Nguy~n Trung Nghi~p

UY BAN NHAN DAN. HUY~N MO CAY BAc

s6A§H1/GM-UBND

CONG HOA xA HOI CHU NGHiA VIET NAM. . .DQc l~p - TV do - Hanh phuc

MD Cay Bizc, ngay ()It .thang 9 ndm 2019

GIAYMilID\f hQi ngh] tAng k~t cong tac bao hi~m y t~ hoc sinh nam hoc 2018 - 2019

Nh~m danh gia kSt qua triSn khai thuc hien cong tac BHYT hoc sinh nam hQC2018 - 2019 va triSil khai phuong huang nhiem vu cong tac BHYT hoc sinh narnhQC2019 - 2020,

Uy ban nhan dan huyen M6 Cay B~c tran trong kinh moi:1. Thanh ph~n:* C~p tinh:- Dai dien Ban Giam d6c·BHXH tinh;- Lanh dao phong Khai thac & TN BHXH tinh.* C~p huyen:- Thuong trvc Uy ban nhan dan huyen;- Dai dien lanh dao: Phong GD&DT; Ban tuyen giao; Baa hiSm xa hoi; Phong

Y tS; Trung tam Y tS; Dai truyen thanh huyen,* Cac truxrng hoc:- Hieu tnrong cac tnrong: TiSu hoc, Trung hoc co sa, Trung hoc ph6 thong,

Trung tam GDNN-GDTX huyen;- Nhan vien phl,ltrach thu BHYT hQc sinh cua cac trucmg.2. Th<ri gian: luc 13 giil30 pltut ngay 10 t/uing 9 niim 2019.3. Dia di~m: HQi trU'<rngcO'quan BHXH M6 Cay B~c.- Giao Baa hiim xa h9i huy¢n chudn hi n9i dung va tai li¢u phat cho dc;zibiiu

ctin dv h9i nght.- Cac agi biiu tham dv' h9i nght chudn bt Y kiin phat biiu neu nhiing thu(m

19'i,kha khan tinh hinh triin khai thvc hi¢n BHYT HS va cong tac cham soc SKBDtgi cac truemg trong nam h9c 2018 - 2019 va phuong huang trong nam h9C2019-2020.

R~t mong quy d~i biSu s~p xSp cong vi~c dSn tham dV d~y du, dung thanhph~n, tho'i gian dS hQinghi d~t dirgc kSt qua t6t.1.No'i nh9-n:- Nlm kinh lTIcyi;- Mcri peT UBND huy~n,p1Wtrieh VHXH eM trl;- Website Phong GD&DT;- BiiO hi€m xa hQi;- Luu: VT.

Gal Y NOI DUNG THAo LuAN.. .

DS danh gia rut kinh nghiem trong cong tac t6 chirc trien khai thuc hienBHYT HSSV tai cac dan vi tnrong hoc cling nhu cong tac KCB, CSSKBD choHSSV, dS nghi quy dai biSu dong gop y kiSn vS mot sf>n(>idung nhir sau:

- Nhtrng thuan 19i, kho khan:

+ Trong cong tac van dong thu BHYT HSSV.

+ Trong viec su dung va quyet toan KP CSSKBD tai nha tnrong, nh§.t lakhi thuc hien thea Nghi dinh sf> 146 co quy dinh vS diSu kien dS duoc c§.pKPCSSKBD tai tnrong .

+ VS thirc hien thea HDLN 1306 ngay 26/8/2019 thuc hien tir nam hoc2019-2020 sau khi BHXH huyen nhan dfty du HS dS nghi cua cac tnrong,

- Cong tac cap, phat the BHYT, the hQCsinh co anh;

- Cac van ban Huang d~n thuc hien BHYT hoc sinh nam hoc 2019- 2020co gi con chua rD.

- VS viec thu h(>HQc sinh, sinh vien thuoc h(>gia dinh c~n ngheo duocngan sach nha nuac h6 trg 70% rn~nh gia the BHYT.

- VS thu BHYT df>ivai HS rnai vao lap 1 thu rn(>tlfin cho the co gia tri 15thang, 14 thang, 13 thang.

- Va cac n(>idung co lien quan rna cac dan vi truemg hQc con vuang rn~ctrong t6 chilc triSn khai thlJc hi~n BHYT hQc sinh t:;tidan vi.

*Mili cae dun vi tham gia phat biJu:+Truong TH Nhu~n Phil Tan 1, Truong TH Hung Khanh Trung A, Truemg

THCS Hung Khanh Trung A, Truong THCS NguySn Van Tu, Truong THPTNgo Van C§.n,Truemg THPT Le Anh Xuan ...

