Notice of Beijing Municipal Bureau of Human Resources and Social Security on Printing and Distributing the Detailed Rules for the Implementation of the Basic Medical Insurance Measures for Urban and R

Jingrenshe Nonghefa [2017] No.250

District Human Resources and Social Security Bureau, designated medical institutions:

  In order to ensure the smooth implementation of the basic medical insurance system for urban and rural residents in this Municipality, according to the Notice of the Beijing Municipal People’s Government on Printing and Distributing the Measures for Basic Medical Insurance for Urban and Rural Residents in Beijing (No.29 [2017] of Beijing Municipality), we have formulated the Detailed Rules for the Implementation of the Measures for Basic Medical Insurance for Urban and Rural Residents in Beijing, which are hereby printed and distributed to you, please implement them carefully.

Beijing Municipal Bureau of Human Resources and Social Security

November 30, 2017

Detailed rules for the implementation of the basic medical insurance measures for urban and rural residents in Beijing

  the first According to the "Measures of Beijing Municipality on Basic Medical Insurance for Urban and Rural Residents" and the relevant provisions of the state and this Municipality, combined with the actual situation of this Municipality, these detailed rules are formulated.

  the second The scope of personnel participating in the basic medical insurance for urban and rural residents in this Municipality:

  (1) Urban and rural residents (hereinafter referred to as the elderly in urban and rural areas) who have reached the age of 60 for men and 50 for women and have no other basic medical insurance, and the following persons:

  1 with reference to the city’s urban and rural social assistance object medical assistance policy to enjoy medical treatment of early retirement personnel;

  2. Retired old activists who enjoy medical treatment according to the medical assistance policy of urban and rural social assistance objects in this Municipality;

  3. Persons who have gone through retirement procedures in other places and have no basic medical insurance and come to Beijing to obtain household registration in this city;

  4. Support the construction of personnel and their spouses who have gone through retirement procedures in other places and returned to Beijing to obtain household registration in this city.

  (2) Urban and rural residents with household registration in this Municipality (hereinafter referred to as working-age residents) who have reached the age of 16 and are under the age of 60 for men and under the age of 50 for women, and have no other basic medical insurance;

  (3) Students with registered residence in this Municipality who are enrolled in full-time ordinary colleges and universities (including private colleges and universities), scientific research institutes, ordinary primary and secondary schools, secondary vocational schools (including secondary specialized schools, technical schools and vocational high schools), special education schools and work-study schools within the administrative area of this Municipality, and children with registered residence in this Municipality who are not in school (including children from kindergartens, scattered infants and other children under the age of 16 who are not in school); Full-time non-Beijing students (including Hong Kong, Macao and Taiwan students studying in Beijing) who receive general higher education in full-time ordinary colleges and universities (including private colleges and universities) and scientific research institutes within the administrative area of this Municipality, and students who have no other basic medical insurance (hereinafter referred to as students and children), and the following students who have no other basic medical insurance:

  1 with the city’s household registration in other provinces and cities, foreign countries or Hong Kong, Macao and Taiwan students;

  2. Junior high school graduates under the age of 18 and senior high school graduates under the age of 22 with household registration in this city;

  3. Students and children with foreign household registration whose parents have local household registration (except Beijing Office account and student collective account, etc.);

  4. With the approval of the relevant departments of the state and the city, students studying in mainland ethnic classes opened in schools in this city, as well as students studying in Beijing Tibet Middle School;

  5. The children of the former educated youth in Beijing who are not registered in this Municipality and the minor children in their dependents;

  6. Minor children of researchers in post-doctoral mobile stations in Beijing, and accompanying children of personnel with valid "Beijing Work Residence Permit";

  7. Children of overseas Chinese who receive compulsory education in Beijing, children of Taiwanese businessmen who invest in Beijing and their employees (Taiwan compatriots).

  (four) the spouse of the city’s household registration personnel, and there are no other basic medical insurance personnel;

  (five) the city (District) is a unit of retired cadres who have no working spouse and no other basic medical security personnel;

  (six) foreign nationals who have obtained the "Alien Permanent Residence Identity Card" in this Municipality and have no other basic medical insurance;

  (7) The national "Thousand Talents Program" and "Ten Thousand Talents Program" working in Beijing, the municipal overseas high-level talent gathering project, the overseas high-level talent entrepreneurship support program, the Zhongguancun "high-level talent gathering project", other selected experts in talent projects recognized or filed by the municipal talent work leading group, and spouses and minor children who have obtained the "Work Permit for Foreigners" (Class A) talents without other basic medical insurance.

