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第一条为了完善我省城镇职工医疗保险政策,尽快建立起多层次的医疗保障体系,保证企业职工和退休人员参加基金本医疗保险后医疗保险制度平稳过渡,根据《国务院关于建立城镇职工基本医疗保险制度的决定》(国发[1998]144号)和《国务院关于印发完善城镇社会保障体系试点方案的通知》(国发[2000]42号)与《福建省人民政府贯彻国务院关于建立城镇职工基本医疗保险制度的决定的通知》(闽政[1999]15号)的精神,制定本指导意见。第二条企业补充医疗保险是基本医疗保险的补充形式。已参加当地基本医疗保险并参加统筹地区商业补充医疗保险的企业,有条件的可以为本企业参保人员建立补充医疗保险。第三条企业补充医疗保险费的提取额在本企业上半年度职工工资总额4%以内的部分从成本中列支。企业建立补充医疗保险要根据自身经营状况来确定,既要积极推行,又要量力而行,不盲目攀比。第四条企业补充医疗保险费主要用于补助参保人员在定点医疗机构和定点零售药店发生的下列费用:(一)个人帐户不足支付时的医疗费用;
Article 1 In order to improve the medical insurance policy for urban workers in our province, establish a multi-level medical insurance system as soon as possible to ensure a smooth transition of the medical insurance system for employees and retirees participating in the fund’s medical insurance. According to the “State Council’s Guidelines on Establishing Basic Medical Care for Urban Workers (Guo Fa [1998] No. 144) and the Circular of the State Council on Issuing the Pilot Project of Perfecting the Social Security System in Urban Areas (Guo Fa [2000] No. 42) and the Guidance of the State Council on Establishing Urban Workers Basic medical insurance system decision notice ”(Minzheng [1999] No. 15), the development of the guidance. The second enterprise supplementary medical insurance is a supplementary form of basic medical insurance. Enterprises that have participated in the local basic medical insurance and participated in the co-ordinating regional commercial supplementary medical insurance may, if necessary, set up supplementary medical insurance for their employees. Article 3 The amount of supplementary medical insurance premiums of the enterprise shall be charged out of the cost within 4% of the total employee’s salary in the first half of the enterprise. Enterprises to establish supplementary medical insurance according to their own business conditions to determine, it is necessary to actively promote, but also by their ability, not blindly comparisons. Article 4 The supplementary medical insurance premiums of enterprises are mainly used for subsidizing the following expenses incurred by insured persons in designated medical institutions and designated retail pharmacies: (1) The medical expenses when the personal account is insufficient for payment;