事关每个人看病报销，全民医保“十五五”规划发布
<div class="wx_rich_media_content" id="jsWxContainer"><section style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box !important;'><section data-role="paragraph" style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box !important;'><section style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;'><section data-role="paragraph" style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; box-sizing: border-box !important;'><section style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); letter-spacing: 0.544px; font-size: 16px; text-align: center; box-sizing: border-box !important;'><section style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0); 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margin-bottom: 16px;' data-pm-slice="0 0 []"><span data-pm-slice="0 0 []" style='visibility: visible;'><span leaf="" style='color: rgba(0, 0, 0, 0.9); font-size: 17px; font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.034em; visibility: visible;'><span textstyle='' style='font-size: 16px;'><img src="https://www.yewn.cn/data/attachment/forum/202307/20/112049w8nej9zm5zuj18mu.jpg"></span></span></span></section><section style='visibility: visible;line-height: 2em;margin-bottom: 16px;text-align: justify;' data-pm-slice="0 0 []"><span data-pm-slice="0 0 []" style='visibility: visible;'><span leaf="" style='color: rgba(0, 0, 0, 0.9); font-size: 17px; font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.034em; visibility: visible;'><span textstyle='' style='font-size: 16px;'>今天（19日），国家医保局发布《全民医疗保障“十五五”规划》。《规划》明确，</span></span><span data-pm-slice="0 0 []" style='visibility: visible;'><span leaf="" style='color: rgba(0, 0, 0, 0.9); font-size: 17px; font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.034em; visibility: visible;'><span textstyle='' style='font-size: 16px;'>“十五五”期间基本医疗保险参保率每年保持在95%左右；长期护理保险制度覆盖所有统筹地区；基本医疗保险目录内住院费用基金支付比例职工基本医疗保险稳定在80%左右，城乡居民基本医疗保险稳定在70%左右；即时结算基本医疗保险基金支出覆盖率从2025年的70%左右提高到80%以上；所有统筹地区将实现生育津贴直接发放到个人。</span></span></span></span></section><p style='text-align: justify;visibility: visible;line-height: 2em;margin-bottom: 16px;'><b style='visibility: visible;'><span leaf="" style='color: rgba(0, 0, 0, 0.9); font-size: 17px; font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.034em; font-weight: normal; visibility: visible;'><span textstyle='' style='font-size: 20px;color: rgb(0, 122, 170);font-weight: bold;'>到2029年基本医保基本实现省级统筹</span></span></b></p><p style='visibility: visible;line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf="" style='visibility: visible;'><span textstyle='' style='font-size: 16px;'>《规划》提出，健全多层次医疗保障体系，提升大病保险和医疗救助保障水平，提高基金抗风险能力和使用效率，到2029年基本实现省级统筹：</span></span></p><p style='visibility: visible;line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf="" style='visibility: visible;'><span textstyle='' style='font-size: 16px;'>——持续提升全民医保参保质量，提高职工基本医疗保险的参保人数占比。</span></span></p><p style='visibility: visible;line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf="" style='visibility: visible;'><span textstyle='' style='font-size: 16px;'>——继续推动落实新生儿“出生一件事”联办，实现“出生即参、待遇即享”。探索对婴幼儿参加基本医疗保险提供资助。</span></span></p><p style='visibility: visible;line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf="" style='visibility: visible;'><span textstyle='' style='font-size: 16px;'>——优化完善可持续筹资机制。均衡个人、用人单位和政府筹资责任，推动多元筹资。健全公平适度待遇保障机制，</span><span textstyle='' style='font-size: 16px;font-weight: bold;'>报销政策向基层倾斜，因地制宜适当拉开参保人员在不同等级医疗卫生机构的住院报销水平</span><span textstyle='' style='font-size: 16px;'>。</span><span textstyle='' style='font-size: 16px;font-weight: bold;'>推动省内门诊慢性病、门诊特殊病保障规范统一</span><span textstyle='' style='font-size: 16px;'>。推动统筹地区提升筹资、保障管理水平，提高基金抗风险能力和使用效率，到2029年基本实现省级统筹。</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 20px;color: rgb(0, 122, 170);font-weight: bold;'>全面落实参保女职工享受生育津贴待遇</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>《规划》提出：</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>——完善生育保险制度，推动用人单位职工应参尽参，全面落实由失业保险基金为领取失业保险金人员代缴职工医保（含生育保险）费政策。</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>——大力推动参加职工医保的灵活就业人员、农民工、新就业形态人员参加生育保险。</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>——全面落实参保女职工享受国家法定产假生育津贴待遇。</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>——推进辅助生殖技术规范有序应用，合理提升产前检查医疗费用保障水平，指导地方制定覆盖孕期基础检查的基本服务包，可参照门诊慢特病待遇支付。</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>——完善住院分娩医疗费用支付政策，推动基本实现生育保险政策范围内住院分娩个人“无自付”。将适宜的分娩镇痛项目纳入保障范围。</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>——推动医保支付方式改革延伸至生育医疗费用保障。</span></span></p><p style='line-height: 2em;margin-bottom: 16px;text-align: justify;'><span leaf=""><span textstyle='' style='font-size: 16px;'>——实现参保人员生育医疗费用直接结算和生育津贴按程序直接发放给参保人。</span></span></p><section><span leaf="" style='color: rgba(0, 0, 0, 0.9); font-size: 17px; font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; line-height: 1.6; letter-spacing: 0.034em;'><br></span></section></section></section></section></section></section></section></section></section></section></section><section style='text-align: center;box-sizing: border-box;visibility: visible;' data-pm-slice="7 15 []"><p style='text-align: center; -webkit-tap-highlight-color: transparent; margin-right: 8px; margin-left: 8px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 1.6em; visibility: visible; box-sizing: border-box !important;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; letter-spacing: 0.5px; caret-color: rgb(0, 0, 0); color: rgb(178, 178, 178); visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; caret-color: rgba(0, 0, 0, 0); text-decoration-style: solid; text-decoration-color: rgb(178, 178, 178); visibility: visible; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; caret-color: rgb(0, 0, 0); visibility: visible; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 1.6em; text-decoration-style: solid; text-decoration-color: rgb(178, 178, 178); visibility: visible; box-sizing: border-box !important;'><span leaf="" style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; text-decoration-style: solid; text-decoration-color: rgb(178, 178, 178); visibility: visible; box-sizing: border-box !important;'>来源：新闻联播</span></span></span></span></span></p><p style='text-align: center; -webkit-tap-highlight-color: transparent; margin-right: 8px; margin-left: 8px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 1.6em; visibility: visible; box-sizing: border-box !important;'><img src="https://www.yewn.cn/data/attachment/forum/202608/14/085752y6eemz0fkm0m6666.png"></p></section><p style='display: none;'><mp-style-type data-value="3"></mp-style-type></p></div> 这个政策好， 保障体系越来越完善到位。 越来越好哈！！
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