Key Benefits:
(Reviewed at the 27th ordinary meeting of the People's Government of the State of Délejan on 24 November 2003 by publication No. 199 of 30 November 2003) Chapter I General Article 1 provides for the establishment and improvement of the basic health insurance system in the city's town, guarantees access to basic medical care for basic health insurance personnel (hereinafter referred to as participants) and promotes social stability and economic development, in accordance with the decisions of the State Department on the establishment of a basic health insurance system for urban workers, the provisional regulations for social insurance contributions and the notification by the Government of the People's Republic of Zangi to the publication of comments on the reform of the basic health insurance system for urban workers in the province of Zanganzi province, in conjunction with the relevant provisions of the current city. Article 2 builds on the economic system for the adaptation of the socialist market, in line with financial, unit and individual affordability, and protects the basic social health insurance system for the basic medical needs of insured persons. Article 3. The establishment and improvement of the basic urban health insurance system (hereinafter referred to as basic health insurance) must uphold the following principles: (i) The level of basic health insurance should be tailored to the level of economic and social development; (ii) Units and individuals with basic health insurance coverage should participate in basic health insurance and be administered on the ground; (iii) Basic health insurance costs are shared by the insured units and the insured person, with appropriate government subsidies; (iv) Integration of the Basic Health Insurance Fund into social integration and personal accounts; (v) Raising and paying basic health insurance expenses should reflect the principle of relative rights and obligations and, in the course of the reform of the basic health insurance system, the Government, the insurance unit and the insured person should assume the corresponding management and economic responsibility. Article IV (i) Various types of enterprises, State bodies, business units, social groups, non-commercial units (hereinafter referred to as collateral units) and their in-service workers; (ii) Persons paying basic old-age premiums and basic medical insurance expenses in accordance with the provisions of the agreement (hereinafter referred to as co-donor); (iii) The integration area other than subparagraph (i) and (ii) of this article is in line with the non-agricultural personnel who have not attained the mandatory retirement age (hereinafter referred to as flexible employment); (iv) Persons (hereinafter referred to as retirees) who participate in the basic health insurance and meet the statutory retirement age (hereinafter referred to as retirement, retiring and retiring). Units and individuals in compliance with the above-mentioned conditions should be considered to be suspended for the duration of periods of time, within three months from the date of the inclusion of the coverage of the insured, to the basic health insurance agency (hereinafter referred to as a medical agency). In accordance with the original “Strategic health insurance scheme” (No. 189 of the Municipal Government Order) which provides for the suspension of units and individuals who are in compliance with the conditions of tenure, the suspension of the insured person's annual insurance period shall be calculated in effect. Article 5 Depressed mountainous areas, the remaining cushion zones and the districts (markets) may, in accordance with this approach, develop a basic health insurance scheme for the Territory with the approval of the Government of the city, in conjunction with the economic and economic structure of the Territory. Article 6. Participating in the basic health insurance, the insured and the insured person shall participate in the basic old-age insurance in accordance with the relevant provisions. Of these, by 30 June 2004, men had reached 45 years of age and had reached 35 years of age and had not retired flexible employed persons to participate separately in basic health insurance, and the basic health insurance was in place within six months from the date of operation. Article 7. The Government of the State may adjust in due course to the proportion of payments for basic health insurance, the maximum payment criteria and the Government's subsidy rate, in accordance with economic development and the operation of the basic health insurance system. Chapter II Article 8 The depressed mountains, the remaining cushion areas and the district (market) labour security administration are responsible for the basic health insurance work within the Territory. The health-care agencies under the executive branch at all levels are specifically responsible for the day-to-day management of basic health insurance. Sectors such as economic, health, drug surveillance, finance, tax, business, goods, audit, personnel, public safety and security should be aligned with the implementation of this approach by the labour security administration in accordance with their respective responsibilities. In the course of the implementation of this approach, the labour security administration should listen to the same-tiered trade unions and involve the same-level trade unions in researching the accompanying policies and measures for basic health insurance. Article 9. Main duties of the executive branch: (i) Develop and organize development planning and overall programmes for the implementation of basic health insurance in the Territory; (ii) To follow up on the relevant laws, regulations and regulations governing basic health insurance and to develop or collate a policy accompanying basic health insurance with the relevant sectors; (iii) Monitoring the implementation of the basic health insurance system and handling of violations by law; (iv) Oversight of the payment and operation of the basic health insurance fund with the financial, audit and other sectors; (v) Examination and appraisal of the basic