  Article Ordinary institutions of higher learning refer to full-time universities, independent colleges and junior colleges, higher vocational schools and other institutions (independent colleges and branches, junior college classes) that are approved according to the setting standards and examination and approval procedures stipulated by the state, pass the national unified entrance examination for ordinary higher education, recruit high school graduates as the main training targets, and implement higher education, excluding adult education and correspondence, further education, network, amateur, radio and television schools.

  Article 4 The insured specified in Article 2 of these Rules shall, when handling the insurance payment procedures, submit the following relevant documents in addition to their electronic photos:

  (1) Persons who have gone through retirement formalities in other places and have no basic medical insurance, and come to Beijing to obtain the household registration in this city, shall submit their household registration book and the certificate of no basic medical insurance issued by the local human resources and social security department at or above the county level.

  (two) to support the construction of foreign countries to handle retirement procedures in foreign countries, and to return to Beijing to obtain the household registration in this city and their spouses, and to submit their household registration books, household registration certificates issued by the public security departments and marriage certificates.

  (3) Students who have registered permanent residence in this Municipality and study in other provinces, cities, foreign countries or Hong Kong, Macao and Taiwan regions and have no basic medical insurance shall submit their household registration book, proof of attendance issued by the school and a commitment letter without basic medical insurance.

  (4) Junior high school students under the age of 18 and senior high school students under the age of 22 who have registered in this city shall submit their household registration book, the admission ticket for taking the college entrance examination this year and the commitment letter for no basic medical insurance.

  (5) Students and children with foreign household registration whose parents have local household registration, submit their household registration book, birth certificate, parents’ Beijing household registration book and other relevant materials.

  (six) minor children of dependents who are not registered in this municipality, and submit their household registration books and certificates issued by political organs of units at or above the regimental level.

  (seven) minor children of researchers in Beijing postdoctoral mobile station, submit their household registration book, birth certificate and the letter of arrival issued by the Office of the National Postdoctoral Management Committee. The accompanying children who hold a valid Beijing Work Residence Permit shall submit their household registration book, birth certificate and the Beijing Work Residence Permit of the father (mother) who has registered the information of the child.

  (eight) the foreign spouses of the household registration personnel in this Municipality shall submit their household registration books, marriage certificates and no basic medical insurance commitments.

  (9) For overseas Chinese children receiving compulsory education in Beijing, the identity certificate of their parents, the Letter of Confirmation of Overseas Chinese Children Receiving Compulsory Education in Beijing and other relevant materials shall be submitted. Children of Taiwanese businessmen and their employees (Taiwan compatriots) who invest in Beijing shall submit the approval letter and other relevant materials issued by the administrative department of education for children of Taiwan compatriots to study in Beijing.

  (10) Foreign nationals who have obtained the Alien’s Permanent Residence Identity Card in this Municipality and have no basic medical insurance shall submit their passports, Alien’s Permanent Residence Identity Card and a letter of commitment without basic medical insurance.

  (11) Spouses and minor children without basic medical insurance who are selected as experts in major talent projects in Beijing, submit the employment contract of experts, certification materials for selected talent projects, their identity documents, marriage certificates, children’s birth certificates and commitments without basic medical insurance.

  (12) Spouses and minor children without basic medical insurance who have obtained the Work Permit for Foreigners (Class A) in Beijing shall submit the Work Permit for Foreigners, their identity documents, marriage certificates, birth certificates of their children and a letter of commitment without basic medical insurance.

  Article 5 Retirees who enjoy medical treatment with reference to the medical assistance policy of urban and rural social assistance objects in this Municipality shall submit the Handbook for Medical Treatment of Retirees in Beijing in addition to their household registration book.

  Article 6 The insured shall go through the insurance formalities from September 1st to November 30th every year, and pay the basic medical insurance premium for urban and rural residents in the following year (hereinafter referred to as medical insurance premium) according to the payment standard.

  Students who meet the conditions of insurance shall go through the formalities of insurance payment by the school, and other insured persons shall go through the formalities of insurance payment at the social security office of their domicile or residence.

  Article 7 The insured shall pay the medical insurance premium in full in one lump sum in the form of bank withholding.

