insurance medicine meaning in English
人寿保险医学
Examples
- Primary medical treatment is sure to pay policy main provision have 3 : it is to plan as a whole fund and individual account want departure government , part business accounting , as a whole fund wants balance of income and expenses , must not squeeze take individual account ; 2 it is to want to plan as a whole clearly fund and individual account pay limits severally , the requirement is made as a whole a fu biao of fund allow and highest pay limitation , individual account basically is used at outpatient service ( ailment ) medical treatment expense , as a whole fund basically is used at be in hospital ( a serious illness ) medical treatment expense ; 3 it is to want strict limit the limits of insurance medicine service mixes primary medical treatment to allow to fu biao , main content includes restriction limits of facilities of scope of the limits using drug with primary safe medical treatment , project of diagnosis and treatment and service of medical treatment life , the medical treatment cost that exceeds medicine of insurance of this primary medical treatment to serve limits is not sure to fund medium - counts pays or can pay partly only in primary medical treatment
基本医疗保险支付政策主要规定有三条：一是统筹基金和个人账户要分开治理，分别核算，统筹基金要收支平衡，不得挤占个人账户；二是要明确统筹基金和个人账户各自支付范围，要求制定统筹基金的起付标准和最高支付限额，个人账户主要用于门诊（小病）医疗费用支出，统筹基金主要用于住院（大病）医疗费用支出；三是要严格限定基本医疗保险医药服务的范围和给付标准，主要内容包括限定基本医疗保险的用药范围、诊疗项目范围和医疗生活服务设施范围，超出这个基本医疗保险医药服务范围的医疗费用不在基本医疗保险基金中支付或只能部分支付。