“免申即享”“全額資助” 廈門近五萬名困難群眾獲贈(zèng)“惠廈?！睈坌谋Ｕ?/title> <meta name="renderer" content="webkit" /> <meta http-equiv="X-UA-Compatible" content="IE=Edge" /> <meta name="viewport" content="width=device-width,initial-scale=1.0,minimum-scale=1.0,maximum-scale=1.0" /> <meta name="keywords" content="" /> <meta name="description" content="6月1日，在廈門市醫(yī)療保障局（以下簡稱廈門市醫(yī)保局）大力推動(dòng)下，主題為“為愛續(xù)力聚善而行”的廈門市資助困難群眾投保“惠廈?！睈坌馁Y助儀式舉行?；顒?dòng)以“免申即享”與“全額資助”的形式，為該市包括孤兒（含" /> <meta name="copyright" content="人民網(wǎng)版權(quán)所有" /> <meta name="filetype" content="0"> <meta name="publishedtype" content="1"> <meta name="pagetype" content="1"> <meta name="catalogs" content="L_181466"> <meta name="contentid" content="L_40440769"> <meta name="publishdate" content="2023-06-01"> <meta name="author" content="L_104918"> <meta name="editor" content=""> <meta name="source" content=""> <meta name="sourcetype" content=""> <link href="http://www.people.com.cn/img/2020fenxiang/css/share2020.css" type="text/css" rel="stylesheet" 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id="qqq6sqs" class="bza"><span></span><p></p></div> <div id="qqq6sqs" class="box_pic"></div> <p style="text-indent: 2em;">6月1日，在廈門市醫(yī)療保障局（以下簡稱廈門市醫(yī)保局）大力推動(dòng)下，主題為“為愛續(xù)力聚善而行”的廈門市資助困難群眾投?！盎輳B保”愛心資助儀式舉行?；顒?dòng)以“免申即享”與“全額資助”的形式，為該市包括孤兒（含事實(shí)無人撫養(yǎng)兒童）在內(nèi)的近五萬名特定困難群體送上了暖心的“禮物”，為他們?nèi)松吩鎏硪环輳?qiáng)有力的健康保障。</p> <p style="text-align: center;"><img src="/NMediaFile/2023/0601/LOCAL1685611725793IK0XFTRXQD.JPG" width="900" height="600" alt="" /></p> <p style="text-align: center;"><span style="color: #3598db;">活動(dòng)現(xiàn)場。廈門市醫(yī)保局供圖</span></p> <p style="text-indent: 2em;">據(jù)悉，一直以來，廈門高度重視民生保障工作，將對(duì)困難群眾的救助幫扶作為“愛心廈門”建設(shè)的系統(tǒng)性工程持續(xù)推進(jìn)，不斷健全完善健康兜底保障，打通醫(yī)療保障“最后一公里”。而作為醫(yī)保主管部門，廈門市醫(yī)保局今年以來扎實(shí)推動(dòng)主題教育走實(shí)見效，深入實(shí)施“深學(xué)爭優(yōu)、敢為爭先、實(shí)干爭效”行動(dòng)，多次走訪相關(guān)部門，積極推動(dòng)擴(kuò)展“惠廈?！被菝裾吒采w面、延續(xù)“惠廈?！睈坌木栀?zèng)等善行善舉，持續(xù)推動(dòng)由財(cái)政出資資助特定困難人群投保“惠廈?！保袑?shí)把惠民生、暖民心、順民意的工作做到群眾心坎上，以解決群眾急難愁盼實(shí)際成效展現(xiàn)主題教育成果。</p> <p style="text-indent: 2em;">其中，本次“惠廈?！睈坌馁Y助活動(dòng)，廈門市醫(yī)保、財(cái)政、民政、衛(wèi)健、殘聯(lián)等眾多部門有關(guān)負(fù)責(zé)人及醫(yī)保學(xué)會(huì)、18家“惠廈保”承保企業(yè)代表共同參加?；顒?dòng)資助對(duì)象為全市一、二類醫(yī)療救助對(duì)象及參加廈門基本醫(yī)保的所有殘疾人，包括該市轄區(qū)相關(guān)部門認(rèn)定的特困供養(yǎng)人員、孤兒（含事實(shí)無人撫養(yǎng)兒童）、重點(diǎn)優(yōu)撫對(duì)象、革命“五老”人員、計(jì)劃生育特殊家庭成員、殘疾人等。