xAC DINH VA CHUYTNKINH PHi CSSKBD.. l.[r]
(1)LIENNGANH
so crAo DUC vA DAo rao
so LAo DqNG THr/oNG BrNH & xA Hgr
sAo HrENr xAHgr rimr niNs DrroNG Binh Duong, ngdy 07 tfuing ndm 2020
S5: CA /HDEHX{-GDDT-LDTB&)GI
HIIONG NAN IITN NGANH
Thgc hiQn bio hi6m y t6 hgc sinh, sinh vi6n
Cin cri LuQt b6o hi6m y tii (BHYT) sria d6i, b6 sung nim 2014; s6 46l2O14lQHl3 ngiry 13/6/2014; Nghi dinh 36 146/20l8ArD-CP ngiy lTltOl2OtS
cria Chinh phri quy dinh chi tii5t vd huong a6n Uien ph6p thi hdnh mQt si5 diAu cta Lu4t BHYT;
Cdn cri Chi thi 36 2I/CT-UBND ngdy l)ll}12}16 cria Uy ban nhAn dAn
tinh Binh Duong vO viQc dAy m4nh thyc hiQn BIIYT toan delr,2}16-2020
Cdn cri C6ng vdn s6 qLZZIBCODT-GDTC ryity 081912017 cta 86 Gi6o
dgc vd Ddo t4o vC viQc thUc hien BIIYT hoc sinh, sinh vi6n;
Sd Gi6o dpc vir Dio tao (GD&ET) - Sd Lao d6ng Thuong Binh & Xa h6i
(LETB&)GI) - B6o hi6m xa hQi @fD(H) tinh Binh Duong huong din thuc hign c6ng t6c thu BHYT hoc sinh, sinh vi€n (HSSV) tr6n dia ban tinh Binh Duong nhu
sau:
r MUCDicH, vtu cAu
1 Mgc tlich
- Tiiip qc trii5n khai thuc.hien c6 hieu quA Nghi quy,5t s5 68/20i3lQH13
ngiry 291.1112013 cta Qu6c h6i vC ddy manh thuc hiQn chinh s6ch, phrip luat, bao
hi6rn y t€ ti6n toi b6o hi€m y te toan dan
- Thgc hiQn ti5t chinh s6ch BHYT HSSV, dii ndng cao chAt lugng ho4t
tlQng vd chdm s6c sirc kh6e ban dAu (CSSKBD) cho HSSV c6c co sd gi6o
dgc, don vi trudng hgc tr6n dia ban tinh
2 YOu ciu
- Bio dim sg phiii hqrp chflt chE, thuong xuy6n, kip thdi, th6ng ntr6t gita SA GDDT, Sd LD, TB&)GI vd BID(H tinh
- D6 cao E6ch nhiQm cria nguoi drmg diu c6c co sd gi6o dpc, don vi.trudmg
hgc, bio dnm.th6ng nh6t lSnh tlao, chi elao c6ng tjic thuc hi6n bio hi6m y tii
HSSV gita cdp try vi l6nh d4o chuy€n m6n viQc t6 chric thgc hiQn
- Cr{c tton v! truong hgc, co sd gi6o duc chri dQng ph6i hop v6i ban, ngd,nh,
chinh quy6n dia phuong vir c6c t6 chirc li6n quan viQc tri6n khai thgc hiQn
dim bAo h6ng nim 100% truong hgc tham gia BHYT HSSV; 100% HSSV tham gia BHW.
coNG HOA XA ngr cno Ncuia vrpT NAM
(2)- C6 so ki5t, t6ng t6t mt n*r nghiQm vd dC nhimg giAi ph6p d6 gi6i quytit
c6c kh6 khdn, t6n t4i
, II D6I TUO.NG THAM GIA, MIIC D6NG, PHt,o|{G TIITIC DONGBHYT
1 E6i tuqng tham gia: f5t ca USSV dang theo hoc t4i c6c co sd gi6o dgc
thuQc hQ th6ng gi6o dr,rc qu6c d6n (ggi chung ld trudmg hgc) tr6n dia ban tinh Binh Duong ld d6i tuong c6 tr6ch nhiQm tham gia BHYT tit UuOc, tnr nhtng em HSSV
dd dugc c6p th6 BHYT theo c6c nh6m d6i tuqng kh6c theo quy dinh cria Luit
BIryT.