  Article 8 Enjoy the city’s urban and rural residents minimum living security and living difficulties subsidies, enjoy urban and rural low-income relief workers, destitute dependents, special care recipients who enjoy regular pension subsidies, courageous people with household registration in this city managed by the civil affairs department (including survivors of courageous people who enjoy regular pension subsidies), the fact that no one is raising children who enjoy the life security of children in distress in this city, and the retired old activists who enjoy medical treatment according to the medical assistance policy of urban and rural social assistance objects in this city are provided with a list by the civil affairs department of the district where the household registration is located to assist in handling the insurance payment procedures.

  After the list of disabled persons provided by the Municipal Disabled Persons’ Federation is compared with the identity information of the social security agency, the disabled persons’ Federation in the district where the household registration is located shall assist in handling the insurance payment procedures according to the comparison list.

  The city (District) is a unit of retired cadres who have died and have no working spouses, and the list is provided by the municipal department of retired cadres to assist in the insurance payment procedures.

  Family planning special family members shall be provided with a list by the health and family planning department of the district where the household registration is located, and assist in handling the insurance payment procedures.

  The list of low-income farmers shall be provided by the Agricultural Committee of the district where the household registration is located, and the insurance payment procedures shall be assisted.

  Orphans and abandoned babies who are supported by the government and enjoy the living security of children in distress in social welfare institutions in this Municipality shall collect information centrally and go through the insurance payment procedures at the social insurance agency or social security office where the social welfare institution is located.

  Article 9 Those who meet the conditions of insurance in the current year shall, within 90 days from the date of obtaining the household registration in this city or meeting the conditions of insurance, go to the social security office where their household registration is located or where they live to handle the insurance payment procedures, and pay the medical insurance premium of the current year in one lump sum according to the payment standard. Enjoy the basic medical insurance for urban and rural residents from the month when the insurance payment is made, and enjoy the treatment until December 31st of that year.

  Among them, within 90 days from the date of obtaining the household registration, the newborn under one year of age will go through the insurance payment procedures with his household registration book, birth certificate, electronic photo of the newborn and other materials to the social security office where he is registered or where he lives, and pay the medical insurance premium of the corresponding year in one lump sum according to the payment standard. Enjoy the basic medical insurance benefits for urban and rural residents in the corresponding year from the date of birth, and enjoy the benefits until December 31st of that year.

  Article 10 Those who meet the conditions for urban and rural residents to participate in insurance but fail to go through the insurance payment procedures within the prescribed insurance period will go through the insurance payment procedures at the social security office where they live or reside with their household registration books, resident identity cards, electronic photos and other materials, and pay the medical insurance premium of the current year in one lump sum according to the payment standard. After the three-month waiting period expires, they can enjoy the basic medical insurance benefits for urban and rural residents and enjoy the treatment time until December 31 of that year.

  Article 11 The insured person has paid the medical insurance premium of the following year. Before December 31st of the year of payment, if one of the following conditions is met, he can go through the refund formalities at the social security office where he is insured with relevant certificates:

  (1) If the insured dies, the family members shall provide the death certificate or related materials issued by the medical institution or the public security department or the civil affairs department;

  (two) if the residents of working age are employed and participate in the basic medical insurance for urban workers, provide a copy of the labor contract issued by the unit;

  (three) in line with other conditions for refund, submit the corresponding materials.

  Article 12 Insured persons can choose 3 medical institutions and 1 community health service station (village clinic) as their designated medical institutions within the designated medical institutions of basic medical insurance in this city, and designated Chinese medicine medical institutions, designated specialist medical institutions and designated Class A medical institutions as the designated medical institutions common to all insured persons. The insured shall enjoy the basic medical insurance benefits for urban and rural residents in accordance with the provisions of these rules in my designated medical institutions and common designated medical institutions.

  Article 13 When the insured is sick, he must bring his social security card to his designated medical institution for medical treatment. Designated medical institutions shall verify the social security cards of the insured persons with their real names.

  Article 14 Urban and rural elderly and working-age residents to implement the first consultation system at the grass-roots level. Without the first referral of designated medical institutions at the grass-roots level to other designated medical institutions for medical treatment, the medical expenses incurred in outpatient service (except emergency) will not be paid by the medical insurance fund for urban and rural residents. Designated medical institutions at the grass-roots level refer to medical institutions at or below the first level in the designated medical institutions of basic medical insurance.

  Article 15 The insured shall be transferred to the designated medical institution and the common designated medical institution for medical treatment by the first referral certificate issued by the designated medical institution at the grass-roots level. The effective time for the first referral at the grassroots level is 180 days.