health insurance services and management of targeted medical institutions, targeted pharmacies, etc., with sectors such as health, drug surveillance, finance, prices; (vi) Coordination with the trade unions and the economic, commercial, tax, audit, personnel and public safety sectors on matters related to basic health insurance. Article 10 (i) Work on the mobilization, management and use of the basic health insurance fund, in particular in the areas of insurance, payment, clearance and cost settlement; (ii) An analysis of the operation of the basic health insurance fund and the timely provision of an early warning report on the basic health insurance fund to the superior sector on the basis of the preparation of the draft predetermined accounts for the basic health insurance fund and the financial and internal audit work of the basic health insurance fund; (iii) The Labour Security Administration is entrusted with monitoring of the fees for targeted medical institutions, targeted pharmacies, drug prices and basic health insurance services in the relevant sectors; (iv) An investigation and treatment of violations committed during the implementation of basic health insurance, commissioned by the labour security administration; (v) Complementary services for basic health insurance. Article 11 Funds for the cause of the Medical Insurance Agency shall be financed by the financial sector in accordance with the actual needs of the management of the basic health insurance system and shall not be drawn from the basic health insurance fund. Chapter III Mobilization of the Basic Health Insurance Fund Article 12 Basic health insurance expenses are paid by the participating units and the insured person, as set out below, and appropriate government subsidies: (i) Enterprise, Civil Service non-commercial units and units taking into account corporate participation, the total number of employees in this unit was raised by 9.5 per cent over the month, of which 0.5 per cent was transferred to the personal accounts by a certain proportion of the insured units, and 9 per cent were paid to the health-care agencies by the participating units in the month (6 per cent of them for the establishment of an integrated fund for hospitalization and the provision of medical treatment, and 3 per cent for the establishment of an integrated health-care fund for retirees). In-service workers (in addition to grade II and the above-mentioned revolution maimed military personnel), on average monthly wages (a 60 per cent lower than the average monthly salary for active employees in the current integrated area, 60 per cent of the average monthly salary for workers in this integrated area for the previous year; 30 per cent higher than the average monthly salary of employees in the current integrated area of the previous year, 30 per cent of the average monthly salary for workers in the integrated area over the year, with 2 per cent of the same-year salary paid by the insured unit in the month. The total salary of the employee is calculated according to the statistical calibities established by the State (hereinafter the same). (ii) National bodies, utilities and social groups that are integrated into the scope of medical assistance for national civil servants, the total number of employees in this unit over the month is based on 15 per cent paid to the Medical Insurance Agency in the month, 6 per cent of which is used to establish the Inpatient Fund for Hospitalization and Patricia (hereinafter referred to as the Integrated Inpatient Fund), 9 per cent for the establishment of an Integrated Pension Fund for the Access to National Civil Service (hereinafter referred to as the Inpatient Fund for Civil Service). In-service workers are paid by 2 per cent of their average monthly salary, and are vested in the Medical Insurance Unit after their departure. (iii) The collaborators are carried out in accordance with the relevant provisions of the Government of the commune on the payment of basic old-age premiums and basic medical insurance payments. (iv) The average monthly wage for flexible employment workers in this integrated area, which is based on an average monthly salary of more than a year, is paid by individuals (the non-regular organization employed by the informal employment organization management unit) to health-care institutions by 7.5 per cent of which is based on 5 per cent for the establishment of an inpatient fund and 2.5 per cent for the establishment of an integrated health care fund for retirees (hereinafter referred to as the Integrated Pension Fund). A flexible number of employed persons held in the Délejan City Vulnerability and Employment Assistance Documents during an effective period, and 60 per cent of the average monthly salary for workers in this integrated area over the year. (v) The integration of retirees in the medical treatment of retirees (hereinafter referred to as the integrated treatment of retirees) and the provision of an integrated start-up fund for a one-time payment of 15 per cent of the annual average salary of employees in the integrated area of the previous year, for the establishment of an integrated fund for the treatment of retirees, which is no longer paid by retirees who are in the bankruptcy, the hotel industry and correctional units. The retired persons are paid by the Participating Unit or the receiving management unit; in their personal capacity, the collaborators and flexibilities in the holding of the Démocratiques in the State of the effective period, with 60 per cent of the annual average annual salary of employees in the integrated part of the year. (vi) The Government grants a subsidy of 0.5 per cent of the total salary of all workers in the integrated area of the current year (part of which is for major sickness medical benefits). (vii) The average monthly salary of the staff of the participating units is less than 60 per cent of the average monthly salary of the previous year's integrated area of workers, 60 per cent of the average monthly salary for the current integrated area of the year, up from 30 per cent of the average monthly salary of employees in the previous