisuanyingnashuisuodeeshizhunyukouchu”;《wuhanshichengzhenzhigongjibenyiliaobaoxianbanfa》zhongguanyu“buchongyiliaobaoxianfeizaibendanweizhigonggongzizonge4%yineibufen,kelieruchengben”;zhonghuaquanguozonggonghui《guanyuzhigonghuzhuhujibaozhanghuodongyouguanwentidetongzhi》(zonggongbanfa[2007]17hao)zhongguanyu“weilegeizhigongbanshishi,youtiaojiandedifanggonghuihuojicenggonghuikeyiduicanjiahuzhuhujibaozhanghuodongdezhigongzaihuzhufeiyongfangmiangeiyuyidingdebuzhu”;hubeishengzonggonghui《guanyukaizhanquanshenggonghuizhigongyiliaohuzhuhuodongzhidaoyijian》(egongban[2014]34hao)zhongguanyu“zaichouzifangmian,yidanweixingzhengzizhuweizhu、gonghuijingfeibuzhuweifu,zaizhigonggerenziyuanqiantixia,anquanliyiwuduidengjingshen,kezuzhidanweizhigonggerenjiaona”。

  jiu、ruhebanlizhuyuanyiliaohuzhujindeshenqingshouxu?

  canjiarenzaiyibaodingdianyiyuanzhuyuanzhiliaochuyuanhou,xiangbenrensuozaidanweigonghuijinxingshenqing,huozhijiedaoshezaibenxiaquzonggonghuideshizhigongyiliaohuzhubangongshibanshichubanlixiangguanshouxu,bingtigongyixiaziliao:1、《wuhanshizaizhizhigongzhuyuanyiliaohuzhugeifushenqingshu》(kedaowuhanzhigongyiliaohuzhuwangwww.whylhz.comzhong“ziliaoxiazai”yilanxiazai);2、canjiarenshenfenzhengyuanjianhefuyinjian1fen、yibaokayuanjianhefuyinjian1fen;rucanjiarenyijingshengu,huanxutigongyougonganbumenchujudehujizhuxiaozhengmingfuyinjian、zhidingshouyirenhuofadingshouyirendezhengmingcailiaojishenfenzhengyuanjianhefuyinjian1fen、yibaokayuanjianhefuyinjian1fen;3、yibaodingdianyiyuanchujudejiagaiyiyuanshoufeizhuanyongzhangdezhuyuanyiliaoshoufeishouju(fapiao),huobendiyibaobumenchujudejiagaiyibaobumengongzhangdefeiyongjiesuanqingdandengyouxiaopiaojudeyuanjian。rucanjiarenxuyaosuohuiyuanjiande,ketigongfuyinjian(danshenqinggeifushi,bixutongshichushiyuanjianhefuyinjian,jingshizhigongyiliaohuzhubangongshibanshichushenhewuwuhoujiangyuanjiantuihui);4、jingyiyuangaizhangdechuyuanxiaojiefuyinjian;5、huzhubanrenweibixutigongdeqitaxiangguancailiao。

  shi、yiliaohuzhujindeshenqingshixianyouheguiding?

  yiliaohuzhujindeshenqing,bixuzaicanjiarenchuyuanjiesuanzhiriqi90tianneixianghuzhubantichu。yuqirengweitichushenqingde,shizuozidongfangqixiangshouyiliaohuzhujindequanli。

  shiyi、yiliaohuzhujinruhejisuan?

  canjiarenzaihuzhuyouxiaoqinei,zaiyibaodingdianyiyuanzhuyuanzhiliaoshi,fashengfuhejibenyiliaobaoxianguidingdeyiliaofeiyong,zaijibenyiliaobaoxian、daeyiliaobaoxianjiesuanzhifuhou,duigerenzifudeyiliaofeiyong(buhanqifuxianhezifeifeiyong),caiqufenduanjisuandebanfageifuyiliaohuzhujin(yiliaohuzhujinsishewurubaoliudaoyuan)。jutiwei:

  1、1wanyuanyixia(han1wanyuan)debufen,an30%geifuyiliaohuzhujin;

  2、1wanyuan(buhan1wanyuan)zhi10wanyuan(han10wanyuan)debufen,an60%geifuyiliaohuzhujin;