</p> <p style="text-indent: 2em;">“幫助減輕這些困難群眾就醫(yī)費(fèi)用的個(gè)人負(fù)擔(dān)，讓他們能實(shí)實(shí)在在享受到這項(xiàng)惠民政策帶來的好處?！睆B門市醫(yī)保中心主任、一級(jí)調(diào)研員何建峰介紹，一直以來，廈門市委、市政府高度重視民生保障工作，社會(huì)各界也時(shí)刻牽掛著對(duì)困難群眾的幫扶。今年廈門繼續(xù)由市財(cái)政出資，采取“免申即享”“全額資助”方式，向全市近五萬名困難群眾捐贈(zèng)“惠廈?！睈坌谋危苜?zèng)者每人每年最高可享受450萬元醫(yī)療保障。</p> <p style="text-align: center;"><img src="/NMediaFile/2023/0601/LOCAL1685611735292JHC1FS9VR4.JPG" width="900" height="600" alt="" /></p> <p style="text-align: center;"><span style="color: #3598db;">聯(lián)合推動(dòng)“惠廈?！钡恼块T和相關(guān)機(jī)構(gòu)有關(guān)負(fù)責(zé)人、受資助對(duì)象代表等參加活動(dòng)。廈門市醫(yī)保局供圖</span></p> <p style="text-indent: 2em;">據(jù)了解，“惠廈?！笔菑B門市醫(yī)保局等八部門于2022年聯(lián)合推動(dòng)、率先在福建省啟動(dòng)的公益普惠型商業(yè)補(bǔ)充醫(yī)療保險(xiǎn)項(xiàng)目，旨在進(jìn)一步補(bǔ)齊醫(yī)保目錄外保障短板，有效防范廈門市民群眾因病致貧、因病返貧的風(fēng)險(xiǎn)。一年來，其在減輕廈門市民群眾重特大疾病就醫(yī)負(fù)擔(dān)、完善該市多層次醫(yī)療保障體系等方面取得顯著成效，頗受當(dāng)?shù)厥忻袢罕姷臍g迎和認(rèn)可。</p> <p style="text-indent: 2em;">數(shù)據(jù)顯示，截至目前，“惠廈?！表?xiàng)目已為104萬參保人提供了超2萬人次的理賠服務(wù)：在已獲賠付的人群中，最大年齡100歲、最小未滿1歲；單筆賠付最高達(dá)28.35萬元，單人累計(jì)最高賠付達(dá)44.81萬元；既往癥人群超53%，醫(yī)保范圍外費(fèi)用賠付占比約74.04%。</p> <p style="text-align: center;"><img src="/NMediaFile/2023/0601/LOCAL16856117427245I9DGXO8VS.JPG" width="900" height="600" alt="" /></p> <p style="text-align: center;"><span style="color: #3598db;">愛心捐贈(zèng)“惠廈保”保單。廈門市醫(yī)保局供圖</span></p> <p style="text-indent: 2em;">值得關(guān)注的是，今年是“惠廈?！表?xiàng)目運(yùn)營第二年，而近期上線的新版“惠廈?！睂?shí)現(xiàn)了保障功能全面升級(jí)，主要特點(diǎn)為“一不變?nèi)嵘保幢ＹM(fèi)保持129元/人/年不變，但保障實(shí)現(xiàn)三大升級(jí)：一是提高保障額度，最高保額由350萬元提高至450萬元；二是擴(kuò)充特藥數(shù)量，從30種調(diào)整擴(kuò)充至37種；三是新增質(zhì)子重離子醫(yī)療及CAR-T前沿療法保障，為罹患惡性腫瘤患者增加治療選擇。</p> <p style="text-indent: 2em;">“上線一個(gè)多月來，新版‘惠廈?！侗Ｈ藬?shù)已突破70萬?！惫ぷ魅藛T提醒，“惠廈?！?023年參保工作目前正火熱開展中，投保期將于6月30日24時(shí)關(guān)閉，所有保單統(tǒng)一在2023年7月1日生效，保障期為一年?！叭缬行枰侗５膹B門基本醫(yī)保參保人，應(yīng)在投保期關(guān)閉前及時(shí)投保，錯(cuò)過投保期將無法補(bǔ)繳?！?/p><div id="qqq6sqs" class="zdfy clearfix"></div><center><table border="0" align="center" width="40%"><tr></tr></table></center> <div id="qqq6sqs" class="box_pic"></div> <div id="qqq6sqs" class="edit cf">(責(zé)編：江葦杭、劉卿)</div> <p class="paper_num"><em class="section-common-share-wrap">分享讓更多人看到 <i class="btn_share_common"><img src="/img/2020wbc/imgs/share.png" alt=""></i> </em></p> </div> <div id="qqq6sqs" class="rm_relevant rm_download cf"> <h5><span></span>客戶端下載</h5> <ul> <li><a 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