福清城乡居民医保待遇标准！
<p style="text-align:center;widows: 1;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">很多小伙伴每年缴纳城乡居民医保</span></p><p style="text-align:center;widows: 1;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">那么你知道</span></p><p style="text-align:center;widows: 1;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(192, 0, 0);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><strong>福州居民医保具体有哪些待遇嘛？</strong></span></p><p style="text-align:center;widows: 1;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">福州市医疗保障局发布了</span></p><p style="text-align:center;widows: 1;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">相关政策介绍</span></p><p style="text-align:center;widows: 1;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">福宝给大家整理好啦～</span></p><section data-role="title" data-tools="135编辑器" data-id="86041"><section style="margin-top: 1em;margin-bottom: 1em;"><section style="padding-top: 2px;padding-bottom: 2px;color: rgb(254, 254, 254);background-color: rgb(18, 142, 219);"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 255, 255);padding: 0.5em 1.5em;"><p style="font-size:20px;color: #ffffff;line-height: 20px;" data-brushtype="text">福州城乡居民医疗保险待遇</p></section></section></section></section><section data-role="title" data-tools="135编辑器" data-id="128345"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="display: flex;justify-content: center;"><section><section style="font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(255, 235, 78);border-radius: 25px;padding-right: 6px;padding-left: 6px;"><strong>#</strong><strong>0</strong><strong data-original-title="" title="">1</strong></section><section style="padding-left: 10%;margin-top: -5px;"><section style="width: 10px;"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 13.188 13.44" style="display: block;"><path style="fill: #ffeb4e;fill-rule: evenodd;" d="M292.817,1182.56s-7.591,7.95,1.576,13.44c0,0,.126-7.6,7.879-8.7l0.788-2.37Z" transform="translate(-289.875 -1182.56)"></path></svg></section></section></section></section><section><section style="font-size: 16px;color: rgb(62, 62, 62);"><strong data-brushtype="text">普通门诊待遇</strong></section><section style="width: 100%;height: 10px;background-color: rgb(218, 239, 253);margin-top: -10px;overflow: hidden;" data-width="100%"><br/></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;line-height: 2em;"><span style="color: rgb(165, 165, 165);font-size: 12px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">图源：福州市医疗保障局（下同）</span></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><br/></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">说明：家庭签约参保人员在基层社区卫生服务中心、乡镇卫生院就诊时，在原有医保报销比例基础上提高五个百分点。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;"><br/></p><section data-role="title" data-tools="135编辑器" data-id="128345"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="display: flex;justify-content: center;"><section><section style="font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(255, 235, 78);border-radius: 25px;padding-right: 6px;padding-left: 6px;"><strong>#</strong><strong>0</strong><strong data-original-title="" title="" data-num="2">2</strong></section><section style="padding-left: 10%;margin-top: -5px;"><section style="width: 10px;"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 13.188 13.44" style="display: block;"><path style="fill: #ffeb4e;fill-rule: evenodd;" d="M292.817,1182.56s-7.591,7.95,1.576,13.44c0,0,.126-7.6,7.879-8.7l0.788-2.37Z" transform="translate(-289.875 -1182.56)"></path></svg></section></section></section></section><section><section style="font-size: 16px;color: rgb(62, 62, 62);"><strong data-brushtype="text">特殊病种门诊待遇</strong></section><section style="width: 100%;height: 10px;background-color: rgb(218, 239, 253);margin-top: -10px;overflow: hidden;" data-width="100%"><br/></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><br/></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">说明: </span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">1.家庭签约参保人员在签约的基层社区卫生服务中心、乡镇卫生院就诊时，</span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(192, 0, 0);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;">在原有医保报销比例基础上提高五个百分点</strong></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">2.抑郁症设置两年过渡期，2025年3月1日后自动取消。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">3.“学生意外伤害”包括中小学生 (含托儿所、幼儿园的儿童)在校期间因突发的、外来的、非本人意愿的意外事故造成的非疾病伤害或伤残，依法应由特定责任人承担的除外。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">4.“儿童康复治疗”包括儿童性瘫痪、孤独症、发育迟缓、智力障碍、听力障碍或运动障碍等。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">5.“尘肺病”限“已经诊断为尘肺病，但没有参加工伤保险且相关用人单位已不存在，以及因缺少职业病诊断所需资料、仅诊断为尘肺病的患者”。</span></p><p><br/></p><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;outline: 0px;"><section data-role="title" data-tools="135编辑器" data-id="128345"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="display: flex;justify-content: center;"><section><section style="font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(255, 235, 78);border-radius: 25px;padding-right: 6px;padding-left: 6px;"><strong>#</strong><strong>0</strong><strong data-original-title="" title="" data-num="3">3</strong></section><section style="padding-left: 10%;margin-top: -5px;"><section style="width: 10px;"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 13.188 13.44" style="display: block;"><path style="fill: #ffeb4e;fill-rule: evenodd;" d="M292.817,1182.56s-7.591,7.95,1.576,13.44c0,0,.126-7.6,7.879-8.7l0.788-2.37Z" transform="translate(-289.875 -1182.56)"></path></svg></section></section></section></section><section><section style="font-size: 16px;color: rgb(62, 62, 62);"><strong data-brushtype="text">住院待遇</strong></section><section style="width: 100%;height: 10px;background-color: rgb(218, 239, 253);margin-top: -10px;overflow: hidden;" data-width="100%"><br/></section></section></section></section></section></section><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 15px; text-shadow: none; letter-spacing: 1px; font-family: Helvetica, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);text-shadow: none;">(一) 按项目收费</span></span></strong></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br/></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;caret-color: red;font-family: Helvetica, Arial, sans-serif;">说明:</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;caret-color: red;font-family: Helvetica, Arial, sans-serif;">1、参保人员年度内多次住院按上述起付标准依次递减100元，直至降至零为止。参保人员在县域内医共体成员单位间转院，经转出、转入医院在医保信息系统中审核确认的，取消二次住院起付线。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">2、</span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(192, 0, 0);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;"><strong>城乡居民医保生育住院按城乡居民住院待遇报销</strong></span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br/></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent; outline: 0px; font-size: 15px; text-shadow: none; letter-spacing: 1px; font-family: Helvetica, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);text-shadow: none;">(二) 按病种收费</span></span></strong></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;caret-color: red;font-family: Helvetica, Arial, sans-serif;">在定点医疗机构发生的列入按病种收费管理的病种费用，医保按照该病种收费标准结算，不设起付线，由个人和统筹基金按比例分担。</span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">①省属医院按以下标准结算：</span></strong></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><br/></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">②市属医院按以下标准结算：</span></strong></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"></p><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><br/></p><section data-role="title" data-tools="135编辑器" data-id="128345"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="display: flex;justify-content: center;"><section><section style="font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(255, 235, 78);border-radius: 25px;padding-right: 6px;padding-left: 6px;"><strong>#</strong><strong>0</strong><strong data-original-title="" title="" data-num="4">4</strong></section><section style="padding-left: 10%;margin-top: -5px;"><section style="width: 10px;"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 13.188 13.44" style="display: block;"><path style="fill: #ffeb4e;fill-rule: evenodd;" d="M292.817,1182.56s-7.591,7.95,1.576,13.44c0,0,.126-7.6,7.879-8.7l0.788-2.37Z" transform="translate(-289.875 -1182.56)"></path></svg></section></section></section></section><section><section style="font-size: 16px;color: rgb(62, 62, 62);"><strong data-brushtype="text">大病保险待遇</strong></section><section style="width: 100%;height: 10px;background-color: rgb(218, 239, 253);margin-top: -10px;overflow: hidden;" data-width="100%"><br/></section></section></section></section></section><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">一个参保年度内，城乡居民医保参保人员因患大病发生的个人负担的医保目录内住院及门诊特殊病种医疗费用，超过19360元部分，保额30万元，10万以内赔付比例70%、10万至30万赔付比例80%。</span></p><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;outline: 0px;"><p style="-webkit-tap-highlight-color: transparent;outline: 0px;"><br/></p><section data-role="title" data-tools="135编辑器" data-id="128345"><section style="margin: 10px auto;display: flex;justify-content: center;"><section><section style="display: flex;justify-content: center;"><section><section style="font-size: 16px;letter-spacing: 1.5px;color: rgb(255, 255, 255);background-color: rgb(255, 235, 78);border-radius: 25px;padding-right: 6px;padding-left: 6px;"><strong>#</strong><strong>0</strong><strong data-original-title="" title="" data-num="5">5</strong></section><section style="padding-left: 10%;margin-top: -5px;"><section style="width: 10px;"><svg xmlns="http://www.w3.org/2000/svg" viewbox="0 0 13.188 13.44" style="display: block;"><path style="fill: #ffeb4e;fill-rule: evenodd;" d="M292.817,1182.56s-7.591,7.95,1.576,13.44c0,0,.126-7.6,7.879-8.7l0.788-2.37Z" transform="translate(-289.875 -1182.56)"></path></svg></section></section></section></section><section><section style="font-size: 16px;color: rgb(62, 62, 62);"><strong data-brushtype="text">医疗救助待遇</strong></section><section style="width: 100%;height: 10px;background-color: rgb(218, 239, 253);margin-top: -10px;overflow: hidden;" data-width="100%"><br/></section></section></section></section></section></section><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;"></span></p><p style="text-align:justify;-webkit-tap-highlight-color: transparent;outline: 0px;letter-spacing: 0.544px;line-height: 2em;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="-webkit-tap-highlight-color: transparent;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">说明：对符合条件的新增救助对象，经相关部门认定后予以资助参保，相关待遇从认定之日下月起执行；认定前个人当年已参保的，不再资助参保。</span></p><p>▌本文由福州本地宝编辑整理，图文来源：<span style="letter-spacing: 0.544px;">福州市医疗保障局</span></p><link rel="stylesheet" href="//www.fqlook.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_J03" id="wcn_editor_css"/> 涨知识了 越來越貴了、已經繳不起了 人人参与医保保险 全心全意为人民服务， 村里面根本不能用医保卡，每次都是医生说多少钱直接现金给他，还基层卫生机构提高五个百分点，不落实到实处说的再好都无用……
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