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《安庆市医疗保险意外伤害管理办法(试行)》政策解读

发布日期: 2019-08-21 14:27 来源:ag真人网址_ag真人下载|首页 作者: ag真人网址 阅读次数: 字体: [    ]

WEIJIAQIANGYILIAOBAOXIANYIWAISHANGHAIGUANLI,QIESHIWEIHUCANBAORENDEHEFAQUANYI,agZHENRENWANGZHIGENJUYOUGUANZHENGCEGUIDING,JIEHEANQINGSHIJI,ZHIDING《ANQINGSHIYILIAOBAOXIANYIWAISHANGHAIGUANLIBANFA(SHIXING)》(YIXIAJIANCHENG《GUANLIBANFA》),ZI2020NIAN9YUE1RIQISHISHI。XIANJIU《GUANLIBANFA》ZUORUXIAJIEDU:

ag真人网址YI、ZHIDING《GUANLIBANFA》DEYIJU

1.《ZHONGHUARENMINGONGHEGUOSHEHUIBAOXIANFA》

ag真人网址2.《SHEHUIBAOXIANJIJINXIANXINGZHIFUZANXINGBANFA》(2011NIANZHONGHUARENMINGONGHEGUORENLIZIYUANHESHEHUIBAOZHANGBULINGDI15HAO)

3.《ANQINGSHICHENGZHENZHIGONGYILIAOBAOXIANSHISHIBANFA》(YIZHENGFA〔2012〕34HAO)

4.《ANQINGSHITONGYICHENGXIANGJUMINJIBENYILIAOBAOXIANHEDABINGBAOXIANBAOZHANGDAIYUSHISHIBANFA》(YIZHENGBANMI〔2019〕34HAO)

ER、ZHIDING《GUANLIBANFA》DEYUANYIN

JINYIBUMINGQUEYIWAISHANGHAIYILIAOBAOZHANGRENQUN,GUIFANYIWAISHANGHAIYILIAOBAOZHANGBAOXIAOLIUCHENG,JIAQIANGYILIAOBAOXIANYIWAISHANGHAIGUANLI,QIESHIWEIHUCANBAORENDEHEFAQUANYI。

ag真人网址SAN、《GUANLIBANFA》DEZHUYAONEIRONG

《GUANLIBANFA》ZHUYAOBAOKUOWUGEFANGMIANNEIRONG,GUIDINGLEZONGZE、ZHIFUFANWEIHEDAIYUBIAOZHUN、SHENBAO、SHENHEHEJIESUAN、JIANDUGUANLIYIJIFUZE。

(YI)《GUANLIBANFA》SHIYONGNAXIECANBAOQUNTI?

ag真人网址ANQINGSHICHENGZHENZHIGONGYILIAOBAOXIANHECHENGXIANGJUMINYILIAOBAOXIANCANBAORENYUANDEYIWAISHANGHAIYILIAOBAOZHANGSHIYONGBENBANFA。

(ER)YIWAISHANGHAINAXIEQINGXINGKEYINARUYILIAOBAOXIANJIJINZHIFUFANWEI?

1.MINGQUEWUTAFANGZERENDEYIWAISHANGHAI;

ag真人网址2.WUFAQUEDINGTAFANGZERENDEYIWAISHANGHAI;

3.MINGQUEYOUTAFANGZERENDEYIWAISHANGHAI,JINGSIFA、ZHONGCAIDENGBUMENRENDINGCANBAORENYINGCHENGDANZERENDEBUFEN;

4.JINGZHENGFUXIANGGUANBUMENCHUJUQINGJIESHUOMINGYINJIANYIYONGWEIHUOZHIXINGJIUZAIJIUYUANDENGGONGYIRENWUERFUSHANGZHUYUANDE。

DANYOUXIALIEQINGXINGZHIYIDE,QIYIWAISHANGHAIYILIAOFEIYONGBUNARUYILIAOBAOXIANJIJINZHIFUFANWEI:

ag真人网址1.YOUYINMAN、QIZHAXINGWEIDE,BAOKUOTIGONGXUJIAWAISHANGSHIJIAN、DIDIAN、SHIGUYUANYIN、JIUZHIJINGGUO、XUJIAZHENGMINGCAILIAOYIJIWEIZAOWAISHANGYILIAOWENSHUDENG;

ag真人网址2.SHISHIXIDU、SHIYONGGUANZHIYAOPIN(ZUNYIZHUYONGYAOCHUWAI)、DAJIADOUOU、XUNXINZISHIDENGWEIFAFANZUIXINGWEISUOZHIDE;

ag真人网址3.YINGDANGYOUDISANRENFUDANDE;

4.YINGDANGCONGGONGSHANGBAOXIANJIJINZHONGZHIFUDE;

ag真人网址5.YINGDANGYOUGONGGONGWEISHENGFUDANDE;

6.ZAIJINGWAIJIUYIDE。

TESHUQINGKUANG: YIFAYINGDANGYOUDISANRENZHIFUDEYILIAOFEIYONG,JINGSIFADENGBUMENRENDINGDISANRENBUZHIFUDE,YIJU《SHEHUIBAOXIANJIJINXIANXINGZHIFUZANXINGBANFA》YOUGUANTIAOKUANZHIXING。

ag真人网址(SAN)YIWAISHANGHAIYILIAOFEIYONGBAOXIAOBIAOZHUNSHIDUOSHAO?