year, and 30 per cent of the average monthly salary for the current integrated area. Specific approaches to the integrated management of retirees are developed by the Government of the city. Article 13 The basic health insurance fee shall not be paid, and the tax fee shall not be paid. Article 14. Basic health insurance fees are charged by local tax authorities and incorporated in the management of the financial specialties of the Social Security Fund, with special funds, and no units and individuals shall be excluded. Article 15 (i) Basic health insurance fees for the establishment of an integrated fund for inpatient hospitals, for which 60 per cent of the topic “Financial expenditure - personnel expenditure - social security contributions” is charged by State agencies and 40 per cent in the topic “Furer expenditures” - personnel expenditure - social security contributions”. (ii) Basic health insurance fees for the establishment of the Medical Integration Fund for Civil Spatients, which are included in the topic “Financial expenditure - grants to individuals and families - medical expenses”, and the unit of the cause (or social groups) is charged in the subject of “Europe expenditure (or operating expenses) - grants to individuals and families - medical fees”. (iii) Basic health insurance fees for the establishment of the Integrated Pension Fund for Retired Persons (or social groups) are included in the topic “Europe expenditures (or operating expenses) - grants to individuals and families - medical expenses” and businesses are included in the topic “Fureral insurance”. Article 16, when the insured unit is terminated by law, must liquidate the payment of basic medical insurance fees. Article 17 Article 18 The Basic Health Insurance Fund, which was raised in the year, took the interest rate of savings deposits in accordance with the same period; the last year's reproduced fund, was relocated to the bank savings deposit interest rate for three months; the cumulative fund deposited with the financial special occupants of the Social Security Fund to obtain bank savings on the basis of bank savings deposits not less than three years. Chapter IV Integrated Funds and Individual accounts Article 19 Article 20 Article 21 Integrated Inpatient Funds are composed of 6 per cent of the total salary of the full employee of the insured unit in the previous month, basic health insurance payments paid by the flexibilities of 5 per cent of the monthly average monthly salary of employees in the integrated area and 50 per cent of the total net health insurance contributions paid by the collaborators. Article 2 Diseases are defined as various types of maloxinology, systematic mangroves, bloodshed, re-hurdle blood, mental secession, emotional and chronic kidnapped treatment and post-implementation treatment of organs included in the treatment project. Following the implementation of this approach, the municipal labour security administration can adjust to the various types of disease according to the actual medical conditions established by the Government of the city, which are published after approval by the Government of the city. Article 23, Enterprise, Civil Service and enterprise-specific units, whose personal accounts are established and administered by the Insolvency Unit, are to be established and administered by the Medical Insurance Agency and are to be established and administered by the Medical Insurance Agency when conditions are to be mature. The individual accounts of civil servants, collaborators and retirees participating in the treatment of retirees are coordinated by the Medical Insurance Agency. Flexible employed persons were not able to establish an individual account prior to retirement, and their individual accounts after retirement were coordinated by the Medical Insurance Agency. Article 24 (i) The personal accounts of active workers established and administered by the participating units are composed of two components: part of the monthly average salary paid by the unit by 2 per cent of the average monthly salary, and all classified into their personal accounts; and the other part of the insurance unit, in accordance with the different age levels of the active employee (compared to 35 years, between 35 and 45 years, 45 years before retirement), from the insured unit to 0.5 per cent of the total salary paid by the employee in the previous month, to the individual account in effect. (ii) The personal accounts of civil servants are composed of two components: part of the annual salary of active workers, which is paid by the Medical Insurance Agency in accordance with the average monthly salary of 2 per cent of the previous year, and all are classified into their personal accounts; and the other part of the Medical Insurance Agency, in accordance with the different ages of the civil service, the total annual salary of the retired person, the post-retirement basic pension for which he or she is appointed at his/her annual rate (the basic pension for himself is less than the year's integrated pension area established by the Medical Insurance Agency and the management of the basic pension accounts for the individual pension account for the year. The proportion of specific transfers is: 1-4 per cent below the age of 35 years; 2: Between 35 and 45 years of age, 0.7 per cent; 3: The age of 45 to 1 per cent before retirement; 4-8 per cent after retirement until the age of 70; The age of 5, 70 years and over (70 years) was transferred to 6.8 per cent. (iii) Individual accounts for retirees who are integrated in the Médecins sécurité, established by the Medical Service in the previous year, in accordance with the different ages of the retired person (the individual has no basic pension or basic pension is less than the previous year's integrated area by the Medical Insurance Service, to establish and manage the basic pension of retired persons in the personal accounts, and, according to the previous year's integrated area, a proportion of the basic pensionable pension of the individual accounts established and administered by the Medical Service (OAS), from the Pension Fund. The proportion of