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武漢城市圈職工重大疾病醫療互助活動知識問答

來源:     發布日期:2016-11-24

  yi、shenmeshizhigongyiliaohuzhuhuodong?

  zhigongyiliaohuzhushizhigonghuizuzhidongyuanzhigongfayanggongrenjiejituanjieyouai、huzhuhujidejitizhuyijingshen,anzhaoquanliyiwuxiangjiehe、buyiyingliweimudedeyuanze,tongguozhigonggerenjiaofeihuozhigong、danwei、gonghuigongtongfudandengfangshichoujizijin,zaizhigongzaoyuzhongdajibing(huohuanbingzhuyuan)dengteshukunnanshi,xiangzhigongtigongjingjibangzhudeyizhongqunzhongxinghuzhuhuodong。

  er、kaizhanzhigongzhongdajibingyiliaohuzhuyouheyiyi?

  zuzhizhigongkaizhanhuzhuhujihuodongshiwoguogonghuideyixiangchuantonggongzuo,suizhugaigedeshenruhejingjidefazhan,zhigongqunzhongjiandehuzhuhujixingshiyuneirongyesuizhibianhua,guoquzifaxing、fensanxingheyingjixingdehuodong,xianyixingchengzhiduhua、shehuihuadehuzhubaozhangjizhi。tuixingzhigongyiliaohuzhuhuodong,shigaishanhefazhanduocengcishehuiyiliaobaozhangtixidekeguanyaoqiu,shigonghuijianxingdangdequnzhongluxian、luoshiquanzong“zuzhiqilai,qieshiweiquan”gongzuosiludeyixiangjutijucuo,shijicenggonghuiheguangdazhigongdepoqieyaoqiu。muqian,jibenyiliaobaoxiandebaozhangdingweiyudishuipingheguangfugai,bufenzhigongyinbingzhipin,yingaoeyiliaofeidaozhijiatingjingjichuxiankunnan。gonghuituixingdezhigongyiliaohuzhuhuodong,youliyujiejuejibenyiliaobaoxianyuzhigongshijixuqiuzhijiandemaodun,duiyujianqingzhigongdeyiliaofudan、huanjiehuanbingzhigongjiatingdejingjikunnan、baozhangzhigongdeshentijiankangjiangqidaozhongyaodezuoyong,shiyixiangweiguojiafenyou、weiqiyejiechou、weizhigongpainandezhongyaogongzuo,yeshigonghuizaishehuizhuyishichangjingjitiaojianxiashishisongwennuangongchengdezhongyaoneironghejizhi。

  san、gonghuijubanzhigongyiliaohuzhudezongzhishishenme? 

  gonghuishigongrenjiejidequnzhongzuzhi,daibiaoheweihuguangdazhigongdegenbenliyi,gonghuijubanzhigongzhongdajibingyiliaohuzhudezongzhishi:1.weicujinjingjijianshehegaigekaifangfuwu。tongguoxingbanzhigongyiliaohuzhu,wanshanshehuibaozhangtixi,zengqianggonghuizuzhiningjuli,diaodongzhigongshengchanjijixing,cujinjingjifazhan。2.weizengjinzhigongbaoxianfulishuipingfuwu。gonghuixingbanzhigongyiliaohuzhu,zaihendachengdushanghuanjielejibenyiliaobaoxianyuzhigongshijixuqiuzhijiandemaodun,baozhanghetigaolezhigongfulidaiyushuiping,huanjielebufenhuanbingzhigongdeshijikunnan,shizhigongwuhouguzhiyouditourudaoshengchanhuodongzhongqu。3.weifazhangongyunshiyefuwu。gonghuitongguojubanzhigongyiliaohuzhu,baguangdazhigongtuanjiezaidanghezhengfuzhouwei,chongfenfahuileqiaoliangheniudaizuoyong。zheshigonghuizaigaigezhongweizhigongbanshishidejutitixian,cujinlegongyunshiyedefazhan。

  si、zhigongzhongdajibingyiliaohuzhudexingzhishishenme?