Lwit: HSSV dang theo hgc tqi cdc trudng tham gia d6ng BHYT tqi tn^rdng
dang theo hoc, kh6ng tham gia BHYT h0 gia dinh (HGD)
Mric tl6ng BHYT IISSV : BFng a,5% mric luong co s6 theo tung thoi
di6m nhAn v6i s6 th6ng tuong fng v6i thdi han sri dUng cria th6 BIryT Trong d6
NgAn s6ch nhir nu6c h5 trq :OX vd HSV q d6ng70%
HiQn t4i mricluong cs sd ld 1.490.000 d6ng Mric d6ng BHYT HSSV nnm
hoc 2020-2021 cu th6 nhu sau:
2.1 D6i v6i hgc sinh iop 1, sinh vi6n n6m nh6t hoic HSSV chra cd thd
BHYT d6ng 15 thang, chia lim 02 dqt
a Dot 1: Thd BHYT c6 gidtri tingdy 01/10/2020 d€n i1/12/2020: 56tid,nd6ng: 1.490.000 d6ngx4,5%x3 thang = 201.150d6ng
Trong ilti: + Ng6n s6ch Nhi nu6c tr5 trq:OX = 60.345 diing
+ HSSV d6ng70% - 140.805 tlting.
b Eqt 2: Th6 BIIYI c6 gid tri ti 0t/01/202 t d6n 31/12/2021: 56 tidn d6ng: 1.490.000 ddng x 4,5% x 12 thdng = 804.600 diing
Trong iili: + Ngan s6ch Nhd nu6c h5 fiq 30% = 24i.380 d6ng + HSSV d6ng70%o - 563.220 ddng
2.2.D6iv6i hgc sinh lop 12, sinh vi6n cu5i kh6a d6ng 09 thring: ThA BHYT
c6 gid tri tt ngay 01/01/202 t diin 30/9/202 t:
Si5 ti6n d6ng: 1.490.000 d6ngx4,5o/o x thang = 603.450 d6ng Trong tili: +Ngdn s6chNhdnu6c h5trq30% : 18i.035 d6ng
+ HSSV d(ng70% = 422.415 d6ng.
n.D6i voi c6c a6i tuqng HSSV cdn 14i tham gia li6n h;c, d6ng 12 thring:
Thd BHW c6 gid tri ti ngdy t /0 t /2 02 t d6n t / t 2/2 02 I :
Sri tiAn d6ng: 1.490.000 di)ngx4,5Yo x 12 thring - 804.600 d6ng Trong itti: + Ngan s6ch Nhi nu6c tr5 trq IOX : 241.380 tl6ng
+ HSSV d6ng70% = 563.220 ldng
4 ,}
7
Bi
rIl r)r
(3)2.4 Ctic vdn di *tttic cin chil j,
- Khi mricluong co s& thay d6i, co quan BID(H sE c6 th6ng bdo cu th6 cho
c6c trudng hqc bi6t dC thUc hiQn Truong hgrp d6 d6ng BFIYT cho co quan BIDG{
mir thoi gian ndy Nhi nu6c di6u chinh mric luong co s& thi HSSV vi ngAn
s6ch Nhd nu6c kh6ng phii d6ng bii sung ph6n ch6nh t€ch d6 d6ng tru6c d6 Theo
dv kiiin thi m*c luong co sd moi duoc diiu chinh tdng cho k) tiiip theo ld
1.600.000 ding, do d6 di nghi cdc Trudng nAn t6 chtc thu vd d6ng tiin cho co
quan BIIfrI sdm cho cdc han thd cia ndm 2020 vd 2021 dii mtc d6ng BHYT cila
cdc em HSSV kh6ng bi tdng tAn khi mftc luong co sd moi duqc Nhd nudc diiu
chinh tdng
- pi5i voi HSSV da dugc cAp th6 BHYT thuQc c6c nh6m diSi tuong kh6c
nhu: Thdn nh6n si quan, si quan; than nhen c6ng an; h0 nghdo; h6 c{n nghdo, duo.c tinh chung vio d 16 tham gia BIfYT cta Trudng, dugc c6p kinh phi
CSSKBD, c6c Trudmg l{p danh s6ch ri6ng theo MIu st5 O:mnff.
