Ngomhla zingama-28 kuNhlangulana, ihhovisi lomshwalense wezokwelapha esiFundazweni sase-Hebei lakhipha isaziso sokwenza umsebenzi wokuhlola wokufaka ezinye izinto zesevisi yezokwelapha nezinto ezisetshenziswayo kwezokwelashwa endaweni yokukhokha yomshwalense wezokwelapha ezingeni lesifundazwe, futhi lanquma ukwenza umsebenzi wokuhlola okuhlanganisa ezinye izinto zesevisi yezokwelashwa kanye nezinto ezisetshenziswayo kwezokwelashwa ezingeni lokukhokha lomshwalense wezokwelapha ezingeni lesifundazwe.
Ngokokuqukethwe kwesaziso, izindleko zokwelashwa ezitholwe yilowo onomshwalense ezingeni lesifundazwe ezikhungweni zokwelapha eziqokiwe ezingeni lesifundazwe kanye nezindleko zokubuyisela ngezikhathi ezithile zomuntu onomshwalense ezingeni lesifundazwe zifakiwe kuhlelo lokuhlola.
Isaziso sikhombisa ukuthi izinto ezintsha zokukhokha nezinto ezisetshenziswayo ziyengezwa.Izinto zesevisi yezokwelapha ezingama-50 kanye nezinto ezisetshenziswayo zezokwelapha ezingama-242 zifakiwe esibalweni sokukhokha somshwalense wezokwelapha futhi zilawulwa ngokwesigaba B. Ezintweni zesevisi yezokwelapha ezinenani elilinganiselwe, inani elilinganiselwe lizothathwa njengezinga lokukhokha lomshwalense wezokwelapha;Ezintweni ezisetshenziswayo zokwelapha ezinenani elilinganiselwe, inani elilinganiselwe lizothathwa njengezinga lokukhokha lomshwalense wezokwelapha.
Kudingekile ukulinganisa inqubomgomo yokuzikhokhela ukuxilongwa komshwalense wezokwelapha kanye nemiklamo yokwelashwa kanye nezinto ezisetshenziswayo ezingeni lesifundazwe.Ngesisekelo sokusebenzisa izinqubomgomo nemikhawulo yamanani yekhathalogu yezinto zokuxilongwa nokwelashwa kanye nezindawo zesevisi yezokwelapha zomshwalense wezokwelapha oyisisekelo esiFundazweni sase-Hebei kanye nekhathalogi yokuphathwa kwezinto ezilahlwayo ezikhokhiswa ngokwehlukana esiFundazweni sase-Hebei (inguqulo 2021), “isigaba a ” Izinto zokuxilongwa nokwelashwa kanye nezinto ezisebenzisekayo azibeki ingxenye yokuzikhokhela kusengaphambili, futhi zikhokhwa isikhwama esiyisisekelo sokuhlanganisa umshwalense wezokwelapha ngokuvumelana nemithethonqubo;Ezintweni zokuxilongwa kanye nokwelashwa “zesigaba B” nezinto ezisetshenziswayo, lowo ofakwe kumshwalense uyoqala akhokhe u-10% eyedwa, futhi kulabo ababamba iqhaza kuxhaso lwezisebenzi zikahulumeni (noma i-10% yesengezo), abanye abantu ngeke bakhokhe ngokwabo;“Ikilasi C” noma “ukuzikhokhela wena” izinto zokuxilongwa kanye nokwelashwa kanye nezinto ezisetshenziswayo kuzothwalwa ngumshwalense.
Isaziso siphinde sigcizelele ukuthi ihhovisi lomshwalense wezempilo wesifundazwe lizoqinisa ukugadwa nokuhlolwa kwezinto zesevisi yezokwelapha nezinto ezisetshenziswayo kwezokwelashwa, futhi lixoxisane ngesikhathi nothishanhloko abakhulu bezikhungo zezokwelapha ezifanele futhi lazise sonke isifundazwe lapho kudingekile ngenani eliphezulu leziguli ngokwazo. izindleko, ukusetshenziswa ngokweqile kwezinto ezithengwayo ezizikhokhela wena yizikhungo zezokwelapha kanye nokusetshenziswa okungenangqondo kwezinto ezizikhokhela wena.
Ngaphambilini, izinto ezisetshenziswayo ezinenani eliphezulu ezingxenyeni eziningi zezwe zazithembele kakhulu ekuxilongweni nasemisebenzini yesevisi yokwelashwa yokuphathwa kwenkokhelo yomshwalense wezokwelapha, futhi izifunda ezimbalwa kuphela ezakha izinkomba zokufinyelela zomshwalense wezokwelapha ezihlukene ngokuya ngezinhlobo zezinto ezisetshenziswayo.Ngo-2020, I-National Medical Insurance Bureau yakhipha Izinyathelo Zesikhashana zokuphathwa kwezinto ezisetshenziswayo zezokwelapha zomshwalense wezokwelapha oyisisekelo (Okusalungiswa ukuze kuphawulwe), ihlongoza ukwamukela ukuphathwa kokufinyelela kwekhathalogi kwezinto ezisetshenziswayo.
NgoNovemba nyakenye, iNational Medical Insurance Bureau yakhipha Izinyathelo Zesikhashana zokuphathwa kokukhokhelwa kwempahla yezokwelapha yomshwalense wezempilo oyisisekelo (Okusalungiswa ukuze kuphawulwe), yabuyekeza le mibhalo eshiwo ngenhla ngokusekelwe emibonweni evame ukufunwa yibo bonke abathintekayo, yacwaningwa futhi yabhalwa. ukucaciswa kokuqanjwa “kwegama elivamile lomshwalense wezokwelapha” wezinto ezisetshenziswayo zezokwelapha zomshwalense wezokwelapha (Okusalungiswa kokuphawula).
Isikhathi sokuthumela: Jul-04-2022