b 182;o hi 211;m x 183; h 233;i vi 214;t nam -------------------------------- m 233;t…

Bo him x hi Vit NamMu, m th BHYTv quy trnh cp, qun l, s dng th BHYTI. Quy nh v mu th BHYT c nhn1. Mt trc phi th2. Mt sau 3. Ni dung in trn th4. Nhng thng tin c th nhn bit c bng th cng H v tn, nhn din (nh) Tui Gii tnh. a ch. M th. Ni ng k KCB ban u. M c s KCB ban u. Thi hn s dng th. Tnh pht hnh th. Ngy cp th.II. Quy nh v mu th BHYT h gia nh1. Quy nh chung Ban hnh tm thi, p dng th im. Th c gi tr KCB theo ch BHYT trn ton quc. Kch thc 110 x 170 mm ; giy bn, bng v in c nh . Gm 04 trang. Phi th in sn : H v tn ch h; ni c tr; ni ng k KCB ban u; thi hn s dng th. Thng tin v thnh vin h gia nh : H tn; Ngy, thng, nm sinh. Ngy, thng, nm cp th. Gim c BHXH ni cp th k, ng du. Gia hn s dng th : Gim c BHXH k, ng du trong tng ln gia hn. 2. Mi th BHYT h gia nh c m s ring, khc m th BHYTc nhn M s h gm 08 k t bng s:12 12 1234Qun, huyn X Phng STT h trong x phngMi ngi trong h c m th BHYT c nhn ring, ghi ngay di nh.3. Mu phi thTrang 1 Trang 43. Mu phi thTrang 2 Trang 3III. Quy nh v m th BHYTGm 15 k t va ch va s, chia thnh 6 V d:DN 7 01 15 12312345A. M qun l: m i tng : 2 ch m quyn li : 1 s m tnh : 2 s m Qun Huyn : 2 s m n v tham gia thuc Qun Huyn : 3 s s th t ngi tham gia trong n v : 5 s BHXH Vit Nam quy nh thng nht m i tng, m quyn li, m tnh, m qun huyn. M n v thuc qun huyn do tnh quy nh.1. m i tng ( tng cng c 34 m)i tng Tn gi M 1Ngi lao ngDoanh nghip hot ng theo lut DN, lut u tHTX, lin hip HTX hot ng theo lut HTXC quan hnh chnhT chc nc ngoiCc T chc khcCn b cng chcCn b XP khng chuyn trch, cn b dn s xDNHXCHNNTKHCXK2 Cng An CA3 Hu tr + mt sc HT4 Ngi hng tr cp Tai nn, bnh NN TB5 Ngi hng tr cp t NS, Cng nhn cao su ngh vicMS6 Cn b XP hng tr cp t BHXH XB7 Cn b XP hng tr cp t Ngn sch XN8 Ngi hng tr cp Tht nghip TN9Ngi c cngB m VNAH, lo thnh CM, Thng bnh binh 81%C cng khcCCCK10 Cu chin binh, TNXP chng Php CB11 Ngi tham gia khng chin Chng M KC12 i biu QH, HDND ng nhim HD13 Ngi hng tr cp Bao tr X hi BT14 Ngi thuc h ngho, dn tc thiu s HN15 Thn nhn ngi c cng TC16Thn nhnThn nhn SQ, h SQ, binh s Qun iThn nhn Cng AnThn nhn C YuTQTATY17 Tr em di 6 tui TE18 Ngi Hin tng HG19 Ngi nc ngoi ang hc ti Vit Nam LS20 Ngi thuc h Cn ngho CN21 Hc sinh sinh vin HS22 Ngi thuc h gia inh nng lm ng GD23 Thn nhn ngi lao ng TL24 X vin HTX, h kinh doanh c th XV25 Ngi b bnh di ngy NOa.Ngi c cng m CC(Theo Php lnh u i Ngi c cng)n Lit sn B m VNAHn Lo thnh CM : Ngi hot ng CM trc19/8/45. n Thng binh, nh TB, TB loi B, Bnh binh mt sc L t 81% tr ln,b. Ngi c cng m CK(Theo Php lnh u i Ngi c cng)n Anh hng ( LLVTND, Lao ng).n Thng binh, nh TB, TB loi B, Bnh binh 81%. n Ngi hot ng KC b nhim cht c HH, b t y.n Ngi c Hun, Huy chng Khng chin.n Ngi c K nim chng “ T quc ghi cng”, Bng “C cng vi nc”.n Ngi trong gia nh c tng Hun