- HSSV dd c6 th6 BI{YT nt5u ngtmg tham gia nh6m nh6m d6i tuong
kh6c thi tham gia BIfYT theo nh6m HSSV tu th6ng ti5p theo, d6n het thoi
h4n chung ld ngdy 3111212021
- Trudng hqp HSSV mdi tham gia BHYT lAn diu, c6c Trudng huong d6n
hoac h6 trg HSSV tra criu ma st5 BfUCt (le sii dinh danh cri nhAn duy nhft cria
ngudi tham gia co quan B[D(H c6p dO ghi tr€n s6 BIIXH, the BHYT) trong co
sd dt liQu hQ gia dinh (HGD) theo phs lsc hu6ng dAn kdm theo
- Trudng hqp HSSV chua c6 ma sl5 BIDCI trong co sd dft liqu HGD thi
hucrng d6n HSSV ke khai.diy di th6ng tin tr6n MIu TKI-TS vi phplUc thinh
vi6n HGD, nQp b9 sung giAy khai sinh (d6i voi c6c em HS chua duqg cAp gi6y td thdn) ho4c giAy chimg minh nhan qa" hay 9nn cu6c c6ng dan (d6i voi HSSV
dd dugc cAp gi6y td thdn) d6 dugc c6p mE s6 BIDGI.
- C6c trudng thu BIIYT HSSV theo dirng Hu6ng din ndy t4i mgc 2, Phan III cria Huong d6n ndy Ri€ng di5i v6i hqc sinh m6i vdo lcp t hoac chua c6 th6
BHYT chi thuc hiQn thu phi BFryT 1 tan Gang 15 thang) khi c6 qr diing thuAn cria
phu huynlL
3 Thdi h3n sfr dgng th6 BHYT: Gi6 tri st dgng cria th6 BIIYT tuong
rmg s6 tidn d6ng BTIYT theo quy dinh
- Ddi va hec sinh lop t: GiA t4 st dgng Uit aAu tir ngdy 01 thang 10
(truonC hqp sinh tru6c ngdy 30/9) hoac ngdy 01/11 ho|tc 01112 th6ng li6n k6 th6ng tr| dtt 72 thring tu6i;
- pi* va hgc sinh lop t2: Th6 c6 gi6 tri sri dr,mg dtSn h,it ngiry 30/9 cria ndm
d6
- Oi* vA hec sinh, sinh vi€n ndm thth nfuit cia kh6a hoc: T\E c6 gi6 tr! sri dgng tt ngdy nhfp hoc, trt trumg harp th6 cria hgc sinh lorp 12 dang cdn gi6 tri sit
dpng
- Oiii va hoc sinh, sinh viAn ndm cudi cr)a kh6a hqc; Thb c6 gi6 tr! sir dqng
d6n ngiy cu6i cria thang ictit ttrtrc kh6a hgc
(4)a
iIEM aQt '
0r sl,
-<,J
4 Phuong thric rl6ng BHYT
_ -Trudnghpc c6 trdchnhiQm lQp danhsdchtham gia.BHYT cia HSSVtheo Mdu D03-TS (theo mdu dinh.kim) S,k Co quan BHfrI bing phuong thtic giao
dich di€n t* vd chuyiin n7p tiin vdo tdi khodn thu cia co quan BHXH Cu thii nhu 3AU:
- Oiil voi HSSV nhfp hgc chua c6 th6 BIIYT, m6i vdo l6p I rrQp trwbc
ngdy 15/9/2020
- orii voi HSSV da c6 th6 BIIYT HSSV (The c6 gi5 tri den 3t/t2t2o2o)
nQp trrtc l5/12/2020
5.Quy trinh cdp th6 BHYT
5.1 Trulng hgc
- Nhan file dt liQu HSSV d6 tham gia BHYT nim hoc tru6c tir co quan
BIDGI cung c6p d,i l6y th6ng tin ME si5 SID(H cap nhit vdo Danh sSch s6ch
nguoi chi tham gia BHYT (MAu D03-TS) (dinh kdm)