.~-===- .====

CHUaNG TRINHHOI NGHI• •

Tang k~t cfmg tac BHYT -HSSV nam hQC2018 - 2019 va tri~n khaiphuong huxmg, nhiem Vl} cong tac BHYT- HSSV nam hoc 2019-2020

Ngay 10 thdng 9 nam 2019

I. NGHI THUC- Tuyen b6 ly do; gioi thieu dai bi€u- Thong qua chuong trinh hQinghi.II.NQIDUNG11Bao cao t6m t~t ket qua thuc hien BHYT- HSSV nam hoc 2018-

2019 va trien khai phuong huang nhiem vu thirc hien BHYT HSSV namhoc 2019-2020;

21 Thong qua Cong van s6 1504/uBND-VHXH ngay 28/8/2019cua UBND huyen Mo Cay B~c v~ viec thuc hien BHYT HS nam hoc2019-2020;

31 Tri€n khai Huang dan lien nganh s6 1195/HDLN-SGD&DT­BHXH ngay 14 thang 08 nam 20198 cua BHXH tinh va Sa Giao due vaDao tao v~viec huang dfrnthuc hien BHYT HSSV narn hoc 2019-2020;

41 Thao luan;

Giai lao 15phut51Y kien cua phong nghiep vu BHXH tinh;

6/ Y kien Phong GD&DT huyen;71Thong qua quyet dinh khen thuong.

III. pIlAT BIEU CHi D40- Y kien cua lanh dao BHXH tinh;- Y kien chi dao cua lanh dao UBND huyen,

IV. BE MAC HOI NGID. . .

BANTOCHUC

BAo HIEM xA HOI BEN TREBAo HIEM XAHOI

MocAvBAcS6:~IBC-BHXH

CONG HOA xX HOI CHU NGHIA VI~T NAM. ..DQc l~p - Tl}' do - H~nh plnic

. Mo Cay Bdc, ngay &lfthangj niim 2019

BAocAoT6ng k~t BHYT hoc sinh nam hoc 2018 -2019.va phuong htr6'ng nbiem V\1 nam hoc 2019-2020 .

Th1,1chien Cong yin s6 1129IBHXH-KT&TN ngay 02 thang 8 nam 2019 cuaBao hiSm xa hoi tinh BSn Tre vS viec t6ng kSt bao hiSm y tS (BHYT) hoc sinh, sinhvien nam hoc 2018-2019. Bao hiem xahQi huyen Me)Cay B~c baocao kSt quathirchien BHYT h9C sinh nam 2018-2019 va phuong huang trien khai thuc hien BHYT-hoc sinh nam hoc 2019-2020 nhu sau: .

I. TiNH' HiNH TRIEN mAl vA KEl' QuA TIIl!C HI~N:1. Tinh·hinh tri~n khai: . . .

Thoi.gian qua cong tac BHYT HSSV Iuonnhan duoc su' quan tam lanh, chi. dao cua Huy~n uy, UBND huyen va S1,1phoi hQ'Ptich cue cua Phong Giao due va Daotao, Ban Giffin hieu cac tnrong hoc v@viec t6 chirc trien khai thuc hi~n trong d6 congtac tuyen truy@nph6 biSn, giao d\lc chfnh sach, phap lu?t BHYT dSn vai HSSV vacac b~c ph\l hu:ynh la mQt trong nhung nhi~m V1.I r~t trQrig tam. . "

NaIll hQC2018-2019 Bao hiSm xa hQi huy~n chu d9ng ph5i hqp vai co quan, .ban, nganhtriSn khai t5t Cong van 3335!UBND-KGVX ngay 18/7/2018 cua UBNDtinh BSn Tre; Cong van 16161UBND-VHXH ngay 13/9/2018 cua UBND huy~n M6··Cay B~c vS vi~c thlfc hi~n BHYT hgc sinh, sinh vien nam hQc 2018-2019; Huangdan liennganhs5 1235/HD-BHXH-SGD&BT ngay 09/8/2018 cua BHXl-I tinh va SaGiao d\lc v~ Bab t:;tohuang dan th1,1chi~n bao hiSm y tS HSSV namhQc 2018~2019. -

. Cac co sa KCB BHYT tren dia ban th1,1chi~n t5t cong tac kham chua b~nhBHYT~ dam bao quy@nlQ'iBHYT cho hQc sinh d6ng thai h6 trQ' tM cong tac y tS

. truOngh9C trong cong tac kham suc khoe dillh ky cho h9C sinh a cac truang hQc.. 2. K~t qua tht,rchi~n:2.1. Cong ta(! tbu:

- Nam hQc 2018 - 2019 tren dia ban huy~n co 33 tniong vai t6ng s6 hQc sinhtham gia BHYT Ia 16.061 hs/16.268 hs d:;tt98,73% so vai hQc sinh toan huy~n; tang1,23% so vai nam hQc 2017-2018, trong d6:

+HQc sinh tham gia t:;titruang: 13.648 h9c sinh;

-/-HQc sinh tham-gia thu9c d6i tUQ'llgkhac: 2.413 hQc sinh ...,

Cv the:

1

+ C~p ti§u h9C 18 tnrong co: 7.622 hs17.629 hoc sinh tham gia dat 99,91% sosi s6 h9Csinh toan khoi, tang so 0,05%% so namhoc 2017-2618. . .