specific transfers is: 1 D.C. 2 and 70 years of age (70 years of age) were transferred to 6.8 per cent. (iv) The funds of the individual accounts prior to the retirement of the collaborators are transferred by 50 per cent of the total amount of the basic medical insurance payments paid. (v) Individual accounts funds are classified as monthly. (vi) The last year's integrated area was determined by the municipal labour security administration on the basis of the data provided by the relevant departments by the Medical Service to establish and manage the basic pension for retirees in the personal accounts. Article 25 Article 26 The principals and interest in the personal accounts are owned by the individual and may be used and inherited by law for the next year. Chapter V Article 27 provides for the treatment of basic health insurance for the second month of payment of basic medical insurance expenses. After the insurance, the payment of basic health insurance fees to the mandatory retirement age, such as the three-month period of continuous interruption of contributions, should be considered to be interrupted, the release of basic health insurance treatment from the fourth month, and the medical expenses incurred are not covered by the basic health insurance fund. The cost of basic medical insurance for the period of interruption was not reimbursed owing to the interruption of personal security. The remaining medical expenses incurred by the insured person during the interruption, in addition to the portions to which the individual should be borne, are borne by the participant's insurance unit. In the event of the suspension of the insured person's re-insecution, persons belonging to non-agricultural origin in this integrated area must receive basic health insurance treatment after six months of continuing payment, and persons other than the non-agricultural origin in this integrated area may receive basic health insurance treatment for the second month of repayment. Article 29, when the insured person retires, the payment of the basic health insurance is less than 20 years, and after the lump sum of the insured unit or the insured person, the person may continue to enjoy the basic health insurance treatment. Article 33 In parallel with the provision for the payment of basic health insurance payments, the insured person shall pay an integrated fee for major illnesses, which shall be in possession of a participant in the Vulnerable Family Assistance Certificate in the State of Alejane for an effective period from which he/she shall pay a significant medical support for the disease. Article 31 states that: (i) The actual annual payment rate for basic health insurance; (ii) The contributory period determined by the Labour Security Administration; (iii) The continuing working age established by the State, by 31 December 2002. The above-mentioned basic health insurance contributions are not repeated. After the application of article 32, the insured person's retirement period has a cumulative interruption of the payment period of the following conditions, with an appropriate proportion of the medical expenses incurred after retirement as provided for in the following provisions: (i) The period of payment for the basic health insurance (concluding the expiry of three years, with the same) was 20 years, with the cumulative interruption of the payment of more than one year (in one year, in the same period), up to 20 percentage points on the basis of the proportion of the medical expenses borne by its individual; and the cumulative interruption of contributions for more than three years (with three years, with the same), the medical expenses incurred by its individual were increased by 30 percentage points on the basis of the proportion provided. (ii) The period of payment for basic health insurance is limited to more than 20 years to 25 years, with a cumulative interruption of contributions of less than three years than one year, with a 15 percentage increase on the basis of the prescribed proportion; and a cumulative interruption of contributions for more than three years, with an additional 25 percentage of the medical fees paid by its individual. (iii) The basic health insurance payment period is limited to more than 25 years to 30 years, with a cumulative interruption of contributions of less than three years, with an increase of 10 percentage points on the basis of the prescribed proportion; and a cumulative interruption of contributions for more than three years, and the medical fees paid by their individuals have increased by 20 percentage points on the basis of the prescribed proportion. (iv) The basic health insurance payment rate is limited to more than 30 years, with a cumulative interruption of the payment period of up to three years, up to 5 percentage points on the basis of the proportion of the medical fees paid by its individual; and a cumulative interruption of the payment period of more than three years, an increase of 15 percentage points on the basis of the prescribed proportion. Article XIII allows the insured person to choose a medical facility established by the Labour Guarantee Administration or to purchase a medicine at a targeted pharmacies (the prescription of a pharmacies is required). Participating persons who have received specialised illnesses, as prescribed, may choose a customary medical institution to settle medical fees in real time, or to select two targeted medical institutions to pay medical expenses in full by individuals, after the medical clearance of the medical facility. Article 34 provides for an integrated and targeted management of retirees. The retirees participating in the integrated treatment of retirees are chosen by the labour security administration to select a medical institution as an induction agreement for themselves and may be adjusted on the basis of their will. Retires need referrals due to illness, and referrals are made by a medical agreement to a medical facility to the appropriate targeted medical institutions. Article XV Rates of inpatient medical expenses incurred by the insured person in compliance with the basic health insurance