- OAi voi HSSV da du-o c c6p the BIryT theo mE si5 SIDG{ thi kh6ng thuc
hiQn k€ khai To khai tham gia, didu chinh th6ng tin BIDGI, BIIYT (MAu TK1-TS)
(ttinh kdm); truong hgrp HSSV chua.dugc c6p ma sO glD(H thi huong dAn HSSV
hodc phu huynh hoc sinh kO khai ddy dt th6ng tin tr6n MAu TKI-TS vd phu luc thtu:h viOn HGD, nQp b6.sung gi6y khai sinh (d6i v6i c6c em HS chua duqg cdp
gi6y td tuy thAn) hoac.gi6y chung minh nhdn *, huy c6n cu6c c6ng d6n (d6i v6i
HSSV de dugc cAp gi6y td thAn) d6 dugc cAp m6 s6 BIDGI Trudng hgc t6ng hsp, Chi d6y dri th6ng tin.v2ro Mdu D03-TS (ri6ng c6t Md s6 BIDGI kh6ng ghi, dC
co quan BIDG{ cdp m6 s6 BIIGD.
- T6ng hqp M5u D03-TS timg dO ph6t sinh (cfp nhit diy dri th6ng tin
HSSV theo lop hgc cQt "mi PB") ctng Td khai MIu TKI-TS (ntiu c6) kdm file
de lieu grii co quan BID(H dtng thoi gian quy dinh dC dugc c5p the BHYT
* Lrru f: Trudng hgp chua c6 md s5 thi truong hqc c6 th6 tra criu m6 sO BID(H tr€n c6ng th6ng tin dien tu BIDGI (c6 Phli luc huong dan kdm theo)
5.2.Ca quan BHXH
- Cung c6p file.dt liQu HSSV d6 tham gia BHYT ndm hgc tru6c d6 truong
hgc l6y th6ng tin Md s6 BID(H cQp nhit vdo M6u D03-TS vdo th6ng hang nnm
- ryan, kiilm tra Mdu D03-TS kdm theo Miu TKl-TS do Truong hgc nQp,
ti€n hinh cip m6 s6 BID(FI, in, cdp th6 BIfYT theo quy tlinh
53 D5i vtfi HSSV (hoic phu huynh hgc sinh)
- oi5i vOi HSSV chua tham gia BIfYT (chua c6 m6 s5 Blnc{) thi thuc hi.Qn k€ khai dAy dri thOng.tin tr€n MAu TKI-TS vd phir lgc th.inh vi€n HGD, n6p b6.sung gi6y khai sinh (tt6i v6i c6c em HS chua dusc cAp giSy td thdn) ho[c gi6y chrmg minh nhdn dag hay cin cu6c c6ng dAn (d6i v6i HSSV de dugc c6p
gi6y td than) dC dugc cAp mE s6 BIDGI.
- Oi5i vOi HSSV de tluqc c6p the BFIYT ndm hoc 2019-2020, khi deng kj
.!
(5)chi gia h4n thdi gian sri dung tr€n phdn mim tuong img v6i s6 ti6n da d6ng vd khi
d6 the BHYT c6 gi6 tri st dung
ITI PHAM VI, QUYIN LgI KHI THAM GIA BHYT TISSV
l Phlm vi bio hi6m y t6 HSSV bao g6m: Chdm s6c sic kh6e ban dAu-Kh6m bQnh, chta bQnh ngo4i trir - nQi tru - tai n4n giao th6ng
2 Quydn lgi tham gia BHYT HSSV
2.1 Dugc c6p thg BHYT theo quy dinh; duqc quyAn deng ky kh6m bQnh,
chta b-6nh (KCB) ban d6u t4i mQt co sd y te fi benh viQn tuy6n huyQn trd xu6ng dia ban tinh, kh6ngphan bigt dia gioi hdnh chinh; dugc *ray d6i co sd dlng
ki kham chta bQnh ban d6u vdo m6i thang dAu quf.