  3、10wanyuan(buhan10wanyuan)zhi12wanyuan(han12wanyuan)debufen,an80%geifuyiliaohuzhujin。

  jibengongshi:

  geifujishu=zhuyuanyiliaozongfeiyong-jibenyiliaotongchouzhifu-daeyiliaobaoxianzhifu-zifeifeiyong -qifuxian

  anliyi:mouzhigongzaihuzhuyouxiaoqineizaimoudingdianyiyuanzhuyuanzhiliao,yiliaofeiyongzongewei100151.11yuan,qizhong:jibenyiliaotongchouzhifu81194.98yuan,daeyiliaobaoxianzhifu0.00yuan,gerenzifu16945.73yuan,zifeifeiyong2010.40yuan,qifuxian800yuan。

  huzhujinjisuanruxia:(1)geifujishu=100151.11-81194.98-0.00-2010.40-800=16145.73

  (2)huzhujinjisuan: 10000×30%=3000

  (16145.73-10000)×60%=3687

  huzhujinheji:3000+3687=6687(yuan)

  anlier:mouzhigongzaihuzhuyouxiaoqineizaimoudingdianyiyuanzhuyuanzhiliao,yiliaofeiyongzongewei298944.20yuan,qizhong:jibenyiliaotongchouzhifu72298.67yuan,daeyiliaobaoxianzhifu98247.46yuan,gerenzifu125948.79yuan,zifeifeiyong2449.28yuan,qifuxian800yuan。

  huzhujinjisuanruxia:(1)geifujishu=298944.20-72298.67-98247.46-2449.28-800=125148.79

  (2)huzhujinjisuan:10000×30%=3000

  (100000-10000)×60%=54000

  (120000-100000)×80%=16000

  huzhujinheji:3000+54000+16000=73000(yuan)

  shier、zaiyigehuzhuyouxiaoqineifashengduocizhuyuanshi,ruheshenqingyiliaohuzhujin?huzhujinyouruhejisuan?

  canjiarenzaiyigehuzhuyouxiaoqineiduocizhuyuanzhiliao,keduocishenqingyiliaohuzhujin。shenqingyiliaohuzhujinshi,anmeicichuyuanfenbiebanli,buleijizhongfujisuan。

  anlisan:mouzhigongzaihuzhuyouxiaoqineidiyicizaimoudingdianyiyuanzhuyuanzhiliao,yiliaofeiyongzongewei44417.71yuan,qizhong:jibenyiliaotongchouzhifu26679.82yuan,gerenzifu14753.16yuan,zifeifeiyong2984.73yuan,qifuxian800yuan。gaizhigongzaihuzhuyouxiaoqineidiercidaodingdianyiyuanzhuyuanzhiliao,yiliaofeiyongzongewei20939.29yuan,qizhong:jibenyiliaotongchouzhifu15813.28yuan,gerenzifu4356.99yuan,zifeifeiyong769.02yuan,qifuxian400yuan。

  huzhujinjisuanruxia:

  diyicizhuyuan:

  (1)geifujishu=44417.71-26679.82-2984.73-800=13953.16

  (2)huzhujinjisuan:10000×30%=3000

  (13953.16-10000)×60%=2372

  huzhujinxiaoji:3000+2372=5372(yuan)

  diercizhuyuan:

  (1)geifujishu=20939.29-15813.28-769.02-400=3956.99

  (2)huzhujinjisuan:3956.99×30%=1187(yuan)

  gaizhigongliangcizhuyuanhuzhujinheji:5372+1187=6559(yuan)

  shisan、zaicanjiahuzhuhuodongqianyizhuyuan,huzhuyouxiaoqineichuyuande,qihuzhujinruhejisuan?

  anlisi:mouzhigongcanjiale2017nianweicanjia2016huzhuhuodong,qi2017nianhuzhuyouxiaoqiwei2017nian1yue1rilingshiqizhi2017nian12yue31riershisishizhi。gaizhigongyinbingyu2016nian12yue28rizhuyuanzhiliao,2017nian1yue17richuyuan,zhuyuantianshuwei20tian,yiliaofeiyongzongewei103213.84yuan,qizhong:jibenyiliaotongchouzhifu83632.22yuan,gerenzifu16368.15yuan,zifeifeiyong3213.47yuan,qifuxian800yuan。

  1、fenxi:cizhongqingkuang,zhinenganhuzhuyouxiaoqineidezhuyuanyiliaofeiyongjisuangeifujishu。fashengzaihuzhuyouxiaoqiwaidezhuyuanyiliaofeiyong,jiangbuyubuzhu。

  jisuanzhuyuantianshushiyingzhuyi:zhuyuandangtianjiruzhuyuantianshuzhong,chuyuandangtianbujiruzhuyuantianshuzhong。

  yinci,zhinengan2017nian1yue1rizhi2017nian1yue17riqijian16tiandezhuyuanyiliaofeiyongjisuangeifujishu,duiyu2017nian1yue1riyiqiandezhuyuanyiliaofeiyongjiangbuyubuzhu。

  geifujishu=(zhuyuanyiliaozongfeiyong-jibenyiliaotongchouzhifu-daeyiliaobaoxianzhifu-zifeifeiyong -qifuxian)÷zhuyuanzongtianshu×huzhuyouxiaoqineidezhuyuantianshu

  2、huzhujinjisuanruxia:

  (1)geifujishu=(103213.84-83632.22-3213.47-800)÷20×16=12454.52

  (2)huzhujinjisuan:10000×30%=3000

  (12454.52-10000)×60%=1473

  huzhujinheji:3000+1473=4473(yuan)

  shiliu、zaihuzhuyouxiaoqineizhuyuan,huzhuqimanhoucaichuyuanqiemeiyoucanjiaxiayiqihuzhuhuodongde,qihuzhujinruhejisuan?

  anliwu:mouzhigongcanjiale2017nianweicanjia2018nianhuzhuhuodong,qi2017nianhuzhuyouxiaoqiwei2017nian1yue1rilingshiqizhi2017nian12yue31riershisishizhi。gaizhigongyinbingyu2017nian12yue19rizhuyuan,2018niande1yue6richuyuan,zhuyuantianshuwei18tian,yiliaofeiyongzongewei52195.45yuan,qizhong:jibenyiliaotongchouzhifu38601.19yuan,gerenzifu11132.55yuan,zifeifeiyong2461.71yuan,qifuxian800yuan。

  1、fenxi:youyugaizhigongcanjiale2017nianweicanjia2018nianhuzhuhuodong,yinci,zhinengan2017nian12yue19rizhi2017nian12yue31riqijian13tiandezhuyuanyiliaofeiyongjisuangeifujishu,duiyu2018nian1yue1rijiyihoudezhuyuanyiliaofeiyongjiangbuyubuzhu。

  2、huzhujinjisuanruxia:

  (1)geifujishu=(52195.45-38601.19-2461.71-800)÷18×13=7462.40

  (2)huzhujinjisuan:7462.40×30%=2239(yuan)

  shisi、zaihuzhuyouxiaoqineizhuyuan,huzhuqimanhoucaichuyuanqieyicanjiaxiayiqihuzhuhuodongde,qihuzhujinruhejisuan?

  anliliu:mouzhigongtongshicanjiale2017nianji2018nianhuzhuhuodong,qi2017nianhuzhuyouxiaoqiwei2017nian1yue1rilingshiqizhi2017nian12yue31riershisishizhi,2018nianhuzhuyouxiaoqiwei2018nian1yue1rilingshiqizhi2018nian12yue31riershisishizhi。gaizhigongyinbingyu2017nian12yue26rizhuyuan,2018niande1yue8richuyuan,zhuyuantianshuwei13tian,yiliaofeiyongzongewei52390.17yuan,qizhong:jibenyiliaotongchouzhifu37045.42yuan,gerenzifu14706.55yuan,zifeifeiyong638.2yuan,qifuxian800yuan。

  1、fenxi:youyugaizhigongtongshicanjialeqianhouliangqihuzhuhuodong,yinci,yingfenbiean2017nian12yue26rizhi2017nian12yue31riqijian6tian,ji2018nian1yue1rizhi2018nian1yue8riqijian7tiandezhuyuanyiliaofeiyongjisuangeifujishu,zaifenbiean2017nianji2018nianhuzhubanfadegeifubiaozhunjisuanyiliaohuzhujin。

  2、huzhujinjisuanruxia:

  2017niangeifujishu=(52390.17-37045.42-638.2-800)÷13×6=6418.41

  2018niangeifujishu=(52390.17-37045.42-638.2-800)÷13×7=7488.14

  zaifenbiean2017nianji2018nianhuzhubanfadegeifubiaozhunjisuanyiliaohuzhujin。

  shiwu、buchengdanyiliaohuzhujingeifuzerendeqingxingyounaxie?

  1、zaihuzhuyouxiaoqiwaifashengdezhuyuanyiliaofeiyong;

  2、zaiyigehuzhuyouxiaoqinei,canjiarenzaiyibaodingdianyiyuanzhuyuanzhiliaoshi,fashengfuhejibenyiliaobaoxianguidingdeyiliaofeiyong,zaijibenyiliaobaoxian、daeyiliaobaoxianjiesuanzhifuhou,leijigerenzifuyiliaofeiyongzonge(buhanqifuxianhezifeifeiyong)chaoguo12wanyuandebufen;

  3、gongshang(zhiyebing)、nvzhigongshengyudeyiliaofeiyong;

  4、jibenyiliaobaoxianhedaeyiliaobaoxianbuyuzhifudeqitazhuyuanyiliaofeiyong;

  5、feicanjiadanweidezaizhizhigong;

  6、canjiarenzaicanjiabenqihuzhuqian,yibanliletuixiushouxude;

  7、liyonggezhongqizha、zuobixingweipianquyiliaohuzhujinde。

  shiliu、canjiarenzhongtutuichujibenyiliaobaoxianhedaeyiliaobaoxiande,shifouhuannengxiangshouzhuyuanyiliaohuzhubuzhu?

  canjiazhuyuanyiliaohuzhuhuodongderenyuan,zhongtutuichujibenyiliaobaoxianhedaeyiliaobaoxiande,congtuichuzhiriqi,zhongzhixiangshouzhuyuanyiliaohuzhubuzhudequanli,qijiaonadehuzhufeibuyutuihuan。

 
 
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