.' + C~p trung 119Ccc sa 12 tnrong co: 5.654 hs/5.732 h9C sinh tham gia dat98,64% so SI s6 h9Csinhtoan khoi, tang so 1,93%% so nam h9C2017:-2018. .

+ C~p trung 119Cpho thong 03 tnrong co: 2.785 hs/2.907 h9C sinh tham gia dat95,80% so si' s6 hoc sinh toan kh6i, tang so 3~03% s()nam h9C2017-2018. .

~Tang s6 ti@nthuc thuBHYTHS .namh9C 2017-'2018: 7.272.299.662 d

- Tang s6 thoai thu do trung the d6i tuong khac 1a44.986.724 d.

S6 li~u chi tiSt kSt qua tham gia BHYT h9C sinh nam h9C2018-2.019 (c1£nh kern'bang s6 lieu chi tiit) , .. , .' , '.'

.' ,

2.2.Congtac phat hanh the BlIYT:Cong tac phat hanh the BHYT hoc sinh duoc co qUIDBHXH huyen thuc hi~n

dam bao, kip thai, chinh xac ...T6ng s6 the BHYT c~p rnoi va gia han trong namhoc .2018 - 20191~: 13.64Rthe. .,.'

2.3. Chi kham chua b~nh: ,Tang chi phi.kham chua benh va di@utri HSSV nam h9C2018-2019 s6 ti@nla:

. 1.310.591.136 d8ng, voi 8;085 hrot di@utrj. trong do: . " , .

. - Chi kham chua benh ngoai tru:. ." .

T6ng s6 ti@n574.185.972 d8ngvai s61ugt diSutri la 7.S371ugt.

Binh qu~n mQt lugt kham chua b~nh ngo?i tm la: 76:182 d8ng

..Chi diSu tri n9i tru:. .. .

" T6ng s6 ti@n736.405.164 d6ng veS-i548 hrgt,

Binh qu~n mQt1u9t diSutri nQitru: 1.343.805 d8ng.

* Trong nam h(Jc vica qua m/)t sa trl£ilng hflP h(Jc sinh kham chiea b?1ih co .chiphi cao'lil:

1. H9C sinh Ph?Ih Thi Kim Ngan ( (HS4838322912332) Ap Phu Th?nh', XiiPhu My, Huy~n MD Cay B~c, Tinh BSn Tre; .'

Chi phi diSu tri la: 55.092.166'd8ng.

2. H9C sinh Nguy6n Thi Thuy Vy (HS4838322441679) Ap Phuac H~u, XiiPhuac My Trung, Huy~n MD Cay B~c, Tinh BSn Tie.

Chi phi di@utrila: 17.247.935 d6ng. .'. '

3. HQc sinh Vo Thi Kim Chi (HS4838322496085) Ap Xom Go, Xii Tan Thanh·Tay, Huy~n MD CayB~c, Tinh BSn Tre.

Chi phi diSu tri 18.:17.138.531 d6ng.

4. H9C sinh NguySn Thi TuySt Nhi (HS4838322476240) Ap Bong Th?nh, XiiThanh An, Huy~n MD Cay B~c, Tinh BSn Tre.

Chi phi di8u tri la: 8.412.898 d6ng. . , '> :

." .: ,.. :If:tHQ:q>shili. NguySn Truong San (HS4838322460814) Ap TId} Khanh; x'a . ::~~~~~:~~~~ttl!i3~~1~~~J6h,~;~Tre...'...•.',~, •....' •.....:2.4:. Kinh phI ch~hris6c stfc'kho:eban d~u: .'.., ' ',,:,>; i" . "C; >.. ': ",' '." :'" " ':'.;,,;,.<" .. ' ',"',' " ': . r' '., "". .' " .•

'" .' , ,N~lnh9c2018.;.2019,·13ao hieulJxi} hC)iM6 Cay Bac da trich chuyenkinh phi .•.cham soc Sue kh6e ban dfiu (CSSKBD) . eua kh&i lap 1.( trich du nhling thfu)g cu&i.'

.....nam.,2o.J8va 12 thang cua p~hil2919) v40 thang 12 nam 2018 c.ho 18.Jntcmg tiSuhQcv6i t6I1gs6 tiSn: 81.891.96146ng. . ..•. ' . ..... . ,:. ,", ,'. '. ' ..

