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近日，山東省人社廳等三部門聯合印發《關于進一步做好社會保險精準扶貧工作的意見》，支持幫助建檔立卡貧困人口、低保對象、特困人員等困難群體（以下簡稱貧困人員）及其他社會成員參加社會保險，基本實現法定人員全覆蓋，逐步提高社會保險待遇水平，助力參保貧困人員精準脫貧，同時避免其他參保人員因年老、疾病、工傷、失業等原因陷入貧困，鞏固脫貧攻堅成果。

　　《意見(jian)》明確，開展養(yang)老(lao)保(bao)(bao)險精準扶(fu)貧(pin)，對建檔(dang)立卡未標注脫貧(pin)的貧(pin)困(kun)(kun)人(ren)口、低(di)保(bao)(bao)對象、特困(kun)(kun)人(ren)員等困(kun)(kun)難(nan)群體，符合參(can)加(jia)居(ju)民(min)基本(ben)(ben)養(yang)老(lao)保(bao)(bao)險條件(jian)的，地方人(ren)民(min)政府為其代(dai)繳(jiao)部(bu)(bu)分或全部(bu)(bu)最低(di)標準養(yang)老(lao)保(bao)(bao)險費(fei)，并在提(ti)高最低(di)繳(jiao)費(fei)檔(dang)次時，對其保(bao)(bao)留(liu)現行(xing)最低(di)繳(jiao)費(fei)檔(dang)次。參(can)加(jia)居(ju)民(min)基本(ben)(ben)養(yang)老(lao)保(bao)(bao)險的重度(du)殘(can)疾人(ren)提(ti)出申請，經(jing)審核后可以提(ti)前5年發放養(yang)老(lao)金。

　　研究建立居(ju)(ju)民(min)(min)基本(ben)養老(lao)保(bao)(bao)險(xian)待遇確定與(yu)基礎養老(lao)金最低標(biao)準(zhun)(zhun)正(zheng)常調整機制，完善(shan)居(ju)(ju)民(min)(min)基本(ben)養老(lao)保(bao)(bao)險(xian)籌資和(he)保(bao)(bao)障(zhang)機制。根據經濟發展(zhan)和(he)居(ju)(ju)民(min)(min)收(shou)入水平增(zeng)長情況(kuang)，適(shi)時(shi)適(shi)度(du)逐(zhu)步提高居(ju)(ju)民(min)(min)基本(ben)養老(lao)保(bao)(bao)險(xian)最低繳(jiao)費(fei)標(biao)準(zhun)(zhun)和(he)基礎養老(lao)金最低標(biao)準(zhun)(zhun)。強化多(duo)繳(jiao)多(duo)得(de)、長繳(jiao)多(duo)得(de)的激勵(li)約(yue)束(shu)機制，完善(shan)繳(jiao)費(fei)補貼政(zheng)策，引導城鄉(xiang)居(ju)(ju)民(min)(min)主動參保(bao)(bao)繳(jiao)費(fei)。加強居(ju)(ju)民(min)(min)基本(ben)養老(lao)保(bao)(bao)險(xian)與(yu)農村最低生(sheng)活保(bao)(bao)障(zhang)、特困人員救助(zhu)供養等(deng)社會救助(zhu)制度(du)的統籌銜接，“十三五”期間(jian)，在認定農村低保(bao)(bao)和(he)扶貧對象時(shi)，中(zhong)央確定的居(ju)(ju)民(min)(min)基本(ben)養老(lao)保(bao)(bao)險(xian)基礎養老(lao)金暫不計入家庭收(shou)入。

　　在(zai)醫療保(bao)險精準扶貧上(shang)。全(quan)面落實資助貧困人(ren)(ren)員(yuan)參保(bao)政策，對貧困人(ren)(ren)員(yuan)參加居民基本醫療保(bao)險個人(ren)(ren)繳(jiao)費部分(fen)由(you)財(cai)政給予補貼(tie)；依法將包括(kuo)農民工(gong)在(zai)內的(de)合同制工(gong)人(ren)(ren)納入生育(yu)保(bao)險，由(you)用人(ren)(ren)單位(wei)繳(jiao)納生育(yu)保(bao)險費，職(zhi)工(gong)個人(ren)(ren)不繳(jiao)費。