MINGQUEWUTAFANGZERENHUOYINJIANYIYONGWEI、ZHIXINGJIUZAIJIUYUANDENGGONGYIRENWUERFUSHANGDEHUOJINGSIFADENGBUMENRENDINGDISANRENBUZHIFUDE,ZHUYUANYILIAOFEIYONGANZHAOPUTONGZHUYUANDAIYUBIAOZHUNZHIXING;WUFAMINGQUETAFANGZERENDEYIWAISHANGHAI,ZHUYUANYILIAOFEIYONGANZHAOPUTONGZHUYUANBAODIBAOXIAOZHENGCEZHIXING;MINGQUEYOUTAFANGZEREN,ZHUYUANYILIAOFEIYONGXIANANZHAOPUTONGZHUYUANDAIYUBIAOZHUNJISUAN,ZAIANZHAOFENDANBILIZHIFU。YOUGUANBUMENCHUJUDESHUMIANBAOGAOZHONG,YOUJUTIZERENBILIDE,ANZHAOZERENBILIJINXINGSHENHEBAOXIAO;FENZHUCIZERENDE,YUANZESHANGANZHAO7BI3HUAFEN。

(SI)YINYIWAISHANGHAIDAOZHIDEHOUXUZHILIAOFASHENGDEYILIAOFEIYONGZENMEBAN?

YINYIWAISHANGHAIDAOZHIDEHOUXUZHILIAOSUOFASHENGDEYILIAOFEIYONG,ANZAOCHENGYIWAISHANGHAIDESHOUCIZHUYUANBAOXIAOZHENGCEZHIXING。

ag真人网址(WU)YIWAISHANGHAIYILIAOFEIYONGRUHEBAOXIAO?

ag真人网址1.CANBAORENYINYIWAISHANGHAIZAIANQINGSHIYUNEIDINGDIANYILIAOJIGOUJIUZHENFASHENGYILIAOFEIYONG,RUYUANHOUCANBAORENHUOQIDAILIRENYINGZAIZHUYUAN72XIAOSHINEI(JIEJIARISHUNYAN)XIANGJIUZHENYILIAOJIGOUSHENQINGYIWAISHANGHAIDAIYUZHIFU,TIANXIE《ANQINGSHIYILIAOBAOXIANYIWAISHANGHAIDIAOCHABIAO(YILIAOJIGOUBAN)》HE《YIWAISHANGHAIRENYUANYILIAOFEIYONGBAOXIAOCHENGXINCHENGNUOSHU》,RUSHISHUOMINGYIWAISHANGHAIFASHENGDESHIJIAN、DIDIAN、SHIQINGJINGGUO,BINGCHENGNUOCHENGDANXIANGYINGDEFALVZEREN。

2.CANBAORENYINYIWAISHANGHAIZAIANQINGSHIYUWAIYILIAOJIGOU、FEIDINGDIANYILIAOJIGOUJIUZHENFASHENGYILIAOFEIYONG,HUOZAIZHUYUANQIJIANCANBAORENWEINENGTIGONGSUOXUSHUMIANCAILIAODE,CHUYUANHOUYOUCANBAORENHUOQIDAILIRENXIANGYILIAOBAOZHANGJINGBANJIGOUTICHUYIWAISHANGHAIDAIYUZHIFUSHENQING,TIGONGSHENFENZHENG、ZHUYUANFAPIAOYUANJIAN、ZHUYUANFEIYONGQINGDAN(XUGAIZHANG)、BINGLIFUYINJIAN、CHUYUANXIAOJIE(XUGAIZHANG)DENGCAILIAO,TIANXIE《ANQINGSHIYILIAOBAOXIANYIWAISHANGHAIDIAOCHABIAO(JINGBANJIGOUBAN)》HE《YIWAISHANGHAIRENYUANYILIAOFEIYONGBAOXIAOCHENGXINCHENGNUOSHU》,RUSHISHUOMINGYIWAISHANGHAIFASHENGDESHIJIAN、DIDIAN、SHIQINGJINGGUO,BINGZIYUANCHENGNUOCHENGDANXIANGYINGDEFALVZEREN。YOUYUSHANGYEBAOXIANDENGDISANFANGJIGOUXIANXINGZHIFUDAOZHIWUFATIGONGZHUYUANFAPIAOYUANJIANDE,XUTIGONGZHUYUANFAPIAOFUYINJIANHEDISANFANGJIGOUXIANXINGZHIFUJIESUANDAN。

ag真人网址3.CANBAORENCHENGDANQUANBUHUOBUFENZERENDE,ZAISHENQINGYIWAISHANGHAIYILIAOBAOXIANDAIYUZHIFUSHI,XUTIGONGJIAOTONGANQUANGUANLIBUMENZERENRENDINGSHU、RENMINFAYUANPANJUESHU、CAIDINGSHUYUANJIAN;RENDINGDISANFANGZERENRENBUZHIFUHUOBUNENGQUANBUZHIFUDE,XUTIGONGSIFAJIGUANCHUJUDEXIANGGUANCAILIAO。

(LIU)YIWAISHANGHAIYILIAOBAOZHANGDAIYUZHIFUSHENQINGQIXIANSHIDUOZHANGSHIJIAN?

