Interim Procedures of Shanghai Municipality on Medical Insurance on Outpatient and Emergency Treatment for Retired Persons

Interim Procedures of Shanghai Municipality on Medical Insurance on Outpatient and Emergency Treatment for Retired Persons

Hu Fu Fa [1998] No.40

October 6, 1998
　
Article 1 (Purpose and Basis) With a view to ensuring the basic medical needs of the retired persons in town enterprises in respect of outpatient and emergency treatment, and perfecting step by step the municipal medical insurance system, these Procedures are formulated in the light of the Reform Program of Shanghai Municipality on Medical Insurance System for Workers and Staff Members in the Town Enterprises.
　
Article 2 ( Scope of Application) These Procedures apply to the town enterprises in this Municipality as well as to their retired persons.
The term "retired persons" used in these Procedures refers to those in the enterprises mentioned above who have gone through retirement formalities and received a monthly pension granted by a social insurance organ in accordance with the relative State and Municipal regulations.
　
Article 3 (Medical Insurance Principle of Outpatient and Emergency Treatment) Medical insurance on outpatient and emergency treatment for the retired persons shall be practiced in conformity with the principle of overall social planning, mutual aid, guarantee of basic medical need, medical treatment convenience, and waste avoidance.
　
Article 4 ( Payment Scope of Medical Insurance Fund) Medical Insurance Fund shall pay proportionally, as stipulated in Section 1 of Article 5 of these Procedures, the medical expenses of the retired persons for outpatient and emergency treatment other than those items stipulated in the Interim Procedures of Shanghai Municipality on Medical Insurance on Outpatient and Emergency Treatment Items for Workers and Staff Members in Town Enterprises .
　
Article 5 (Payment and Share of Medical Expenses) Medical Insurance Fund shall pay 50 percent of the medical expenses of the retired persons which result from each outpatient or emergency treatment and meet the requirements of medical insurance scope, items and expense standards.
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