Huy chng KC, K nim chng, bng “C cng vi nc”.c. Thn nhn ngi c cng m TC(Theo Php lnh u i Ngi c cng)n Thn nhn lit s : Cha m , V hoc chng, Con, ngi nui Lit s khi cn nh.n Thn nhn cc i tng c cng khc : l con .d. i tng Bo tr XH m BT( Theo Ngh nh 67 ngy 13.4.2007)n Tr em m ci c cha v m, b b ri, cn cha hoc m nhng mt tch hoc khng kh nng nui dng, cha hoc m ang b t giam, tr nhim HIV/AIDS thuc h ngho.n Cha thnh nin (1618) ang i hc, ging tr em trn.n Ngi cao tui (t 60 tui) c n thuc h ngho, cn v hoc chng nhng gi yu, khng con chu.n T 85 tui, khng c hu hoc tr cp.n Tn tt nng khng th lao ng, khng th t phc v .d. i tng Bo tr XH m BT( Theo Ngh nh 67 ngy 13.4.2007)n Ngi mc bnh tm thn mn tnh, c thn.n Ngi nhim HIV/AIDS khng cn kh nng L.n Ngi nhn nui tr m ci, tr b b ri.n H c 2 ngi tn tt nng , khng th t phc v.n Ngi n thn ngho, ang nui con 16 tui (con ang i hc n 18 tui).2. M Quyn li ( 1 k t s, t 1 n 7)M QliQlichungRingDVKTCRing V/ chuynGm i tng1234567100%100%100%95%95%80%80%100%100/40TLTT100/4095/4095/4080/4080/40CC0C0C0CC, TECKCABT, HNHTCNCn lia.C 4 loi quyn li c bit lin quan n mt s nhm i tng Vn chuyn : CC1, TE1, CK2, BT4, HN4, CN6 H tr mc ng : GD7, CN7, HS7 Gim mc ng : GD7, TL7, CN6 Ngi c 2 mc hng : i m Q.li cao hnV d : Hu tr l thng binh : i HT5 thnh HT2DN l thng binh : i DN7 thnh DN2Khi cp th ch i m Quyn li, khng i m i tng .b.C 5 loi quyn li khng ph thuc m thn KCB ti x : hng 100% cho mi i tng.n Chi ph 1 ln KCB 15% mc lng ti thiu : hng 100% cho mi i tng, mi tuyn iu tr.n Nhm CK2 : l thng bnh binh 81% nu iu tr vt thng ti pht c hng quyn li dch v KTC 100% nh CC1. Khng i m quyn li.n Tham gia BHYT lin tc 36 thng: hng 50% thuc iu tr ung th ngoi danh mc, thuc chng thi ghp. ( ring tr em 6t khng p dng quy nh phi tham gia lin tc 36 thng).n Thanh ton trc tip chi ph KCB do i tri tuyn, khng trnh th v KCB nc ngoi : khng cng tr 2 ln, khng phn bit i tng.3. m phn bit tnh, TP trc thuc TW2 k t s, theo quy nh ca Chnh ph ti Q 124, v d:Tnh, TP M Tnh, TP M TP H Ni 01 Qung Ngi 51H Giang 02 Bnh nh 52Bc Kn 06 Khnh Ho 56 .Nam nh 36 Kin Giang 91Qung Tr 45 BHXH Q. i 97T. Thin Hu 46 BHXH C. An 98TP Nng 48 BHXH C yu 99Qung Nam 494. m phn bit Qun, Huyn, Thnh ph thuc tnh 2 k t bng s, t 01 n 99 i vi mi tnh. Nu n v tham gia khng thuc Qun Huyn m do tnh qun l trc tip th m Qun Huyn l 00. Qun Huyn mi pht sinh do chia tch s c m mi l s th t tip theo.5. m phn bit n v tham gia thuc qun huyn 3 k t s ( 123). i tng do x qun l, k t u ca ny l s 9 ( 901, 902) M n v thc hin trong phm vi tng huyn.Theo tng nhm i tng.6. m phn bit tng ngi tham gia trong 1 n v 5 k t s ( 12345) L s th t trong danh sch tham gia ca n v. Mi s th t ch cp cho 1 ngi trong sut qu trnh tham gia BHYT ti 1 n v .B. M c s y t lm phng khm ban un Ghi ngay sau tn c s y t lm PK ban u.n 5 k t s . v d : 36 010(36 : tnh Nam nh, 010 : TTYT huyn Hi H