  Article 16 When the insured can’t go to my designated medical institution for medical treatment due to emergency, they can be treated in the nearest designated medical institution for emergency treatment, and should be transferred back to my designated medical institution for treatment in time after the condition is stable.

  Article 17 If the insured person needs to be referred to a non-designated medical institution in the city due to illness, he/she shall put forward opinions from the attending physician or above of the designated medical institution where he/she seeks medical treatment, and can go through the procedures of referral and transfer after being approved by the medical insurance office of the institution. The effective time for outpatient referral is 30 days.

  Article 18 Medical expenses incurred by the insured that meet the requirements of the city’s basic medical insurance drug list, diagnosis and treatment project list, medical service facilities scope and supplementary reimbursement scope for students and children shall be paid by the urban and rural residents’ basic medical insurance fund (hereinafter referred to as the urban and rural residents’ medical insurance fund) in accordance with the regulations.

  Article 19 Last year, the insured can enjoy the treatment of outpatient (emergency) medical insurance in this year’s continuous insurance payment, and those who do not enjoy the treatment of outpatient (emergency) medical insurance. Those who meet the insurance conditions and pay the insurance fee in that year are regarded as continuous payment.

  Article 20 In a medical insurance year, the threshold for medical insurance (emergency) consultation for urban and rural residents is: 100 yuan, a designated medical institution at the first level or below, and 550 yuan, a designated medical institution at the second level or above, and the threshold is calculated separately. The above part of the Qifubiaozhun shall be paid by the urban and rural residents’ medical insurance fund in proportion, and the payment ratio is: 55% for designated medical institutions at the first level and below, 50% for designated medical institutions at the second level and above, and the cumulative maximum payment is 3,000 yuan.

  Article 21 In a year of medical insurance, the minimum threshold for the first hospitalization of urban and rural elderly and residents of working age is: 300 yuan, a designated medical institution at or below the first level, 800 yuan, a designated medical institution at the second level and 1300 yuan, and the minimum threshold for the second and subsequent hospitalization is 50% of the first hospitalization; Qifubiaozhun for hospitalization of students and children is: 150 yuan, a designated medical institution at the first level and below, 400 yuan, a designated medical institution at the second level, and 650 yuan, a designated medical institution at the third level.

  The above part of the Qifubiaozhun is paid by the urban and rural residents’ medical insurance fund in proportion, and the payment ratio is: 80% of the first-level and below designated medical institutions, 78% of the second-level designated medical institutions, and 75% of the third-level designated medical institutions, with a cumulative maximum payment of 200,000 yuan.

  Article 22 Designated community health service centers (stations) can provide therapeutic family beds for insured persons who need hospitalization or whose condition is stable after hospitalization and need to continue continuous treatment. The medical expenses incurred by the insured in the therapeutic family bed are included in the scope of payment of urban and rural residents’ medical insurance fund according to the regulations, and the Qifubiaozhun is halved. At the same time, the relevant regulations on hospitalization and transfer are implemented.

  Article 23 The following medical expenses are not included in the scope of payment of urban and rural residents’ medical insurance fund:

  (a) should be borne by public health;

  (two) in the non basic medical insurance designated medical institutions;

  (three) in my designated medical institutions (except emergency);

  (four) injuries caused by traffic accidents, medical accidents or other accidents;

  (five) due to drug abuse, fighting or other illegal acts;

  (six) due to suicide, self-mutilation, alcoholism and other reasons;

  (seven) in foreign countries or Hongkong, Macao Special Administrative Region and Taiwan Province;

  (eight) other circumstances that should not be paid by the medical insurance fund for urban and rural residents in accordance with the provisions of the state and this Municipality.

  Medical expenses shall be borne by the third party according to law. If the third party fails to pay or cannot determine the third party, it shall be paid by the urban and rural residents’ medical insurance fund in advance. Urban and rural residents’ medical insurance fund has the right to recover from the third party after paying in advance.

  Article 24 The hospitalization period of the insured is 90 days. No more than 90 days shall be settled according to the actual hospitalization days; If it exceeds 90 days, it will be settled every 90 days.

  Article 25 If the insured person needs to be transferred in the city due to illness, the transfer within 24 hours shall be handled as continuous hospitalization, and the medical expenses incurred after the transfer and before the transfer shall be settled and accumulated according to the corresponding designated medical institutions. In the transfer of designated medical institutions, there is no payment from urban and rural residents’ medical insurance fund, and the hospitalization Qifubiaozhun is calculated according to the transfer to the hospital; In the transfer of designated medical institutions, urban and rural residents’ medical insurance funds have been paid, and the hospitalization Qifubiaozhun is calculated according to the transfer and discharge Qifubiaozhun.