expenses are settled according to the following provisions: (i) The payment criteria for the Inpatient Fund (hereinafter referred to as the standard for the payment of inpatient care) are €800 at three levels and corresponding medical institutions, $60 at the secondary and corresponding medical institutions and $400 in other medical institutions. Each inpatient is provided with a payment standard. During a natural year, the second inpatient was calculated at 75 per cent of the prescribed hospitalization rate and the third and above-mentioned hospitalization was calculated at 50 per cent of the standard for the payment of inpatient inpatient diameteries, with multiple hospitalizations and treatments required by the first inpatient medical institution. (ii) Medical fees for the following portion of the hospitalization rate are borne by individuals. (iii) In a natural year, the medical expenses incurred by the insured person, which were jointly assumed by the integrated inpatient funds and individuals, amounted to a maximum payment limit of $80,000, and the maximum payment rate was met through a cumulative calculation of the annual (at the date of the institution). (iv) Medical fees for the following portion of the maximum payment thresholds for hospitalization are borne by the Integrated Inpatient Fund in conjunction with individuals, with the proportion of individuals being covered by the following provisions: More than 2,000 years of hospitalization standards, 20 per cent of the pre-retired individuals and 15 per cent after retirement; More than 20,000 yen, 15 per cent of former retired individuals and 10 per cent after retirement; More than 40,000 yen, 10 per cent of the pre-retired individuals and 5 per cent after retirement; The old-age worker who participated in the revolution prior to the establishment of the State was less burdened by the standards of the retirees. Article 36 provides for a medical fee for the medical treatment of the sick in a natural year to be settled at an inpatient rate, but does not establish the criteria for the payment of the hospital. The maximum payment rate for patients in this category includes the provision of medical fees for medical treatment and hospitalization. In a natural year, a medical fee for the insured person has been set up with a standard of medical treatment: (i) Ten thousand dollars before retirement; (ii) The number of retirees in civil servants amounted to $70 million, of which the old-age worker who was pre-established to participate in the revolution; (iii) The number of retirees involved in the integrated treatment of retirees amounted to $400, of which the old-age workers who were pre-established to participate in the revolution were $200,000. The medical fees incurred by the participant in compliance with the coverage of the basic health insurance were paid by his personal accounts for the year when the personal accounts were underfunded, and the personal accounts were paid at the time of the year, and the medical fees for the medical expenses incurred in the above-mentioned portion of the standard were settled according to the following provisions: (i) In-service employees of an enterprise, a non-commercial unit and a unit taking into account the enterprise's participation, which is shared by the participating units and individuals, with a proportion of about 20 per cent, with an individual paying more than 30 per cent, subject to discussion by the employee of the unit on behalf of the General Assembly and the presentation of the top-level trade union organization. (ii) Incumbency workers in civil servants, which are co-hosted by the Integrated Pension Fund and individuals of civil servants, with a proportion of 20 per cent. (iii) As a result of the integrated and civil service of retirees participating in the patrioritization of retirees, the Integrated Pension Fund for Civil Spatients, and individuals, a proportion of 15 per cent for individuals, and 5 per cent for older workers who were pre-established in the revolution. Under article 39, the medical fees incurred by flexible employed persons prior to retirement are borne by individuals. The medical fee incurred prior to the retirement of the collaborators was paid by their personal accounts and was not paid by the individual. After the retirement of the two categories of personnel under the preceding paragraph, the medical fee was paid by their personal accounts and was not paid by individuals. Article 40 Investigators are treated at three levels and at the level of the corresponding medical institutions and are inpatient, inpatient, inpatient and inpatient medical institutions, with a proportion of medical expenses paid by their individuals, which are 100% of the proportion of their medical fees; and in other medical institutions, inpatients, inpatients, inpatients, inpatients, inpatients and inpatient hospitals, with a proportion of 80 per cent of their personal medical expenses. The purchase price incurred by the occupants in the pharmacies was 100 per cent of the medical fees paid by their individuals. Article 40 provides for medical treatment by a person from 10 per cent of the total medical expenses of the health insurance, subject to the provisions of articles 335 to 40 of this scheme relating to the medical treatment of the medical facility. Article 42, retired persons who are active in the field for more than three months (including one year of continuous residence in different places) may choose to receive medical treatment from two targeted medical institutions in close of their residence, one of which is a medical facility. It is in line with the relevant provisions of articles 335 to 40 of this scheme. In the case of temporary sexual illness, which is included in public travel, a local targeted medical institution may choose to treat medical treatment in accordance with the relevant provisions of articles 35 to 40 of this scheme. In cases of temporary sexual illness, the immediate occupants outside the city, the provincial city, the planned secondary and above-scheduled medical institutions are medically treated in accordance with the medical fees covered