定了！7月1日起实施！
<div class="wx_rich_media_content" id="jsWxContainer"><section><br></section><section data-tools="135编辑器" data-id="101859" style='outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; visibility: visible;'><section style='margin-top: 10px; margin-bottom: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;'><section data-brushtype="text" style='padding: 10px 15px; outline: 0px; max-width: 100%; box-sizing: border-box; font-size: 16px; letter-spacing: 1.5px; color: rgb(255, 255, 255); background-color: rgb(84, 108, 232); border-top-left-radius: 10px; border-top-right-radius: 10px;'><span style='outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 2px; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'>致全市参保职工的一封信</strong></span></section><section style='padding: 15px 10px 5px; outline: 0px; max-width: 100%; box-sizing: border-box; background-color: rgb(247, 248, 255); border-bottom-left-radius: 10px; border-bottom-right-radius: 10px; visibility: visible;'><section data-autoskip="1" style='outline: 0px; max-width: 100%; box-sizing: border-box; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: rgb(51, 51, 51); visibility: visible;'><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(34, 34, 34); letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;'>尊敬的全市广大参保职工:</span></span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p></section><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; visibility: visible; box-sizing: border-box !important;'> 根据《安徽省人民政府关于印发安徽省建立健全职工基本医疗保险门诊共济保障机制实施办法》(皖政办秘〔2021〕112号)和《安徽省建立健全职工基本医疗保险门诊共济保障机制实施细则的通知》(皖医保发〔2022〕3号)，<span style='outline: 0px; max-width: 100%; letter-spacing: 1.5px; visibility: visible; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'>安徽省职工基本医保门诊共济保障政策自2022年7月1日起实施。</strong></span><span style='outline: 0px; max-width: 100%; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'>职工医保个人账户划入与门诊费用报销同步改革、同步转化，将更好地解决职工医保参保人员门诊保障问题，切实减轻医疗费用负担。</strong></span></p><section data-autoskip="1" style='outline: 0px; max-width: 100%; box-sizing: border-box; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: rgb(51, 51, 51); visibility: visible;'><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="102267" style='outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;'><section style='margin: 10px auto; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left; visibility: visible;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; display: flex; justify-content: flex-start; align-items: flex-start; visibility: visible;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; width: 30px; visibility: visible;'><span class="wxart_image" wx-style='display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;vertical-align: inherit;height: auto !important;user-select: none;-webkit-user-drag: none;-webkit-app-region: no-drag;display: block;visibility: visible !important;width: 30px !important;'></span></section><section data-brushtype="text" hm_fix="392:518" style='margin-left: 1em; padding: 4px 1em 6px; outline: 0px; max-width: 100%; color: rgb(6, 62, 202); align-self: flex-end; background: rgb(236, 245, 255); flex: 1 1 0%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; visibility: visible; box-sizing: border-box !important;'>一、政策变化对比</span></strong></span></section></section><section data-width="100%" style='margin-top: -3px; outline: 0px; max-width: 100%; box-sizing: border-box; width: 725px; height: 1px; background: rgb(6, 62, 202); overflow: hidden; transform: rotate(0deg); visibility: visible;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></section></section></section><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p><p style='margin-bottom: 0em; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; visibility: visible; box-sizing: border-box !important;'><span class="wxart_image" wx-style='display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;vertical-align: bottom;height: auto !important;visibility: visible !important;width: 415px !important;'></span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="102267" style='outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;'><section style='margin: 10px auto; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left; visibility: visible;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; display: flex; justify-content: flex-start; align-items: flex-start; visibility: visible;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; width: 30px; visibility: visible;'><span class="wxart_image" wx-style='display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;vertical-align: inherit;height: auto !important;user-select: none;-webkit-user-drag: none;-webkit-app-region: no-drag;display: block;visibility: visible !important;width: 30px !important;'></span></section><section data-brushtype="text" hm_fix="369:509" style='margin-left: 1em; padding: 4px 1em 6px; outline: 0px; max-width: 100%; color: rgb(6, 62, 202); align-self: flex-end; background: rgb(236, 245, 255); flex: 1 1 0%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; visibility: visible; box-sizing: border-box !important;'>二、新政策要点</span></strong></span></section></section><section data-width="100%" style='margin-top: -3px; outline: 0px; max-width: 100%; box-sizing: border-box; width: 725px; height: 1px; background: rgb(6, 62, 202); overflow: hidden; transform: rotate(0deg); visibility: visible;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></section></section></section><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; visibility: visible; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; visibility: visible; box-sizing: border-box !important;'>“一减少”与“一增加”</span></strong></span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; visibility: visible; box-sizing: border-box !important;'>“一减少”是指个人账户划入额度减少。“一增加”是指增设门诊统筹保障制度。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; visibility: visible; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: center; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(192, 0, 0); visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; visibility: visible; box-sizing: border-box !important;'>“小共济”与“大共济”</span></strong></span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; visibility: visible; box-sizing: border-box !important;'>“小共济”指的是个人账户使用范围从职工本人拓宽到可以支付职工配偶、父母、子女在定点医药机构就医时发生的药品、医疗器械、医用耗材等费用及参加居民医保等的个人缴费，实现家庭成员之间的共济保障。“大共济”指的是原单位缴费划入个人账户部分放入共济保障的“大池子”里，实行普通门诊共济保障，由全体参保职工共同使用。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="102267" style='outline: 0px; max-width: 100%; box-sizing: border-box;'><section style='margin: 10px auto; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; display: flex; justify-content: flex-start; align-items: flex-start;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; width: 30px;'><span class="wxart_image" wx-style='display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;vertical-align: inherit;height: auto !important;user-select: none;-webkit-user-drag: none;-webkit-app-region: no-drag;display: block;visibility: visible !important;width: 30px !important;'></span></section><section data-brushtype="text" hm_fix="404:518" style='margin-left: 1em; padding: 4px 1em 6px; outline: 0px; max-width: 100%; color: rgb(6, 62, 202); align-self: flex-end; background: rgb(236, 245, 255); flex: 1 1 0%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(0, 122, 170); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>三、门诊共济保障待遇</span></strong></span></section></section><section data-width="100%" style='margin-top: -3px; outline: 0px; max-width: 100%; box-sizing: border-box; width: 725px; height: 1px; background: rgb(6, 62, 202); overflow: hidden; transform: rotate(0deg);'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></section></section></section><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>一个自然年度内，参保职工在市内发生的政策范围内普通门诊费用按规定报销。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; border-bottom-left-radius: 10px; border-bottom-right-radius: 10px; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>1.起付标准：800元。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; border-bottom-left-radius: 10px; border-bottom-right-radius: 10px; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>2.报销比例：一级定点医疗机构支付比例60%，二级定点医疗机构支付比例55%，三级定点医疗机构支付比例50%；退休职工各级医疗机构的支付比例相对于在职职工均提高5个百分点。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; border-bottom-left-radius: 10px; border-bottom-right-radius: 10px; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>3.年度支付限额：2000元(支付限额不结转，不累加到次年度)。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; border-bottom-left-radius: 10px; border-bottom-right-radius: 10px; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>4.待遇算法：普通门诊费用支付额度=(政策范围内普通门诊费用-个人先付部分-起付标准)×相应级别医疗机构支付比例。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; border-bottom-left-radius: 10px; border-bottom-right-radius: 10px; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>5.不予报销的情况：在职职工停止缴纳或未按规定缴纳职工医保费期间发生的门诊费用；职工住院期间发生的门诊费用；按职工医保住院、门诊慢特病保障等政策支付后剩余个人自付部分的门诊费用；其他不符合职工医保政策规定的医疗费用。