　　完善居民大(da)(da)(da)病(bing)(bing)保(bao)(bao)險(xian)制(zhi)度，對建(jian)檔立(li)卡貧(pin)困(kun)人(ren)(ren)口，大(da)(da)(da)病(bing)(bing)保(bao)(bao)險(xian)起(qi)付(fu)線減半，分段報(bao)銷(xiao)比例提高5個百分點，封頂線提高到50萬(wan)元。抗腫(zhong)瘤藥(yao)(yao)(yao)物一支(zhi)(zhi)動輒(zhe)上萬(wan)元，對患者而言是極(ji)大(da)(da)(da)的負擔，《意見》明確(que)，對建(jian)檔立(li)卡貧(pin)困(kun)人(ren)(ren)口使用(yong)經(jing)省統一談判的大(da)(da)(da)病(bing)(bing)保(bao)(bao)險(xian)特(te)殊(shu)用(yong)藥(yao)(yao)(yao)不設(she)起(qi)付(fu)線；2017年度，各地要按照《山東省人(ren)(ren)力(li)資(zi)源和(he)社會(hui)保(bao)(bao)障廳關(guan)于執行有關(guan)問題的通(tong)知》（魯人(ren)(ren)社發〔2017〕34號）要求，做好(hao)我(wo)省大(da)(da)(da)病(bing)(bing)保(bao)(bao)險(xian)18種特(te)殊(shu)藥(yao)(yao)(yao)品(pin)與2017年版《國(guo)家(jia)(jia)藥(yao)(yao)(yao)品(pin)目(mu)錄》和(he)納入國(guo)家(jia)(jia)藥(yao)(yao)(yao)品(pin)乙類目(mu)錄范圍(wei)內(nei)談判藥(yao)(yao)(yao)品(pin)的銜(xian)接(jie)，對經(jing)大(da)(da)(da)病(bing)(bing)保(bao)(bao)險(xian)支(zhi)(zhi)付(fu)后的個人(ren)(ren)自付(fu)部分，再(zai)按乙類藥(yao)(yao)(yao)品(pin)政(zheng)策規定由基本醫(yi)療保(bao)(bao)險(xian)基金予以補助，確(que)保(bao)(bao)參保(bao)(bao)人(ren)(ren)員實(shi)際(ji)待遇(yu)水平(ping)不降低。

　　《意(yi)見》要求，各(ge)市要合(he)理確定門(men)診大病(bing)、慢病(bing)支付(fu)病(bing)種，逐步(bu)提(ti)高貧困(kun)人(ren)(ren)員門(men)診保(bao)障(zhang)水(shui)平(ping)(ping)；要將符合(he)條件的孕(yun)婦住(zhu)院分娩醫(yi)(yi)療(liao)(liao)(liao)費(fei)用(yong)納(na)入居民基本(ben)醫(yi)(yi)療(liao)(liao)(liao)保(bao)險(xian)報銷范圍。加強基本(ben)醫(yi)(yi)保(bao)、大病(bing)保(bao)險(xian)與醫(yi)(yi)療(liao)(liao)(liao)商(shang)業(ye)補(bu)充(chong)保(bao)險(xian)、醫(yi)(yi)療(liao)(liao)(liao)救(jiu)助等的有效銜接，實(shi)(shi)現部門(men)間信息(xi)互(hu)聯(lian)共享(xiang)，對已核準的因(yin)病(bing)致貧返貧患(huan)者，通(tong)過政策銜接，實(shi)(shi)施綜合(he)保(bao)障(zhang)，提(ti)高其醫(yi)(yi)療(liao)(liao)(liao)保(bao)障(zhang)受益水(shui)平(ping)(ping)。加快推進(jin)分級診療(liao)(liao)(liao)體(ti)系建設，實(shi)(shi)行醫(yi)(yi)保(bao)差異(yi)化支付(fu)政策，適當提(ti)高基層(ceng)醫(yi)(yi)療(liao)(liao)(liao)機構基本(ben)醫(yi)(yi)保(bao)報銷比(bi)例，促進(jin)貧困(kun)人(ren)(ren)員就(jiu)近合(he)理有序(xu)就(jiu)醫(yi)(yi)；進(jin)一步(bu)擴大異(yi)地就(jiu)醫(yi)(yi)結算范圍，優化貧困(kun)人(ren)(ren)員異(yi)地就(jiu)醫(yi)(yi)程序(xu)，提(ti)供“一站式(shi)”即時結算服務，切實(shi)(shi)減輕貧困(kun)人(ren)(ren)員醫(yi)(yi)療(liao)(liao)(liao)費(fei)用(yong)墊支負擔。

　　《意見(jian)》要求，開展工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)精準扶貧(pin)。進一步做(zuo)好(hao)建筑業農(nong)民工(gong)(gong)(gong)(gong)按項(xiang)目參(can)(can)加工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)工(gong)(gong)(gong)(gong)作，著力構(gou)建建筑業按項(xiang)目參(can)(can)加工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)工(gong)(gong)(gong)(gong)作長效(xiao)機制。圍繞按項(xiang)目參(can)(can)加工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)模式(shi)積極(ji)推進政策(ce)創新，對用工(gong)(gong)(gong)(gong)方式(shi)靈活、流動(dong)(dong)性大、貧(pin)困勞動(dong)(dong)力相對集中的(de)行(xing)(xing)業，探索按項(xiang)目等方式(shi)參(can)(can)加工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)。對符(fu)合(he)(he)工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)待遇先行(xing)(xing)支付情形的(de)貧(pin)困勞動(dong)(dong)力，工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)經辦(ban)機構(gou)應給予先行(xing)(xing)支付。按規定(ding)將(jiang)療(liao)(liao)效(xiao)可靠的(de)塵(chen)肺病(bing)治療(liao)(liao)藥(yao)物(wu)列入工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)藥(yao)品目錄，將(jiang)符(fu)合(he)(he)醫療(liao)(liao)診療(liao)(liao)規范的(de)塵(chen)肺病(bing)治療(liao)(liao)技術和手段(duan)納入工(gong)(gong)(gong)(gong)傷保(bao)險(xian)(xian)金(jin)支付范圍。