by the basic health insurance expenditure and are processed by 10 per cent of the personal self-sused medical expenses, in accordance with the relevant provisions of articles 35 to 40. Of these, the medical fees of 10 per cent of the total medical expenses incurred by individuals for public travel are borne by the unit. Article 444 requires special medical instruments to be inspected and specially treated for illness, as well as the use of basic health insurance meal medicines, before being processed by individuals in accordance with the relevant provisions of articles 35 to 43 of the scheme. Article 42 (i) In addition to the directory of medicines, therapeutic projects and the scope of the medical facilities established in the province; (ii) Medical care and purchase of medicines without the approval of non-scheduled medical institutions and non-pharmacies; (iii) Events such as criminal offences, suicide, spoilers, fighting, drug abuse and alcohol abuse; (iv) The State of origin and the period of exit; (v) Traffic accidents, medical accidents, poisoning of large-scale foods and other persons to be paid by the person responsible; (vi) Including work-related injuries and work-related diseases within the scope of insurance; (vii) The inclusion of maternity, family planning and post-mortal complications in maternity insurance coverage. Article 46 addresses medical expenses incurred by insured persons as a result of mass sexual abuse or the impact of large-scale natural disasters. Article 47 provides for the basic maintenance of the medical safeguards of the former employee, and the establishment of a supplementary health insurance for the worker, based on participation in the basic health insurance, should be established. Employers supplement health insurance funds to be paid by part of the medical expenses and the difficulties of the employee's pay. Employers' supplemental health insurance fees are charged in the treatment of welfare payments in the insurance unit, which is less expensive than 4 per cent of the total workforce. Articles 488 and above Labour model and 1955-1965, which were appointed by the municipal level and by the Government of the people over the period 1955 to 1965, resulted in some medical expenses borne by individuals, which were not paid by their personal accounts and paid by the individual, who participated in the integration of the patrioritization of the retirees' treatment and, after the approval of the municipal health-care agency, were subject to an integrated approach by the inpatient funds or retirees' funds. Level II and the above-mentioned self-administrative medical expenses incurred by persons with disabilities are subject to the relevant provisions, after being paid by the individual, which participates in the integrated treatment of retired persons, which are assumed by the Integrated Inpatient Fund or the Integrated Pension Fund, and others are still resolved by the source. Following the implementation of this approach, the Government of the State, the provincial or municipal population provides otherwise for the preceding paragraph. The treatment of medical guarantees enjoyed by the Forces nouvelles is unchanged in article 49, and medical expenses are settled by means of funding provided prior to the operation of the scheme and are difficult to pay and are helped by the same-ranking people's Government. Article 50 provides for medical expenses for immediate family members who are employed by the IPS Unit, in accordance with the original provisions. Integrated health care for the children of the employees of the institution is managed by the Medical Service. Chapter VI Article 50 grants for major diseases are composed of two components: (i) A portion of the subsidy paid by the Government to participate in the total salary of all employees in the integrated area of the year; (ii) Each person pays a monthly payment of a three-hazard medical support, which holds the collateral distributor of the Vulnerable Family Relief Certificate in the Délejan State. The major health-care grant funds are administered and paid by health-care agencies. Article 52, in a natural year, the number of inpatient medical expenses incurred by the insured person in compliance with basic health insurance expenses is more than 80,000 dollars, with 12 per cent of the medical treatment at the third and corresponding medical institutions; 10 per cent for medical treatment at the secondary and corresponding medical institutions; 8 per cent for other medical agencies, and for the remainder of the medical expenses are covered under major medical benefits. Article 53 Persons involved in the insurance unit suffer major illnesses or chronic illnesses, and the person assumes medical fees that meet the scope of the basic health insurance expenses for the year and exceeds the portion of his family income (deducting the minimum standard of living for the inhabitants of this city), which is addressed by the participating units or the receiving management units, which cannot be resolved by the insurance units or the receiving management units, and is addressed by the CSRF. The specific approach to mutual assistance for medical difficulties for insured persons was developed by the Government of the city. Chapter VII Basic health insurance services and management Article 54 medical institutions authorized by the health administration and granted permission to perform the business permit may apply to the labour security administration, which is published in society after the approval by the military authorities of the military medical institutions that are eligible for external services and are registered with the local health administration to obtain a licence for the operation of the license and operating licenses. The management of targeted medical institutions and targeted pharmacies is developed separately by the municipal labour security administration. Article 55 provides that the medical insurance agencies shall enter into basic health insurance services agreements with the targeted medical institutions and the pharmacies to clarify the rights and obligations of both parties. Article 56 