  Article 26 Special diseases of basic medical insurance for urban and rural residents include: outpatient treatment of malignant tumor, hemophilia, aplastic anemia, renal dialysis, anti-rejection treatment after renal transplantation, anti-rejection treatment after liver transplantation (including combined liver and kidney transplantation), anti-rejection treatment after heart transplantation, anti-rejection treatment after lung transplantation, multiple sclerosis and intraocular injection treatment of macular degeneration (hereinafter referred to as special diseases).

  Insured people suffering from special diseases for outpatient treatment, local medical treatment should hold social security card to the designated medical institution for special diseases selected by me to receive and fill out the Declaration Form for the Record of Special Diseases of Beijing Medical Insurance (hereinafter referred to as the Declaration Form) as required, and after being signed by the doctor, go through the filing formalities at the medical insurance office of the institution; Medical treatment in different places should go through the filing formalities with the social security card, the diagnosis certificate of special diseases issued by designated medical institutions and the "declaration form" to the medical insurance agency in the insured area. The medical expenses incurred by the insured in the designated medical institutions for special diseases selected by me shall be paid by the urban and rural residents’ medical insurance fund according to the hospitalization standard.

  Article 27 Insured persons with special diseases who have special disease outpatient service, hospitalization and general hospitalization shall be treated as a settlement period according to each medical insurance year. When special diseases are filed, the settlement period is from the date of first medical treatment after filing to the annual deadline of this medical insurance.

  The reimbursement scope, quota standards and management methods of anti-rejection treatment after renal transplantation, liver transplantation (including combined liver and kidney transplantation), heart transplantation and lung transplantation for urban and rural elderly and working-age residents shall be implemented with reference to the provisions of the basic medical insurance for urban workers.

  Article 28 Insured persons suffering from mental illness in hospital shall be treated according to the daily quota standard of hospitalization expenses for mental illness in basic medical insurance, and each medical insurance year shall be a settlement period.

  Article 29 The related medical expenses incurred by the insured during emergency observation in accordance with the scope of payment of basic medical insurance shall be implemented in accordance with the provisions on reimbursement of hospitalization medical expenses.

  Article 30 The medical expenses incurred by the insured during childbirth and family planning operation that meet the family planning regulations of this Municipality shall be implemented in accordance with the detailed rules for reimbursement for emergency diagnosis and hospitalization with reference to the payment standards for maternity insurance limits and quotas of employees and items.

  Article 31 If the insured person who continuously pays the medical insurance premium for the following year is hospitalized across the medical insurance year, the medical expenses in this settlement period shall be calculated separately according to the medical insurance year. The medical expenses incurred before December 31st and the medical expenses paid in that year are calculated cumulatively, and the medical expenses incurred from January 1st of the following year and the medical expenses paid in the following year are calculated cumulatively; The maximum amount paid by the medical insurance fund for urban and rural residents is calculated respectively in the current year and the following year.

  Article 32 If the insured fails to pay the medical insurance premium for the following year continuously and is hospitalized across the medical insurance year, the medical insurance fund for urban and rural residents will pay the medical expenses before December 31 of that year, and will no longer pay the medical expenses incurred after January 1 of the following year.

  Article 33 If the insured person seeks medical treatment across the insurance system, the medical expenses incurred shall be calculated separately according to the provisions of the original insurance system and the new insurance system.

  Article 34 The insured person shall be paid in full by the individual in the following circumstances, and then be reimbursed manually by the social security office where he lives:

  (a) medical expenses incurred in emergency without a card;

  (two) medical expenses for family planning outpatient surgery;

  (3) Medical expenses incurred during the period of manual reimbursement, replacement of social security cards, and failure to issue cards after enrollment;

  (four) medical expenses for medical treatment in different places that meet the reimbursement standards;

  (five) the cost of outsourcing drugs that meet the outsourcing requirements.

  Article 35 Urban and rural elderly, working-age residents living in other provinces and cities for more than one year, students and children living or studying in other provinces and cities, should apply for medical treatment in different places in the social security agency where I am insured, and can choose to live in two designated medical institutions at or above the county level or designated medical institutions for children’s specialties and one community health service station (village clinic) in this city for medical treatment; When the insured person needs to go to other places for medical treatment due to illness, he should go through the filing formalities at the medical insurance agency in the place where he is insured with the Application Form for Going to Other Places for Medical Treatment of Beijing Basic Medical Insurance.