Cac truang TH ( til, kh6i lap hai tra len), THCS, va"l]-p'?'.T chu;a duQ'c trich, ,chuySn .kinh phi CSSKBE} d6i v6i th~ eo, gia td ::;ITd\lng 1:iam.2019 'd9 cac dan vi .'::.'ttubng }_l,§c"¢htiab6suhg' ch'{:mg d:ii li~iih,rign@ as du,'di~u ki~htrtch thea: quydinh t~iBiSu 34Nghidinh 146/201&/NB-CP ngfty 17/10/2018 eua Chinh 1>hu'... .

" ,- ". . -, , ... ,,,,. ",'. " ',',

2.5. Clii th~ lao coqg ta~tlru tlti'YT :(iSSV: .

Chi phi diSu tri la: 13:846.264 d6ng~

. 5. H9C sinh Pham Thi True Mai{HS4838322521906}Ap Kinh Gay, Xii PhilMy, HuyenM6 Cay B~c~Tjnh B€~Tre. '.. . . . .

Chiphi diSu tri la: 14,261.813. d91lg. . .,

>6.' iIQo"sinh Thai Hoang Q~6c':f)~i{HS4838322467489) -Tan Thopg 1, xa, ';. . '" .

Thanh Tan, huyen M6 Cay Bac, TiD.h,:s~n Ire.Chi phi diSu tri la: 11.514.119 d6ng .., .»

'., . 7. H;9C 8i1;1hNguy~f.l Thanh Pgong (HS4S3P9Q3002060) Ap Gia Khanh,xa .,. ,t IfungI<D,;a!W TtllngA,·1I'4y~p.M9,C~y~~c,TiMJ3€nTry. .',; _.', ',: ..~ " '. . - . . . . . - - - ". " - .. - _"~ ..,' .:

. Chi phi diSu tri la: 11.417.278 d6rig; , .. ,

.' . 8. 'R99sirihLudng GfifDIn4:('ffS4838322544956)ApT~I?-'T~6ng2,-Xa Thanh '.. ,s'T~"H6fu~~~I:ua~~:\~~oBo;:5T:~g..... i. ",:' · ..•..... ......

. , 9. I{Qcsinh Huynh Dinh Huynh (HS483'8322484744) Ap Th~nh Hoa 1, Xa . >i,Tan Thanh Birth, Huyer; M6 Cay B~c, Tinh BSn Tre. ", .. , ..

"..•.····;'~'Gh,iR)Jl·~.~~j'~:~·~~~·:~8~:49~g;"»:> ' .• ' '.' ..•••. ' •..••...••.••. '. • .... ' ... ,

, . "~c. :'i: ,10, H9~.:~inhNguyen;.B6ngVan'€HS4838322447Q96},Ap·T~n Thanh, Xa,Tan ...•....;PkniT~Y/H1J,Y~tl,'M6,CayB~~c,Tin.h,I3~hffte " , , ... ' ....'. ". .' '. ..:,. ," '.' . _' -: .-,.. ,'. '. " "

Muc chi thu lao eong tae thuBHYT HSSV duge tdeh b~ng 4% tren t6ng s5" ti,S)),~hVSthu,?~(lH~SV '(l.<h§I:lgb~o g9m sq t~Sn) Qro clo ng8:n,sa.,cAMEt mr6c.h6 trgdong v~,ea9 to chue ya nhan taitrg). '.. '.. . .' ..' '.. . '.

. " :' : ' . ':." . ' '. :- - '. . . . ,,' ~: _':.' '.' ". " . .' ? .:'..... '. " ..

.. ' .. Naill hQc 2018-2019 BHXH'htiy~n triCh chuyen kinh phi chi thu lao cong tao.thu BHYT cho 33 trucmg t6ng s6 tiSn290.891.986 d6ng. ..':.' .. ' . . '.

. ," ")

.'. .)';.:

2.6. Khen thurrng:

Thl,YChien huang d~n cua Bao hiem xii h9i tinh B@n Tre vS viec khen tlnrongcho ca. nhan, t~p thuc hien t6t cong tac thu BHYT hoc sinh.

. Can err k@tqua thuchien BaGhiSm xii h9i huyen d@nghi Giam d6c BHXH tinhtang gi~y cho 24 t~p thS va 24 ca nhan thuc hien t6t cong tac thu BHYT hoc sinh.

( Co' danh sdch khen thuong dinh kern)

3. Danh gia k~tqua thuc hi~n

Nhin chung cong .tac thu HI-IYTHSSV nam hQC2018-20 19 huyen M6 Cay B~cty 1~thamgia BHYT HSSV chua dat 100% nhung cling tang \so voi n~m hQc2017-2018 la 1,23%.·

·Quy@n1Q'ikham chua benh BHYT cac em duoc dam, bao, ·Cong tac cham s6csire khoe ban diu tai cac dun vi truong hoc quyen 1Q'ihoc sinh duoc quan tam. Tuynhien trong qua trinh t6 chirc triSn khai va tht,rc hien BI-IYT hoc sinh pain qua clingcon nhfrng thuan loi va kh6 lilian nhli sau: . . ~.... . ..

