Opinions on improving the medical treatment and management of land requisition and over-transfer personnel
Beijing Municipal Bureau of Civil Affairs Beijing Municipal Bureau of Human Resources and Social Security
Beijing Municipal Bureau of Finance on Perfecting Land Expropriation and Over-transfer Personnel
Opinions on medical treatment and management related issues
Jing Min Zheng Fa [2012] No.503
County Civil Affairs Bureau, Human Resources and Social Security Bureau, Finance Bureau:
In order to further improve the medical treatment and management of land acquisition, rural resettlement and over-transfer personnel (hereinafter referred to as over-transfer personnel) in this Municipality, with the consent of the municipal government, we hereby put forward the following opinions.
1. All the former rural laborers who have been converted into resident households due to land acquisition for national construction, including the elderly who have no dependents and the sick and disabled who have lost their working ability within the legal working age, who are over the resettlement period (men over 60 years old, women over 50 years old and above), shall be treated with a card with reference to the Provisions of Beijing Municipality on Basic Medical Insurance (Order No.158 of Beijing Municipal People’s Government) and relevant policies and regulations. The medical treatment of the sick and disabled who have not reached the retirement age in the over-transfer personnel shall refer to the standards for retirees of urban workers’ basic medical insurance enterprises.
Two, to issue social security cards for over-transfer personnel, and to issue cards for the first time without personal expenses. In the future, the expenses related to the replacement of cards due to damage or loss shall be borne by the overstaffed personnel. The specific use management shall be implemented in accordance with the relevant policies and regulations of the human resources and social security department of this Municipality.
Three, by the social insurance agencies with reference to the basic medical insurance standards, establish a personal account for the ultra-transfer personnel, over 70 years old (inclusive) ultra-transfer personnel will be paid 107 yuan per person per month, and under 70 years old ultra-transfer personnel will be paid 97 yuan per person per month, which will be included in the personal account passbook of the ultra-transfer personnel on a monthly basis, and the original medical subsidy for the general ultra-transfer personnel will be cancelled.
Four, super transfer personnel to enjoy medical treatment with reference to the basic medical insurance for urban workers and other matters, in accordance with the "Beijing basic medical insurance regulations" (Beijing Municipal People’s Government DecreeNo. 158th) and related policies and regulations. Refer to the implementation period, regardless of the payment period.
Five, lonely old hospitalization, emergency observation, outpatient special disease Qifubiaozhun the following expenses, personal payment of medical expenses (excluding personal payment of the door, emergency Qifubiaozhun the following expenses and personal payment at their own expense), by the civil affairs department to give supplementary reimbursement, supplementary reimbursement of funds required by the original channel expenses.
Six, super transfer personnel in accordance with the principle of "nearest medical treatment", within the scope of designated medical institutions of basic medical insurance, choose four designated medical institutions for individual medical treatment, among which there must be a community health service center (station) or grass-roots designated medical institutions such as factories, mines, universities and other internal services. Class A hospitals, traditional Chinese medicine hospitals and specialized hospitals in the designated medical institutions in the city are common designated medical institutions, and they can seek medical treatment without selection. The first consultation system of designated community health service institutions in general outpatient clinics shall be implemented for over-transfer personnel to seek medical treatment.
Seven, the medical management of the ultra-transfer personnel shall refer to the relevant provisions of the basic medical insurance for urban workers.
Over-transfer personnel must hold a social security card issued by the social insurance agency for medical treatment. The audit and settlement of medical expenses of over-transferred personnel shall be implemented with reference to the settlement method of basic medical insurance.
Eight, social insurance agencies to establish a special account for medical expenses of the overstaffed personnel, used to account for the basic medical personal account expenses and medical expenses of the overstaffed personnel, and the municipal, district and county civil affairs bureaus to which the overstaffed personnel belong as independent units, and make detailed accounting according to the municipal, district and county respectively.
Nine, the Civil Affairs Bureau in conjunction with the Municipal Human Resources and Social Security Bureau shall, before the end of November each year, determine the per capita expenditure budget standard for the medical treatment of the over-transferred personnel in the next year, calculate the number of over-transferred personnel based on the management of the municipal, district and county, and approve and determine the amount of funds payable by the municipal, district and county in the next year according to the principle of "more than enough to make up for less". Before December 15th of each year, the municipal, district and county shall pay the funds needed for the medical treatment of the overqualified personnel to the Municipal Finance Bureau according to the determined amount.
Ten, the Municipal Finance Bureau does not set up a separate special account for the management of medical treatment of the ultra-transfer personnel. In the existing social security account, the medical funds of the ultra-transfer personnel are accounted for separately, which is used to account for the medical treatment funds paid in by the municipal, district and county respectively and the medical treatment expenditure funds allocated to the municipal social insurance agency.
The social security account information of the Municipal Finance Bureau is as follows:
Account name: Beijing Municipal Bureau of Finance
Account number: 01090520500120111018246
Bank of deposit: Bank of Beijing Business Department.
Eleven, the Municipal Civil Affairs Bureau, the Municipal Human Resources and Social Security Bureau, and the Municipal Finance Bureau jointly pay attention to the operation of funds for medical treatment of over-transfer personnel during the year, predict in advance the temporary turnover difficulties of funds caused by special factors, and study and solve them in time through one-on-one discussion. The required funds will be borne by the municipal, district and county managers respectively.
Twelve, the newly received super-transfer personnel shall go through the registration and warehousing procedures at the social insurance agency in the district and county from the 5th to 25th of the month of receiving. From the second month after completing the registration, the overstaffed personnel shall refer to the Provisions of Beijing Municipality on Basic Medical Insurance (Order No.158 of Beijing Municipal People’s Government) and relevant policies and regulations, and enjoy medical treatment with the certificate of obtaining a new [replacement] social security card. Medical expenses incurred before holding a social security card for medical treatment can be settled by manual reimbursement at the street social security office of the contestant.
Thirteen, before going through the insurance formalities, other medical insurance personnel have been enjoyed. After going through the insurance formalities, the original medical insurance benefits will be stopped. With reference to the Beijing Basic Medical Insurance Regulations (Order No.158 of the Beijing Municipal People’s Government) and related policies, they will enjoy new medical benefits, and the threshold, reimbursement ratio and maximum payment limit need to be recalculated.
Fourteen, districts and counties to receive the funds needed for the medical treatment of over-transferred personnel should be paid to the Municipal Finance Bureau in accordance with the budget standard for the per capita expenditure of medical treatment of over-transferred personnel this year before the 10th day of the next month, according to the calculation of the number of new recipients, in accordance with the aforementioned prescribed procedures. The district/county civil affairs department shall, after determining the situation of new recipients in the current month, promptly consult the district/county financial department to turn over the funds needed for medical treatment. The district and county civil affairs departments shall also report to the Municipal Civil Affairs Bureau for statistics and summary of the new personnel in the city in that month, and the Civil Affairs Bureau shall file with the Municipal Finance Bureau before the end of the month as the basis for checking the funds paid by the new personnel next month.
Fifteen, the financial department, the auditing department and the social insurance administrative department shall, in accordance with their respective duties, supervise the income and expenditure and management of the medical treatment funds for the over-transferred personnel.
Sixteen, the basic medical personal account standards, medical expenses Qifubiaozhun, reimbursement ratio and the maximum payment limit and other policy adjustments, the corresponding standards of overstaffed personnel shall be adjusted at the same time.
This opinion shall come into force as of January 1, 2013.
Beijing Municipal Bureau of Civil Affairs Beijing Municipal Bureau of Human Resources and Social Security
beijing finance bureau
December 10, 2012