  The medical expenses incurred by the above-mentioned personnel in my designated medical institutions in different places that meet the requirements of the basic medical insurance for urban and rural residents in this Municipality shall be reimbursed by the social security office where I live in Beijing; The insured who has gone through the direct settlement and filing of hospitalization expenses for medical treatment in different provinces and places can directly settle the hospitalization expenses incurred by designated medical institutions in other provinces and places where he has filed.

  Article 36 Emergency medical expenses incurred by the insured in designated medical institutions in different places that meet the requirements of the basic medical insurance for urban and rural residents in this Municipality shall be reimbursed by the social security office where I live in Beijing; The insured who has gone through the direct settlement and filing of medical expenses for hospitalization in different provinces (except for medical treatment outside the province) can directly settle the emergency hospitalization medical expenses incurred by designated medical institutions in other provinces.

  Article 37 Insured before enjoying the basic medical insurance for urban and rural residents has been hospitalized or outpatient treatment for special diseases, should be the treatment before enjoying the medical expenses settled, after enjoying the treatment of medical expenses paid by the medical insurance fund for urban and rural residents in accordance with the provisions.

  Article 38 When the identity of the insured changes between the urban and rural elderly, residents of working age, students and children, they will enjoy treatment according to their identity at the time of payment.

  Article 39 Those who participate in the basic medical insurance for urban workers in this Municipality shall enjoy the basic medical insurance for urban and rural residents from the month when the payment of the basic medical insurance for urban workers is interrupted within 90 days, and enjoy the treatment until December 31 of that year.

  Article 40 If the insured persons of basic medical insurance for urban and rural residents are employed and participate in the basic medical insurance for urban workers, they will enjoy the basic medical insurance for urban workers from the month of payment, and will no longer enjoy the basic medical insurance for urban and rural residents.

  Article 41 The flexible employees who are entrusted to file in the name of individuals in the city’s employment introduction service center and talent exchange service center have participated in the basic medical insurance for urban employees according to the Measures of Beijing Municipality for Flexible Employees to Participate in the Basic Medical Insurance for Employees (No.56 [2008] of Beijing Zhengban), and are not included in the basic medical insurance for urban and rural residents.

  Article 42 If the insured person entrusts to file in the city’s employment service center and talent exchange service center and participates in the basic medical insurance for urban workers, he will continue to enjoy the basic medical insurance for urban and rural residents in this medical insurance year before enjoying the basic medical insurance for urban workers. The medical expenses incurred during the period will be paid in full by himself in cash, and the relevant documents will be presented to the social security office where he lives for reimbursement at the time of settlement.

  Article 43 The basic medical insurance for urban and rural residents does not establish individual accounts. The payment period of medical insurance for urban and rural residents is not included in the payment period of basic medical insurance for urban workers.

  Article 44 After enjoying the basic medical insurance benefits for urban and rural residents, the insured can also enjoy the medical insurance benefits for serious illness for urban and rural residents according to regulations.

  Article 45 The designated medical institutions for urban and rural residents’ basic medical insurance shall be implemented in accordance with the administrative measures for the agreement of designated medical institutions for basic medical insurance in Beijing.

  Article 46 In accordance with the provisions of the state and this Municipality, combined with the budget management of medical insurance funds, we will promote the reform of composite payment methods that combine various payment methods, such as paying by head, paying by disease type and paying by bed day, establish and improve the negotiation mechanism, guide designated medical institutions to standardize their service behavior, and control the unreasonable increase of medical expenses.

  Article 47 Enjoy the city’s urban and rural residents minimum living security and living difficulties subsidies, enjoy urban and rural low-income relief workers, poor dependents, after enjoying the basic medical insurance benefits for urban and rural residents, meet the conditions of medical assistance, but also to the civil affairs department to continue to apply for medical assistance.

  Urban and rural entitled groups, as well as retirees who enjoy medical treatment with reference to the medical assistance policy of urban and rural social assistance objects in this Municipality, old activists who have retired from neighborhood committees, and children in distress, can continue to enjoy relevant medical treatment according to regulations after enjoying the basic medical insurance benefits for urban and rural residents.

  Article 48 These Rules shall come into force as of January 1, 2018. From the date of promulgation of these rules, if other original documents are inconsistent with these rules, these rules shall prevail.