establishes a system for the collection of medicines, separate management systems and pharmaceutical pooling of tendering, creating a competition mechanism for medical services and the flow of medicines, with reasonable control of the level of medical costs. Article 57 medical institutions and pharmacies should strengthen internal management, provide medical, buy-in services in strict accordance with the technical norms of medical treatment and drug sales, guarantee the quality of medical and pharmaceutical services and provide quality, efficient and reasonable basic medical services for those involved. Targeted medical institutions and targeted pharmacies should strictly implement the fee standards and the medicines price set by price authorities. Article 588 Inpatient medical institutions for retirees should ensure the normal medical needs of retirees and facilitate medical, referral and purchase of medicines for retirees. Article 599 of the Basic Medical Insurance Certificate (C) is the responsibility of the Medical Insurance Agency for the harmonization of the insurance. In the case of the basic health insurance certificate (C) for medical care, purchase of medicines, the targeted medical institutions and the targeted pharmacies should be subject to nuclear tests. The basic health insurance certificate (C) cannot be used, borrowed and forged. Article 63/ Medical institutions may receive appropriate medical payments when they receive the hospitalization of the insured person. The settlement of medical expenses is governed by the following provisions: (i) The inpatient medical fees paid by the Integral Fund shall be settled by the targeted medical institutions in the month of the institution of medical insurance. (ii) The medical fees payable by the Inpatient Fund shall be settled on a real-time basis by a targeted medical institution in accordance with a monthly medical service; and paid by a participant or a participant in the insurance unit prior to the payment of the medical service. (iii) Medical fees paid by the Clinical Fund of Civil Spatients should be met by targeted medical agencies, targeted pharmacies and medical institutions in the month. (iv) The medical fees paid by the Integrated Pension Fund should be administered, targeted, by the municipal health insurance agencies and the referral medical institutions. More than basic health insurance standards and coverage of medical fees, the basic health insurance fund is not paid. The specific methodology for the medical examination of the medical fee for retirees was developed by the Municipal Labour Security Administration with the relevant departments. Article 62 should organize the establishment of a basic social health insurance monitoring organization, with the participation of all sectors of society, in collaboration with the Government's authorities, to strengthen oversight inspections of the mobilization, management and use of the basic health insurance fund. Article 63 ensures that the executive branch should strengthen the supervision of targeted medical institutions, targeted pharmacies, regulate the conduct of basic health insurance services in targeted medical institutions, targeted pharmacies, and make inspections available to society. Article 64 should conduct regular audits of the mobilization, management and use of the basic health insurance fund to ensure the safety of the basic health insurance fund. Chapter VIII Legal responsibility Article 65 does not pay or deduct the payment of basic medical insurance payments by the tax authorities for the duration of the payment of their fees as prescribed by the provision of the payment of the basic medical insurance payments; the failure to pay after the date of the payment of the additional contributions has been added, and the payment of the lag amount of 2 per 1,000 per 1,000 per 1,000 per day has been incorporated into the basic health insurance fund. A fine of more than 5,000 dollars is imposed by the Labour Security Administration for the direct responsible supervisors and other direct responsibilities, in the case of a serious fine of up to €50 million. Participating units were late in refusing to pay basic medical insurance fees and lags, and the tax authorities applied to the People's Court for enforcement by law. Article XVI includes one of the following acts by the Medical Insurance Agency for the recovery of the basic health insurance fund for the violation of the provision of expenditure, and is criticized by the Labour Security Administration for the conversion and notification of its duration; in exceptional circumstances, the imposition of a fine of up to $50 million for the participating units and the imposition of a fine of more than 500 dollars for the direct responsible supervisors and other direct responsibilities: (i) The inclusion of non-partisans in the enjoyment of basic health insurance treatment; (ii) Restatement, restatement of medical fees; (iii) Fering false evidence that caused losses of the basic health insurance fund; (iv) Other violations of basic health insurance provisions. Article 67 is one of the following acts by the Medical Insurance Agency for the recovery of the basic health insurance fund for the violation of the provision of expenditure, and is fined by the Labour Security Administration for more than 500 dollars, depending on the circumstances; and, in the light of the gravity of the case, the basic health insurance treatment of the insured person may be suspended at the same time for more than two years: (i) The basic health insurance certificate (ca) of the person is used by another person; (ii) Fellowing or taking advantage of the basic health insurance certificate (C) of others; (iii) Conversion of medical instruments, vouchers, etc.