  zhigongzhongdajibingyiliaohuzhudexingzhitezhengzhuyaobiaoxianweiqunzhongxing、huzhuxing、gongyixing。zhigongzhongdajibingyiliaohuzhushixinshiqigonghuigongzuodeyixiangxinneirong,gonghuizuzhidexingzhiyijizhigongqunzhongdeguangfancanyu,juedinglezhigongyiliaohuzhushiyixiangqunzhongxingdehuzhuxingwei。zhigongzhongdajibingyiliaohuzhushiyikaozhigongqunzhongliliang,haozhaoguangdazhigong“yirenweidajia,dajiaweiyiren”、“weitarenxianyifenaixin,weizijibaoyifenpingan”,fayangzhonghuaminzutuanjieyouaijingshen,xiangfashengteshushenghuokunnanzhigongtigongjingjibangzhudeyizhonghuzhuhuodong。gonghuizuzhizhigongkaizhanyiliaohuzhuhujihuodong,yiweihushehuiwending,diaodongzhigongdeshengchanjijixingweijibenchufadian,buyiyingliweimude,shigonghuiweizhigongqunzhongbanshishi、zuohaoshideyixianggongyishiye。

  wu、zhigongyiliaohuzhudetedian?

  (yi)dietouru:sannianyizhouqi,jixucanjiadezhigongmeifenjiaofeijin80yuan,shoucicanjiazhigongmeifenjiaofei100yuan;

  (er)gaoebuzhu:fuhebanfaguiding,meifengeifuhuzhujinyiwanyuan;

  (san)duozhongjibingfanwei:baozhangshiliuzhongzhongdajibing;

  (si)shelishengufuxujinzhidu:canjiazhigongyinhuanbingzhijiedaozhishengukehuo1000-5000yuanshengufuxubuzhujin;

  (wu)shouxujianbian:canjia、geifushouxudouyoudanweigonghuibanli,fangbianzhigong。

  (liu)geifukuaijie:20tianneijiangshenpijieluntongzhicanjiadanweihecanjiaren,30tianneikaisheyinxingcunzhe。

  (qi)quanxinquanyiweizhigongbanshi,buyiyingliweimude。

  liu、zhigongyiliaohuzhuyushehuijibenyiliaobaoxian、shangyeyiliaobaoxianxiangbiyounaxiequbie?

  shehuijibenyiliaobaoxianyouguojiafalvfaguibaozheng,bingqiangzhishishi。tayiweihushehuiwendingweimude,bingshixingxingzhenghuaguanli;shangyeyiliaobaoxianshibaoxianqiyexingwei,shixingqiyehuaguanlihedengjiajiaohuanyuanze,yishixianlirunweimubiao;erzhigongyiliaohuzhubuyiyingliweimude,shitongguogonghuizuzhidongyuanzhigongziyuancanjiadehuzhuhezuoxingwei,shixingminzhujuece、minzhuguanli、minzhujiandu,yibangzhujiejuecanjiazhigongteshukunnanweimubiao。

  qi、naxierenyuankeyicanjiawuhanchengshiquanzhigongzhongdajibingyiliaohuzhu?

  (yi)wuhanchengshiquanzhigongzhongdajibingyiliaohuzhuhuodongdecanjiaduixiangweiwuhanchengshiquannei(hanzhongyangheshengshu)geqishiyedanwei、jiguantuantizhongdezaizhizhigong。baokuoyuqi、shiyedanweiqiandingyinianyishang“laodonghetong”deyuangonghedanweiligangtuiyangrenyuan,buhanyibanlileli、tuixiushouxuderenyuanhebanlileli、tuixiushouxudefanpinrenyuan。

  (er)yidadaofadingtuixiunianlingdanyingongzuoxuyaojixuliuyongderenyuan(zhiweibanlituixiushouxude),canjiashibixutigongzuzhihuorenshibumendezhengming。

  ba、huzhufeidejiaonabiaozhunhehuzhuqixianshiruheguidingde?

  canjiarenyicanjiashangyiqizhigongzhongdajibingyiliaohuzhu,bingzaiqihuzhuqimanriqianhuohuzhuqimanzhiriqi30tianneishenqingjixucanjiahuzhude,benqijiaonadehuzhufeiweimeirenmeifen80yuan;shoucicanjiahuzhudezhigong,jiaonadehuzhufeiweimeirenmeifen100yuan。yicixingjiaona,meirencanjiafenezuiduowei3fen。huzhuqixianmeisannianweiyizhouqi。shoucicanjiashizhixing90tianguanchaqi。

  jiu、zhigongzhongdajibingyiliaohuzhufeidechoujifangshiyounaxie?

