The reform of children's medical insurance reform started to
The reform of children's medical insurance started to attract attention, but the parents generally agreed not to buy the social security center and the first-level hospital. The news of the reform of children's medical insurance began to spread, which aroused the parents' strong concern. After the children's medical insurance is merged into the inpatient medical insurance, the standard and treatment of the insured payment will be fully implemented in accordance with the inpatient medical insurance.
However, the implementation of children's medical insurance for 3 years, as of the end of last year, the number of participants is close to 650,000, which means that its coverage is only half. The reporter interviewed in the past few days and found that for the reform of the children's medical insurance needs to be bound to the social welfare center and the first-level hospital regulations, parents generally "do not buy." The results from the Social Security Administration's “Evaluation of the Effect of the Implementation of Children's Health Insurance” also showed that only 17.3% of parents would bring their children to the Social Health Center.
Text / reporter Liao Jiaming, Bao Wenjuan intern Huang Ning, the implementation of three-year coverage is low, children's medical insurance from September 1, 2007 officially implemented, parents only need to spend 75 per year, children can enjoy major illness clinics and hospitalization reimbursement However, the reporter learned from the Social Security Bureau yesterday that as of the end, the number of children's medical insurance participants was only close to 650,000.
It is understood that as of the end of 2009, the number of primary and secondary school students is about 820,000, the number of college students is about 70,000, and the number of kindergartens is about 220,000. The total number of students in the school is over 1.1 million. In other words, the participation rate of children's medical insurance is only half.
Last year, the Social Security Bureau conducted an assessment of the implementation of children's medical insurance. Yesterday, the reporter saw from the survey results that most of the people participating in the survey were ordinary company employees (51.33%), and most of the families were less than 60,000 (49.92%), and 25.43% of the survey did not participate in children's medical insurance. And even if it is participated, 49.61% do not understand the coverage of children's medical insurance, and 78.14% of the participants even said that they have never used the child medical insurance card.
The survey results show that the cumbersome procedures and non-conformity of insurance conditions have become the main reasons for the low coverage of children's medical insurance. The complicated procedures are the main cause. When handling the children's medical insurance for the three sons, Ms. Min Luo found that the procedures were extremely cumbersome. In addition to filling out the registration form online, she should prepare the child's ID card, household registration book, parent's household registration book, ID card, passbook, digital photo receipt. The most important thing is the proof of family planning. Because I am a non-deep household, in order to apply for this birth certificate, I have to take several leave before and after. "Their medical insurance is not so painstaking, the child is really tossing." Ms. Luo said.
The results of the survey showed that among the parents who did not participate in the medical insurance for children, although they met the conditions, they were too cumbersome to attend the insurance and reached 26.14%. In addition, due to non-compliance with the conditions of participation, there are also 27.78%. According to the current conditions for the participation of children's medical insurance, in addition to the children of the household, migrant children who live in deep life with their parents and who have been insured for one year or more are eligible for coverage.
The spokesman of the Social Security Bureau, Huang Xianfeng, explained that children's medical insurance is implemented as a welfare medical insurance for residents. It is not mandatory medical insurance. The registered population and the deep-employed people should be covered by the policy. “As for whether non-deep-sector, non-employed children should be included in the policy, or whether they can be included in the policy should be a widely discussed issue,” he said.Parents: Children who go to the hospital for more illnesses, the children's medical insurance plan to be revised for children under 14 weeks can choose to bind a social welfare center and a first-class hospital as an outpatient clinic, and children and adult insured persons over 14 weeks old. The same is the same as the social health center. The reporter interviewed and found that parents generally "do not buy". Zhang Wei is a manager. When her husband is at work, her 4th daughter is basically at home in kindergarten. She is frank. If she is not in kindergarten, she will not give children medical insurance for her children, but she is willing to see a doctor at home. "In the hospital, I will take a blood test and drip a lot of medicines. I would rather take her back to a doctor who is familiar with her family. It doesn't cost much." Zhang Wei said that even after she was bound to the social health center and hospital, she I will not take my child to the designated hospital because I can reimburse. Coincidentally, Min Wang Xuan also said: "Children can't be taken lightly," Wang Xuan said. "I don't feel comfortable with the hospital, let alone the social health center?" From the feedback from the questionnaire, the medical level is high. Large hospitals are generally welcomed by parents. When the child was ill, only 17.3% of the parents who chose to go to the Social Health Center for medical treatment were up, and 62.74% said that they went to the big hospital. The medical level factors such as the hospital's reputation, the completeness of medical equipment, the size of the hospital and the level of doctors have become the main considerations for determining the choice of children's hospitals for children, which are 17.27%, 18.36%, 11.45% and 25.82% respectively. Social Security Bureau: Unbound medical institutions can take care of parents' cards. In this regard, the Social Security Bureau spokesperson Huang Xianfeng said that the purpose of the children's medical insurance reform is to bind the social welfare center to divert patients. "The number of large hospitals is small, and most of them are rushing to large hospitals, which can't be digested." Huang Xianfeng said that considering the complexity and variability of children's illness, the New Deal also stipulates that in addition to binding to the social welfare center, Bind a first-level hospital. "In addition, if the parents participate in the comprehensive medical insurance and the balance of the personal account section exceeds the previous year's social monthly salary, then the child can still brush the parent's card when he goes to the non-binding social health center." Huang Xianfeng told reporters.