3.1. Thu~n J<;ri

Cong tac triSn khai th1)'chi~n BHYT noLchuI;lg,BHYTh9c sirih noi riengluonnh~n duqc S1)'quan tam chi d?o cua Huy~n uy, Dy ban Man' dan huy~n, Sl,Y ph6i hgptich (1)'ccua Phong'Giao dl,lCva Daot?o, Ban Giam·hi~U cac trluaug hQCva cac cO'sakham chua b~nh cung cac ban, nganh tren dia ban h1iy~nva liu6ng d~n kip thO'icuaBao hiSm xa h9i tinh. ] .

Thong qua cong tac tuyen truy@n,v~n dQng tich c1)'ccU51Ban Giam hi~u; giaovien va nh3.nvien nha truo'ng va cac phuong ti~n thQng tin d?i ¢hung ,diilam 6ho nh~nthuc cua phi,!~uyrih va hQc sinh co ch~ySn biSn t1ch qrc ngay 4ang duqc Sl,Y d6ng tinhcao cua da phan phl,lhuyrihhQc sinh ve trach nhi~m thani gia B~HYTcllo cac em.

. Cac cO'sa KCB t?O di@uki~n·thu~ 1qiva ph6i·hQP t6t;voi cO'quan bao hiSm ' .. xii h9i huy~n dS thao go nhung vuong m~c dal'll bao kip thai ~uy@n1qi cho hQc sinhKCBBHYT. . .. '!

., , . . l'

Thl,Ychi~n tot vi~c thu n9P tien BHYT, l~p danh sach, V\~~cin va phM h~mhtheBHYT kip thai d@nphl,lhuyrih va hQCsinh. ... .

3.2. Kh6 khan. .

Th1)'chi~n ·quy dinh v@di@uki~n trich kinh phi cham soc suc 1~6e ban d~u chocac trU'ong khi th1)'chi~n thea Nghi dinh 146/2018INDICP ngay 17/10/2018 hu6ngd~n Lu~t BHYT lam anh huang dSn cong tac cham 10 y tS truo'ng hQc.Hi~n nay da s6cac dun vi trucmg hQcchua du di@u'ki~n dS trich CSSKBD thea quy dinh ( chi c6 03truang du di@uki~n trich chuySn KP CSSKBD).

Cori rlhi@utruang t6ng hgp chua d~y du danh sach hQc sinh tham gia BHYT acac d6i tuqng khac (nhu h9 ngheo, c~nngheo, gia dinh chinh sach, than nhan congan, quan dQi,...) dS Lim cO' sa trich kinh phi cham soc suc khoe ban d~u t?i nhatruang.

4

Mac du duoc Nha mroc h6 tro 70% kinh phi dong BHYT d6i voi h9C sinh c~n. ngheo nhung phu huynh v~n chua tich eire tham gia BHYT rna con trong cho vao cacnha manh thuong quan tai tro.

M9t sB nha tnrong chua thS hien S\1 quyet tam cao trong chi dao tlnrc .hi~?BHYT h9C sinh do do lam anh huong ty l~ tham gia BHYT h9C sinh toan huyen, ketqua la lien tuc nhtrng nam g~n day huyen khong dat ty l~ 160% hoc sinh tham giatrong do dasB la khBi tnrong THCS va THPT.

M9t s6 dan vi truong hoc n9P danh sach h9C sinh tham gia vS Bao hiSm xa h9i ..huyen chua kip thoi, chua dung m~u thea huong d~n lam anh huang den cong tac c~p .the BHYT.

II. PHtrONG HtrONG THUC HIEN CONG TAc BHYT HSSV NAMHQC 2019-ZQ20:

. 1. Phmrng huong:,", . ·9 ? - . . r ~~, . .'

-Tiep tuc thuc hien Luat BHYT va Lu~t sua doi bo .sung mot so dieu LuatBHYTs6 4612014/QH13, Nghi dinh sB 146/20 18IND-CP ngay 17/10/2018 cua Chinh .phu quy dinh chi tiet va huang d~n thi hanh ni9t sB diSu lu~t cua Lu~t BHYT. DS'..'triSn khai cong tac BHYT HSSV nam hQc 2019 - 2020 d~t kSt qua tBt c~n,t~p t~ng

.- .nh~g copg vi~c sau: . . . .

..~ -Tham mUll UBND huy~n ban hanh Cong van 1504iUBND- VHXH .ngay I .