  (yi)zhigonggerenjiaona;

  (er)danweifulifeikaizhi;

  (san)gonghuijingfeiliezhi;

  (si)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“zhigongyiliaohuzhuhuodongyaotixian“feibaoxiandexingzhi,jianchiquzhizhigong,yongyuzhiyuzhigongdejingshen。zaichouzifangmian,yidanweixingzhengzizhuweizhu、gonghuijingfeibuzhuweifu,zaizhigonggerenziyuanqiantixia,anquanliyiwuduidengjingshen,kezuzhidanweizhigonggerenjiaona。”

  shi、canjiazhigongzhongdajibingyiliaohuzhunengdedaonaxiebuzhu?

  shoucicanjiadezhigongzaihuzhuyouxiaoqixiannei(《lvyuequerenshu》querendecanjiahuzhuzhiriqi90tianyihouzhisannianhuzhuqimanriershisishizhi),jingzhigongyiliaohuzhubanzhidingdeyiliaojigoushouciquezhenhuan《huzhubanfa》diertiaoguidingdeqizhongyizhongzhongdajibing,bingjingzhuyuanzhiliao,kexiangzhigongyiliaohuzhubanshenqinglingquyiliaohuzhujin,meifene10000yuan。lingquhuzhujinhou,huzhuzerenjigaozhongzhi。

  jixucanjiadezhigongzai《lvyuequerenshu》shengxiaozhiriqijingzhigongyiliaohuzhubanzhidingdeyiliaojigoushouciquezhenhuan《huzhubanfa》diertiaoguidingdeqizhongyizhongzhongdajibing,bingjingzhuyuanzhiliao,kexiangzhigongyiliaohuzhubanshenqinglingquyiliaohuzhujin,meifene10000yuan。lingquhuzhujinhou,huzhuzerenjigaozhongzhi。

  shoucicanjiadezhigongzai《lvyuequerenshu》querendecanjiahuzhuzhiriqi30tianhou90tiannei,jingzhigongyiliaohuzhubanzhidingdeyiliaojigoushouciquezhenhuan《huzhubanfa》diertiaoguidingdeqizhongyizhongzhongdajibing,bingjingzhuyuanzhiliao,kexiangzhigongyiliaohuzhubanshenqinglingquweiwenjin,lingquweiwenjinhou,huzhuzerenjigaozhongzhi。

  weiwenjingeifubiaozhun(meifene):yu《lvyuequerenshu》querendecanjiahuzhuzhiriqidi31tianzhi60tianwei1000yuan;di61tianzhi90tianwei2000yuan。

  canjiazhigongzaizhigongyiliaohuzhubanzhidingdeyiliaojigouzhuyuanzhiliaoshi,yinhuanbingzhijieyinzhishengu,kexiangzhigongyiliaohuzhubanshenqinglingqushengufuxubuzhujin,lingqushengufuxubuzhujinhou,huzhuzerenjigaozhongzhi。

  (yi)shoucicanjiahuzhudezhigongshengufuxubuzhujingeifubiaozhun(meifene):

  1.yu《lvyuequerenshu》querendecanjiahuzhuzhiriqidi31tianzhi60tianyinbingshengugeifu1000yuan;di61tianzhi90tiangeifu2000yuan;

  2.yu《lvyuequerenshu》querendecanjiahuzhuzhiriqidi91tianzhisannianhuzhuqimanrizhiyinbingshengugeifu3000yuan。

  (er)jixucanjiahuzhudezhigongshengufuxubuzhujingeifubiaozhun(meifene):

  1. canjiarenzaishangyihuzhuzhouqineiyinhuan《huzhubanfa》guidingdezhongdajibingqieyixiangshouyiliaohuzhujin,benqineiyouyinshangyihuzhuzhouqixiangtongdaleijibingjibingfazhengyinzhishengu,geifu1000yuan;

  2.canjiarenyinhuan《huzhubanfa》guidinghuzhufanweiyiwaijibingzhijieyinzhishengu,geifu3000yuan;