-related vouchers, which took advantage of the basic health insurance fund; (iv) A large number of medications that are not in compliance with the disease or basic health insurance provisions by means of multiple referrals, repeated referrals; (v) Other violations of basic health insurance provisions. Article 68 Medical institutions and their staff have one of the following acts: the Medical Insurance Fund, which is recovered by the Medical Insurance Agency for violations of the provisions of the medical insurance; the proportion of medical fees reviewed by the Medical Insurance Agency in the month of the month of the month, the deduction of the total medical fees requested by the targeted medical institution in the month of the month; the executive officer responsible for the restructuring of the labour security administration and the imposition of fines for the direct responsibilities of more than 500 dollars, and the suspension of his or her medical service for the following six-month period; and the dismissal of the medical service. (i) A medical treatment, decoration and inspection of basic medical insurance certificates (C) to include medical fees for non-insecution personnel and expenses for non-fundamental health insurance funds to cover the coverage of payments to the basic health insurance fund; (ii) The admission of insured persons who are not in accordance with the conditions of hospitalization or will be in compliance with the conditions of the board shall remain inpatient; (iii) Violations of basic medical treatment projects, service facilities standards and drug-using provisions; (iv) No documentation of the history or illness of the disease is unclear, incomplete, incompatible with the medical expenses incurred or the medical expenses incurred are incompatible with the disease; (v) In the case of medical treatment, non-review of the medical records of the previous medical records of the insured person, repetitive medicines, non-medicine needs to be inspected, treated or repeated, treated and treated; (vi) In violation of the fee-for-charging requirement, the expansion or separation of fees projects, the non-implementation of national-mandated drug prices, resulting in loss of the basic health insurance fund; (vii) Unless the dose in the dose of prescriptions, the excess shall be imposed on medicines; (viii) Removal of essential medical insurance payments into other medicines, living supplies, health supplies or other items; (ix) To confuse self-funding medicines with medicines included in the scope of basic health insurance; (x) Provide patients with false or obsolete medicines; (xi) Allowing or condoning the use of inpatient referrals, walled hospitalizations; (xii) Other violations of basic health insurance provisions. Article 69 pharmacies and their staff have one of the following acts: the Medical Insurance Fund, which is recovered by the Medical Insurance Agency for the violation of the provision of expenditure; the proportion of the medical insurance agency's medical fees reviewed in the month of violation; the deduction in the total amount of medical fees requested by the targeted pharmacies in the event of the month of the month of the month; the executive officer responsible for the reform of the labour security administration and fines for the direct responsibilities of more than 500 dollars; (i) Non-confirmation of basic medical insurance certificates (Carc), which do not provide for the distribution of (age) medicines or ultra-dose (age) medicines by prescription; (ii) Include costs incurred by the non-fundamental health insurance fund in the coverage of the basic health insurance fund; (iii) Transfer of essential health insurance to other medicines, living supplies or health supplies; (iv) To confuse self-funding medicines with medicines included in the scope of basic health insurance; (v) Provide patients with false or obsolete medicines; (vi) Failure to implement national drug prices resulting in losses of the basic health insurance fund; (vii) Other violations of basic health insurance provisions. Article 76 is one of the following acts by the Medical Insurance Agency and its staff, which is charged by the Labour Security Administration with a period of time being converted to economic losses and, in serious circumstances, impose a fine of up to 500,000 dollars for the direct responsible supervisors and other direct responsibilities, while granting administrative disposal. (i) The transfer of basic health insurance fees to the accounts of the individual accounts and related funds (funds); (ii) The payment of the basic medical insurance expenses to be paid by the relief or non-review of the participant's and the insured person in accordance with the prescribed procedures; (iii) Reimbursement of the treatment of basic health insurance or the enforcement of the payment standards under the basic health insurance fund; (iv) The intentional delay in the payment of targeted medical institutions and the provision of targeted pharmacies; (v) Use of office and work for private gain and bribe; (vi) Lossss of the basic health insurance fund caused by serious negligence or violation of the financial regulations; (vii) Other violations of basic health insurance provisions. Article 76 protects staff members of the executive branch and other relevant administrative authorities from abuse of their functions, toys, to take advantage of private fraud and to hold administrative responsibility in accordance with the law by their units or superior authorities. Article 72 violates this approach by referring to other laws, regulations and regulations, which are punishable by law by the relevant administrative authorities. Article 73 parties may apply to administrative review or administrative proceedings in accordance with this approach by law. Chapter IX Until the application of article 76, the individual business and businessmen who have participated in the basic health insurance, as well as their employment, may participate in the basic health insurance in the form of insurance. Article 765: The basic health insurance treatment project, the percentage and service facility criteria for the payment of diagrams of medicines, and specific approaches such as referrals, referrals, are developed separately by the Urban Labour Guarantee Administration. Article 76 of this approach is implemented effective 1 January 2004. The basic health insurance scheme in the town of Démocratique (No. 189 of the Municipal Government Order) was abolished on 18 November 2002. |