28/8/2019 cua UBND huy~n M6 Cay B~c vS vi~c th\Xchi~n BHYT 'hQc sinh.nam hQc2019-2020 d:;tt 100% HSSV tham gia BHYT thea tinh th~n Cong van 3769/UBND­KGVX. ngay 02/8/2019 cua UBND tinh Ben Tre va Huang d~n lien nganh sB. 1195/HDtN-SGD&DT-BHXH ngay 14 thang 8 nam 2019 Ctla So Giab d\lc v~Daot~o vaBHXH tirlh. . . - '.

t., .' .'

..Bao hiSffi xa h9i chu d9ng ph6i hQ'pch~t ch§ vai Phong Giao dvc va Bao t~ohuy~n theo d6i xuyen suBt qua trinh t6 chlic triSn khai th\1c hi~n.va bao cao kst qua·th\1c hi~n corig tac BHYT HSSV nam hQC 2019-2020 vS UBND huy~n d6ng th6i uSxu~t khen thuemg nhung t~p thS, ca nhan co thanh tich tBt trong cong tac BHYTHSSV nam hQc 2019-2020.

-Phong giao dvc va dao t~o huy~n, Ban giam hi~u cac truang THPT, Trung tamgiao d\lc thuang )cuyen - Giao dvc nghS nghi~p . c~n quySt li~t han trong chi d~o cacdon vi truang hQc trong th\1c hi~n BHYT h9C sinh, ph~n d~u nam hQc2019-2020 co100% hQc sinh tham gia BHYT thea quy dinh cua Lu~tBHYT va chi d~o cuaUy bannhan tinh va Uy ban nhan dan huy~n M6 Cay B~c. . .,

-Tang cuang cong tac truySn thong tren cac phuong ti~n thong tin d~i chlli1g,'ph6 biSn, giao dvc chinh sach, phap lu~t BI-IYTb~ng nhiSu hinh thuc uSn d9i ngu canbQ,giao vien, HSSV va cac b~c phv huynh.

- PhBi hQPNganh y te nang cao ch~f luqng kham b~nh, chfra b~nh BHYT dambao quySn lqi cho hQc sinh khi co Bm dau, tai ni?-ndiSu tri ti?-icac co so y teoCai d.ch .thu 1vc hanh chinh, ling d\lng cong ngh~. thong tin vao cong tac kham chua b~nh,giam thai gian cha dgi vi m\lc tieu dap ling S\1hai long eua nguai b~nh.

5

.' .• . .... . '. '. :". ,". ? r' , . . - , .

-UBND cac xa tang cuong tuyen truyen pho bien chinh s~ch phap luat ve. BHYT cho cac don vi, tnrong hoc tren' dia ban giup hoc sinh va phu Huynh hieu r6nghia vv, quyen loi <is tich C\fCtham gia. . . . '.. .

, '.' - Th\fc hi~n Jp,eo huang d~h, Lien nganh s6 13b6/BI)LN~E(H:XH-SYT~SGD&E)T ngay26!8/20 19 y~ ai6u·ki~~ thW~hien, in{rc trich chuyen, ttac}l nhi~lnl~ph6 so, thanh t6iiri~quySttban 'kinh phi' cham soc suc khoe ban 'd~u d6Cv&i'hoc sinh,sinh vien thea Nghi dinh 14612018!NB.~CP.· . . , ,. . . ..

. . ... .

. .. - Cac co' sa E~iac)'due .l~p d~mh"saCliJIS ~6 the EHYif v~photo th~ BI-fYT hoc·sinli duoc c~p thea d6i tltgng .khac nhti:,Jthan nhsn rigiroi 26 bOng; tlj~nnh~n. luc .hrong vu trang, nguoi ngheo, nguoi can ngheo .... gui 6110 BHXH'huy~A;larh>cq~adtich kitlh phi<CQSSKB:f)'(311t{ttll'wg:1ilieg :8.11ydi:ph::\;~ ,::: ' " ," .' ,r· .

· . .·:·.r. . .... ,.... .:.'" . ':-. ; __ '.: ..... .? .., .' '~_,c':.:.'_"-'>.o·_'·',","','~',' ::"'~ ..:~:' .. :.,.;:.:.•. ,\:,,,.:,,~.: ... , "'. ' •

. ' , .., - Boi v6i Qqcsinh ~~n ngheq nh~ tn-rOng co the pl1Qihqp'Y&i'<6~c'dqb/Vi li~llquan 4¥ l~p d~nh sach hqc siph c~nngheo, tlni hQ t:;tiaoitV'rtnigfiii'rt.~c datu bito cac

'.', ,tru0ng,d~:~lo.Q,rah.¢¢',sihh,t~~~~;~i~'I?~T:',·,·'·... .,., - '.: :.?; . , - ,.: '~'" .•....•..•..........•.•......,