</span></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></p><section data-tools="135编辑器" data-id="102267" style='outline: 0px; max-width: 100%; box-sizing: border-box;'><section style='margin: 10px auto; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; display: flex; justify-content: flex-start; align-items: flex-start;'><section style='outline: 0px; max-width: 100%; box-sizing: border-box; width: 30px;'><span class="wxart_image" wx-style='display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;vertical-align: inherit;height: auto !important;user-select: none;-webkit-user-drag: none;-webkit-app-region: no-drag;display: block;visibility: visible !important;width: 30px !important;'></span></section><section data-brushtype="text" hm_fix="354:514" style='margin-left: 1em; padding: 4px 1em 6px; outline: 0px; max-width: 100%; color: rgb(6, 62, 202); align-self: flex-end; background: rgb(236, 245, 255); flex: 1 1 0%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(0, 122, 170); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; box-sizing: border-box !important;'>四、温馨提示</span></strong></span></section></section><section data-width="100%" style='margin-top: -3px; outline: 0px; max-width: 100%; box-sizing: border-box; width: 725px; height: 1px; background: rgb(6, 62, 202); overflow: hidden; transform: rotate(0deg);'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></section></section></section><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; caret-color: red; font-size: 20px; color: rgb(2, 30, 170); box-sizing: border-box !important;'></span><span style='outline: 0px; max-width: 100%; font-size: 17px; caret-color: red; box-sizing: border-box !important;'>职工基本医疗保险普通门诊起付标准、报销比例与年度支付限额随经济社会发展状况和职工医保基金承受能力适时调整，逐步提高门诊共济保障水平。</span></p></section><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: right; box-sizing: border-box !important;'>六安市医疗保障局</p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: right; box-sizing: border-box !important;'>六安市医疗保障基金管理中心</p><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-align: right; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; letter-spacing: 0.544px; box-sizing: border-box !important;'>2022年6月23日</span></p><section data-autoskip="1" style='outline: 0px; max-width: 100%; box-sizing: border-box; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: rgb(51, 51, 51); visibility: visible;'><p style='outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 17px; caret-color: red; box-sizing: border-box !important;'></span></p></section><section style='outline: 0px; max-width: 100%; box-sizing: border-box; display: flex; justify-content: flex-end;'><section style='margin-bottom: 4px; outline: 0px; max-width: 100%; box-sizing: border-box; width: 40px;'><span class="wxart_image" wx-style='display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box;overflow-wrap: break-word !important;vertical-align: inherit;height: auto !important;user-select: none;-webkit-user-drag: none;-webkit-app-region: no-drag;display: block;visibility: visible !important;width: 40px !important;'></span></section></section></section></section></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; clear: both; min-height: 1em; text-align: center; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; letter-spacing: 2px; color: rgb(192, 0, 0); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>转发扩散！</strong></span></section><section data-role="paragraph" style='outline: 0px; max-width: 100%; font-size: 14px; font-family: -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.54px; caret-color: rgba(0, 0, 0, 0); line-height: 1.5em; visibility: visible; text-indent: 0em; min-height: 1em; color: rgb(0, 0, 0); margin-bottom: 0em; box-sizing: border-box !important;'><p style='outline: 0px; max-width: 100%; letter-spacing: 0.54px; line-height: 1.5em; visibility: visible; text-indent: 0em; min-height: 1em; margin-bottom: 0em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(178, 178, 178); font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.54px; text-indent: 0em; visibility: visible; box-sizing: border-box !important;'>来源：六安市人民政府发布</span></p><p style='outline: 0px; max-width: 100%; letter-spacing: 0.54px; line-height: 1.5em; visibility: visible; text-indent: 0em; min-height: 1em; margin-bottom: 0em; box-sizing: border-box !important;'><br></p></section></div><p></p> 小手一抖，钱钱到手！ 过来看看的{:11_539:} 帮帮顶顶！！ 普通门诊费，起付标准800元，是否过高了！ 楼上说的有道理 应该可以下调至五至六百比较贴合实际 真正让利于民普惠众生 好医保政务！{:face_068:}{:face_068:}{:face_068:} 医保-医宝！真搞笑！上周俺尿道石头堵塞，疼的俺满地打滚。老伴用三轮把俺拉倒医院，检查这检查那，俺疼的不能讲话，告诉他是尿道管堵塞。日了大半夜俺不疼来。老伴怕花钱三轮又把俺拉回家。第天去结账，医保不给报销！近1000块医疗费是俺几个月的生活费啊！俺家老两口加上儿孙10几口一年交几千块！
明年考死我我都不交了！
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