CANBAORENFASHENGYIWAISHANGHAI,ZISHIGUFASHENGZHIRIQI1NIANNEIWEITICHUDAIYUZHIFUSHENQINGDE,YILIAOBAOZHANGJINGBANJIGOUBUZAISHOULI。YINANJIANSUSONGDENGBUKEKANGLIZHISHISHENQINGYANCHIDE,NENGTIGONGYOUGUANBUMENZHENGMINGDECHUWAI。

(QI)ZAIYIWAISHANGHAISHENHEDIAOCHAZHONG,RUGUOYINMANZHENSHIQINGKUANGHUIZENMEYANG?

ZAIYIWAISHANGHAISHENHEHEDIAOCHAGUOCHENGZHONG,CANBAORENBUDEYINMANZHENSHIQINGKUANG。DUINONGXUZUOJIAPIANQUYILIAOBAOXIANDAIYUDE,YINGNARUBULIANGZHENGXINJILU,YOUYILIAOBAOZHANGXINGZHENGBUMENZELINGTUIHUIPIANQUDEJIBENYILIAOBAOXIANJIJIN,BINGCHUPIANQUJINE2BEIYISHANG5BEIYIXIADEFAKUAN;DUIQINGJIEYANZHONGGOUCHENGFANZUIDE,JIANGYISONGSIFAJIGUANYIFAZHUIJIUXINGSHIZEREN。

ag真人网址DUIDINGDIANYILIAOJIGOUZAIYIWAISHANGHAISHENHEGEHUANJIEZHONGDEWEIGUIXINGWEI,YOUYILIAOBAOZHANGXINGZHENGBUMENZELINGXIANQIGAIZHENG,YUQIBUGAIDE,ANZHAOXIEYIYUEDINGZANTING1GEYUEYISHANG6GEYUEYIXIADEYILIAOBAOXIANJIESUANGUANXI,ZHIZHIJIECHUagZHENRENWANGZHIXIEYI;PIANQUYILIAOBAOXIANJIJINZHICHUDE,YOUYILIAOBAOZHANGXINGZHENGBUMENZELINGTUIHUIPIANQUDEJIBENYILIAOBAOXIANJIJIN,BINGDUIDINGDIANYILIAOJIGOUCHUPIANQUJINE2BEIYISHANG5BEIYIXIADEFAKUAN;ZHIJIEFUZEDEZHUGUANRENYUANHEQITAZHIJIEZERENRENYUANYOUZHIYEZIGEDE,YIJIAOYOUGUANBUMENYIFADIAOXIAOQIZHIYEZIGE。

(BA)RUGUOYILIAOBAOXIANJIJINYIJINGXIANXINGZHIFULEYIWAISHANGHAIZHUYUANFEIYONG,HOULAIDISANFANGZERENRENYOUPEICHANGLE,CANBAORENYAOTUIHAIMA?

ag真人网址CANBAORENYIJINGCONGZERENRENCHUHUODEYILIAOFEIYONGPEICHANGDE,YINGZAIHUODEPEICHANGHOU30RINEIZHUDONGJIANGYILIAOBAOXIANJIJINZHIFUJINEZHONGYINGYOUDISANFANGZERENRENCHENGDANDEBUFENTUIHAIJIYILIAOBAOXIANJIJIN,YILIAOBAOZHANGJINGBANJIGOUBUZAIXIANGZERENRENZHUICHANG。CANBAORENJUBUTUIHAIDE,YILIAOBAOZHANGJINGBANJIGOUKEYICONGYIHOUZHIFUDEXIANGGUANDAIYUZHONGKOUJIANQIYINGDANGGUIHAIDESHUE,HUOZHENARUBULIANGZHENGXINJILU、ZANTINGYILIAOBAOXIANDAIYU、XIANGRENMINFAYUANTIQISUSONGDENGFANGSHIJINXINGCHULI。

ag真人网址(JIU)CANBAORENYINMANCONGZERENRENCHUHUODEYILIAOFEIYONGPEICHANGDE,YAOCHENGDANSHENMEZEREN?

CANBAORENYINMANYIJINGCONGZERENRENCHUHUODEYILIAOFEIYONGPEICHANGDE,QIEXIANGYILIAOBAOZHANGJINGBANJIGOUSHENQINGBINGHUODEYILIAOBAOXIANJIJINZHIFUDE,YOUYILIAOBAOZHANGJINGBANJIGOUZELINGTUIHAIPIANQUDEYILIAOBAOXIANJIJIN。JUBUTUIHAIDE,YOUYILIAOBAOZHANGBUMENSHIQINGJIEQINGZHONGANYOUGUANGUIDINGCHULI;GOUCHENGFANZUIDE,ANGUIDINGCHENGXUTIJIAOSIFAJIGUANYIFAZHUIJIUXINGSHIZEREN。

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