...••.........•.~..I{J:litili~n/du 1\6'd(J-t~ail1·giava'so tien~,dQrtg·dachuyeh·vao tarl9iQarl-c'&'-qu~n..·•···!B'I:}XI1.·.h?Y~~·••sa~:..l¢{~.I(iS.1jI,·!t~·(l?'i '.~~i·~~··:~rnAp'.··?~n~;••·tr.?:~1.~;·-:10···~g2ty:i~1}i,,·yr~?;w.·~·..'co trach'rihi?nfil'r ( doi v6'LhqC sihh lilai tljilm 'gicidall d~li:hp~c co :qieli"chJrili:\th§ng-'.till) b,O?C·b~tgia.·h~!l(d&i v6ihqc sInh co the BHYT dao h~nYcliU:Y~ri~:g)Hi(X:~li~/13:HYr'"

;.:~;'·cho~ulia·tttiangq@phatchQh:qG~illh':'" '. ..., ,: c· .' '. '. .

·t~9h~~!~9i:~i;~~tt~~!i!i?i~~~~i~t~;~\~li~l!~~••.·....thea quy dinh cua Lu~t BHYT (tru nh~g HSSV da duqc dip the BH¥;T thea rihom 'd6i ttrqtIg k1tac'lh~o:ciuY'dirilicua'phap-;lii~i» -,.' . , ,- .. - ,,' .

.,.',;~u~9.~~~~~~l\~u~6~t~~;::~:~¥'h~~P"th$l·.gJ~BtW ~ls~C~a,··4@·•..' '." .\ ,._ _ .:: .' .. ,-'.-. .'

3. Mrrcdong BHYT IlSSVflqc sinh la d6i tuqng tham giaBHYT b~tbU9CduQ'cngal:l~achnha nu&ch6 trq: .

· QO% muc aong. . , . '.' .... . .

, ..' '':M:trc' d6I1gh~ng tharig b~iig 4,5% ~ullud~g cO'sa ( i.49D.OO()d6rig) t~i thaidi@mthu"I3HYTMu sciu:' . ..... '. ..... . '.. ....

4,5 x 1.490 ..000 d = 67,050 d6ngl tha~g. T~ong d6:

+ HSSV dong 70% muc dong:· 67.p50 d6l?:gx 7.0% :=46.935 <1811g/tp,ang;+ Ngari sach nha nuac h6 trq 30% muc dong 67.050 d6rtg<x 30% ='20.115 .

'. d69gltha,9g. " ,. . " ;4.. PhlfO'ng thu:c dong: ' ,C6 thS chiathanh 02 dot nhu'sau : i .

. * j)9't DTho'igianth~~~u'ngay 1;;8)201~'tlin 251912019.. '

Thu phi dai voi h9C. sinh moi V?lO lap mdt the co gia tri sir dung 03 thang (nr01/1012019 dSn 31/1212019), cu thS nhir sau:

- £)ai voi tre em co .ngay sinh truce 30/9 the BHYT duoc cApcho tre em duoi 6tU6i co gia tri su dung dSn hSt ngay 30/912019 thuc hien thu phi cho the co gia tri sudung tir ngay 01110.

- Bai voi h9C sinh moi van lop 1: tre em co ngay, thang sinh la 01/10 thi v~nthu phi cho the co.gia tri sir dung nr ngay 01/10.

+ £>ai voi h9C sinh moi van lap 1: Tre em co ngay, thang sinh la 01111 thithuphi cho the co gia tri SlY dung tir ngay 01111. .

+ £>ai voi h9C sinh moi van lap 1: Tre em co ngay, thang sinh la 01112 thi thuphi cho the co gia tri Slr dung tu ngay 01/12~

Truong hop phu huynh hoc sinh co yeu cau clongmot Zancho 02 clot nha truCmg .wIn thu va zap danh stich gui vJ co quan BHXH huyen phtit hanh the.

.~EO't2: Tho'igian thu tic ngay 01/11/2019 din 25/12/2019 ..

Thu phi va 'phat hanh the co gia tri sir dung 12 thang (tir 01/0112020 dSn3111.:.2/2020)hoac duoi 12 thang dai v6'i cac truong hqp:

~~HSSV co the BHYT gia tri su dVng dSn ngay 31112/2019;

. + Rieng h9C sinh lap 12 thu phi 09 thang va the BHYT co gia tri su d\lllg tungay 01/0112020 dSn hStngay 30/9/2020. .

. Truo'hg hgp HSSV thuQc di~n gia dinh hQ ngheo, c~n ngheo do chua dm;jc cAp.GiAy chtrng nh~ hQ ngheo, c~n ngheo ho~c a6i tuqng khac cua nlhn 2020 tham gia·

".- r',

BHYT HSSV t:;titruong, sau do duqc xet dip the BHYT thi duqc thoai tra tien dffdong (tihh tu thai diSm the BHYT dugc cAp thea nhom m6i b~t dku co gia tri su .dVng).