  3.canjiarenzaicanjiabenqihuzhuhuodongqianyihuan《huzhubanfa》guidingdezhongdajibingqieweixiangshouyiliaohuzhujin,benqineiyouyinxiangtongdaleijibingjibingfazhengyinzhishengu,geifu5000yuan。

  shiyi、ruhebanlihuzhudaiyudeshenqinghegeifushouxu?

  canjiarenzaihuzhu(weiwen)youxiaoqineirufashengshuyu《huzhubanfa》diertiaozhongdajibingfanweisuoguidingdeqizhongyizhongzhongdajibinghuoyinbingshengu,keanxialiechengxushenlingyiliaohuzhu(weiwen)jinhuoshengufuxubuzhujin:

  (yi)canjiarenbeiqixialieziliaodaocanjiadanweibaogaobingtichubuzhushenqing。

  1、canjiarenshenfenzhengfuyinjian2fen;rucanjiarenyijingshengu,huanxutigongyougonganbumenchujudehujizhuxiaozhengmingfuyinjian、zhidingshouyirenhuofadingshouyirendezhengmingcailiaojishenfenzhengfuyinjian2fen;

  2、zhigongyiliaohuzhubanzhidingdeyiliaojigouchujubinggaizhangdechuyuanxiaojiehuosiwangzhengming、shoushubaogao,yongbingliqiepian、xueyejianyandengkexuefangfajianyanquezhensuohuanjibingdejianchabaogaodanfuyinjian;

  3、jiagaiyiyuanshoufeizhuanyongzhangdezhuyuanyiliaoshoufeishouju(fapiao)dengyouxiaopiaojudefuyinjian;

  4、huzhubanrenweibixutigongdeqitaxiangguancailiao。

  (er)canjiadanweiduiyouguanziliaochubushencha,dengluwuhanzhigongyiliaohuzhuwangzhan(www.whylhz.com)xiazai《wuhanchengshiquanzhigongzhongdajibingyiliaohuzhugeifushenqingshu》(yixiajiancheng《geifushenqingshu》)bingbangzhutianxie,zai《geifushenqingshu》shangtichuchubushenchayijianbingqianzhang,liantongcanjiarentijiaodeyouguanziliaoyibingjiaodailidanweishenhe。

  (san)dailidanweiduicanjiadanweitijiaodegeifushenqingcailiaojinxingshenhe,heshiwuwuhoujiangcanjiarendegezhongbinganziliao、shenfenzhengfuyinjianjiyiqianshushenheyijiande《geifushenqingshu》songzhigongyiliaohuzhubanshending。

  (si)zhigongyiliaohuzhubanshoudaocanjiarenshouxuqibeidegeifushenqingcailiao, jingfuheshendinghou,20tianneijiangshenpijieluntongzhicanjiadanweihecanjiaren。duifuhehuzhutiaojiandecanjiaren,zai30tianneiweitamenkaisheyinxingcunzhe,youdanweijingbanrenyuandaiweilingqu、fafang。

  shier、buchengdanyiliaohuzhugeifuzerendeqingxingyounaxie?

  (yi)canjiarenzaihuzhuqineizhonghuancanjiaqiancenghuanbenbanfadiertiaoguidingdexiangtongdaleijibingde(yinbingsiwangchuwai);

  (er)shoucicanjiadezhigongzai《lvyuequerenshu》querendecanjiahuzhuzhiriqi30tiannei,beiquezhenhuanbenbanfadiertiaoguidingdezhongdajibinghuoyinhuanbingzhijieyinzhicanjiarenshengude;

  (san)canjiarenzaishoucicanjiahuojixucanjiabenqihuzhushi,yibanliletuixiushouxude;

  (si)canjiarenyouyinmanbingshi、weizaohuocuangaibinglibingshiyijiqitagezhongqipian、zuobixingweide;

  (wu)canjiarenbeiyiyuancuowuzhenduanweihuanyoubenbanfahuzhufanweineidezhongdajibingde;

  (liu)yinziranzaihai、junshixingdong、dongluan、hefushe、guyifanzui、zishanghuodajiadououzaochengdeyiwaishanghaizhicanjisiwangde;

  (qi)congshigaofengxianyundongdaozhiyiwaishanghaizhicanjisiwangde;

  (ba)weifanbenbanfayouguanguidingdeqitaqingkuang。

  

 
 
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