* PhlfO'ng thuc 1:

-Bong inQt lkn03 thang: The BE-IYTco gia tri su dvng tu ngay 01/10/2019 dSn.31112/2019.

Mice dong biing: 46.935dang x 3 tluing = 140.805 ti8ng//ts.- Sau do dSn dl/t 2 dong tiSp cho the co gia tri su dVng 12 thang tiSp thea khi the

. BHYT mua 03 thang hSt h:;tnsu dl,lllg(31112/2019): The BHYT co gia tti su dvng tungay 0110112020 dSn 31112/2020.

Mice dongbiing: 46.935dang x 12 tluing = 563.220 dang/hs.* PhU'O'ngfhu'c 2_j_Eai vo'i h(Jc sinh mo'i vao lop m9tJ+Dong mQltlkn 15 thapg (phVhuynh h9c sinh co yeu cku): The BHYT co gia tTl su:

dVngtu ngay 01110/2019 den 31112/2020 (doi vai hQc sinh m6i van 16p 1 co the BHYT.duQ'ccApcho tre em duai 6 tu6i co gia tri sU:dVngdSh30 thang 9/2019).

Mice dong b&ng:46.935dang x 15 thang == 704.025 d8ng/hs.+ Bong mQt lkn 14 thang (phV huynh hQcsinh co yeu ·cku):The BHYT co gia tri sU:·

7

dung tlI ngay 01111/2019 d~n 31112/2020 (d6i voi hoc sinh moi van lop 1 co the BHYTduoc c~p cho tre em duoi 6 tu6i co 'gia tri su dung dSn31 thang 10/2019),

Mice dong biing: 46.935 dang x 14 tbdng = 657.090danglhs.-/-Dong m9t lfin-13thang (phu huynh h9C sinh co yeu: c~u): The BHYT co gia tri

su' dung tir ngay 01/12/2019 dSn 311121220 (d6i voi h9C sinh moi vao lop 1 co theBHYT duoc c~pchotre em duoi 6tu6i co gia tri su dung dSn30 thang 1112018).

MIl'C dong bdng: 46.935 dang x 13 Otting= 610.155 danglhs.. . : .' " . - ,--. ..' 'I ' ?

Nha truong co trach nhiem l~p danh sach HSSV tham gia BHYT, to chirc trienkhai thu va n9P ti6n thea quy dinh, chuyen cho co quan BHXH danh sach ghi d~y du 'thong tin thea mfiu huong dfin cua BHXH huyen,

*Luuy:'_'DS thunn loi trong quan 11 .hoc 'sillhthalu gia va phat h~~ the BHYT, nlla'

tnrong c~nl~p danh sach hoc sinh tham gia rieng theo tung thoi han st:r d\lng the. '

'5. each tra cu.'ugia tr! the BHYT:

-' Tra cuu tr\fc tuySn qua w~b BI:IXH Vi~t Nam (www.baohieIIl;xahoi.g!Jv.vn.yao rrll,lc tra c.uutqfC tuYSn)thong qua vi~c nh~p thong tin tren rna s6 the BHYT (10s6 cubi tren the'BHYT la ma,s6 BHXH)."·' - " , , " ' '

~,Cac ling d\lng;tien di~ntho~i thong ininh. '. . '. - . .

- Gui tin Ilh~n SMS: tra diu thai h~n su d\mg"the' BHYT, ca nhan gui tin nh~nqua t6ng dal 8079, phi dich V\l 1.000 d6ng/1 tin nh~n: BII THE{ma the BlIYT}

. Vi d\l: 'So~n tin nh~~ vo-i Cll phap sau gui dSn '8679 a,1I THEH84838321417581 ' ", ,

NQi dung tin nh~n nh~n duqc: "Ma the HS4~3832141758, nQi BUCB BE>:Tt~m y tS xa Hung Khanh Trung A, gia tri su d\mg tu 01/01/20~9 4Sn31/1212019,tho'i aiSm all 05 n~t1nlien t\lc tungay 01110/2019". - .,' . ,'.

Trcn day lakStqua thvc hi~n cong tac BHYT h9C sinh nam h9C 2018~2019 vaphuong hu6'ng thvc hi~n cong tac BHYTh9c sinh nam h9C 2019-2020. Bao hiSm xah9i M6 Cay B~c xin bao cao dSn cac c~p lanh d~o thea doi; chi d~o~ca.cnganh va:cac dun vi truang phbi hQ'Pthvc hi~n./.

Nui nh{lll:

- BHXH t1nh; }"".- TTe HUY~11uy; "- T.T-HDND huye"n;' Bao cao- TT-UBND huy~n;-'Phang YT huy~n;- PhOng giao d\lC & dao t~o; .- Cac twang h9C; .} Ph6i hgp- Die banng;'mh,do;'mth§buy~n;, tlwc hi~n- TTYT huy~n; - .'- LUll VT.

8