2.2 Eugc KCB BIryT t4i noi KCB ban diu, vust qu6 khi ndng chuy6n m6n k! thu{t }hi dugc chuy6n tuyiSn chuyEn m6n k} thuqt Truong hqrp c6p
c[ru, dugc KCB t4i b6t k] noi c<v sd KCB ndo vd phAi xu6t trinh thd B]IYI cung
voi gi6y td chimg minh nh6n thdn (th6 hqc sinh, CMND ) tru6c viQn
2.3 HSSV dSnC ky KCB ban tliu ttr co sd y t6 tuy6n huyQn trO xu6ng thi
duoc vio KCB tai bAt kj, co sd y td tuy6n huyQn, x6, phu,ong, thi tran dia ban
cung tinh (kO cA c6c Phdng kh6m da khoa tu nhAn tuy6n huyQn c6 h-i hqp d6ng
KCB BHYT).
2.4.Dusc quydn vdo KCB t4i b6t k! bQnh vi€n tuy6n huy6n (bQnh vi6n da
khoa khu qrc, ngo4i trir Phdng kh6m, tr4m y tC) tr6n dia ban ci nudc 2.5 KCB dirng tuytin dugc to6n theo mric:
- lOO% chi phi KCB khi KCB tai tuy5n x5
- lOO% chi phi KCB nriu t6ng chi phi m6t tan fCS th6p hon ),5Yo mfic luong co sd
- 100% chi phi KCB Kli c6 tham gia BIIYT 05 ndm li€n tr;c trd l6n vir c6 s6 ti6n ctng chi tri chi phi KCB trong nim l6n hon 06 thring luong co sd, kh6ng
tinh sii ti6n cirng chi tr6 tU di KCB kh6ng tttng tuytin
- 80% chi phi KCB dtii v6i cac trudng hqp khdc
2.6 Truong hqp tg di KCB kh6ng dung tuy6n c6 trinh the BIryT chi phi
iliiu tri nQi tri dugc qu! BHYT thanh torin theo mric hu&ng ld 80% nhan voi r! IQ
T
L
{n,
{
.t
sau:
- BV tuy€n tinh: 60% ( tb l/1/2021 : 100%o) - BV tltydn bung rong: 40o%
2.7.Truimg hqrp KCB t4i co sd y t6 kh6ng ky hsp d6ng KCB BIfYT,
HSSV tu torfur chi phi v6i co sd KCB, sau d6 mang c6c chimg tu, h6a d<vn c6
li€n quan d6n co quan BID(H d6 duqc to6n tnrc titip theo mric to6n t6i
da 01 dqt KCB kh6ng qu6 mtc sau: - BY tuy€n huyQn:
+ Ngoai tru: Ti5i tla kh6ng qu6 0,15 lAa luong co sd
(6)- BV tuydn tinh (nSi til): T6itta kh6ng qu6 01 lAn luong co sd
- BV tuy6n tung uong (n)i tril): tOi da ktrOng qur62,5l6n luong co sd
3 Quydn lgi cia Trulng hgc:
- Cdn cri vdo Danh s6ch HSSV tham gia BHYT (M6u D03-TS) truong lQp si5 tiAn d6 d6ng vdo tai khoan chuy€n thu cria co quan B[DC{ thi truong hgc ilwqc trfch thil,lao voi mirc 1,8% trhn s! tiin thyc thu BHW crta cdc em HSSV
(k}6ng tinh phAn ngAn s6ch Nhd nu6c h6 tro)
- Co quan B.IDGI chuy6n cho trudng hoc theo ti-g dSt thu vi kOt ttnic
ndm tai chinh theo d6 nghf cta Trudrng hgc tr6n t6ng sO thyc thu BHYT HSSV
rv xAC DINH VA CHUYTNKINH PHi CSSKBD
l Diiu kiQn ifuqc trich: Cfuc,Trudmg hgc (tr} cric Truong c6 hqrp d6ng kh6m benh, chta bQnh BHYT) dugc cAp S.,h phi tu qu! KCB BtryT de CSSKBD
HSSV truong quin lf kni c6 dt cric di6u ki€n sau d6y:
1.1 C6 it nh6t mQt nguoi c6 dri diAu kiQn hanh nghA khrim bQnh, chta bQnh
theo quy ilinh cria ph6p luQt uC t h6m bQnh, chta benh lim vi€c chuyen tr6ch hoic
ki6m nhiQm c6ng t6c CSSKBD
1.2 C6 phdng y tii ho[c phdng ldm viQc riOng d6 thUc hi€n vi€c so c6p cuu, xt tri ban dAu cho c6c d6i tuong trudng quan li khi bi tai n4n thuong tich, c6c bQnh th6ng thudng thdi gian hgc tQp, sinh ho4t tai truong
1.3 DA d6ng tlt ti6n BIIYT HSSV kj,
* Lnu f : Theo C6ng vdn 31 |8/BW-BH ngay 4/6/2019 cia BA Y td vi viQc
trd loi C6ngvdn s6 1378/BHXH-CSW cila BHXH ViQt Nam thi: "Ngudi thuc hi€n c6ng tdc CSSKBE ldm viQc theo chii dQ chuyAn trdch hojc ki€m nhi€m trons Nghi dinh 146/2018,0'{D-CP ngdy 17/10/2018 cita Chinh phil d*o c hi€u ld: nhfrnq nhdn
viAn y b ct)a cdc co sd gido dqc, co sd gido duc nghi nghigp, co quan, t6 chtic,
doanh nghiQp ngodi ldm c6ng tdc CSSKBD cdn kiAm nhi€m,cdc c6ng viQc khdc
nydi dilng ddu don v! ndy giao nhi€m vU; nhdn viAn y ft cila cdc co sd KBCB
(Trqm y d xA, Phdng khdm da khoa .) duqc Ngrdi ttftng itiu co s0 gido dEtc, co
st gido dltc yghi nghiQp, co qudn, t6 ch*c, dqanh nghiQp k! hgp iting v6,i co s0,
cd nhiln miAn h co s0, cti nhdn iili cd ifirt ilidu kiQn KBCB (cd chirng chi h,inh nshil ai fiqc hiQn CSSKBD"
2 fi rc tutgc trich: Bing 5% 6ng thu quj BHYT tinhtr€n t6ng si5 HSSV dang theo hgc t4i trudng c6 tham gia BHYT Ge cA HSSV tham gia BHYT theo nh6m d6i tuqng Lh6c)
3 Thirnh phAn h6 s<r: Tru6c ngiy 31/10/2020 nQp c6c hd so sau
- Beng c6p b6c si, luong y, cri nhAn y t6, y si cira nh6n vi€n y t6 (ban sao)
Chrmg chi/Gi6y ph6p hanh ngire mrim bQnh, chta bQnh cta nhdn vi6n y
tC (ban sao)
- BAn d€ nghi trich chuy6n kinh phi chdm s6c suc kh6e ban dAu (MAu s6
01/BrrYT).
4
/t \r.
(7)- Danh s6ch hoc sinh, sinh vi6n tham gia BIIYT theo nh6m d5i tugng kh6c (MAu s6 03lBlIYT) Trutmg hqp d6n 3U10 hang 16m nhd truong chua tap hSp
xong MAu s6 03/BIIYT thi nhn trudrng c6 th6 nQp b6 sung cung ky v6i dqt nQp h6
so dO nghi cAp th6 cria nhi trudng
4 NQi dung chi
- Chi mua thu5c, vft ru y tr5 phuc ,1, so c6p criu, xri tri ban dAu cho tr6 em,
HSSV khi bi tai nan thuong tich hoic c6c trudrng hqrp bQnh th6ng thudrng tong thoi gian hoc tai Truong;
!'
- Chi mua sdm, sria.chfta trang thiet bi y tE th6ng thuong phUc vU
CSSKBE, tu tai liQu quan ly h6 so sric kh6e t4i Truong;
- Chi mua vdn phdng phAm phUc vU ho4t dQng khrtm benh, chta b6nh
cdng t6c CSSKBD
5 Qudn $'vd thanh qoy& n,i, kinh ph{
i
- Truimg dugc cip kinh phi chi cho khrim benh, chta bQnh CSSKBD
c6 tr6ch nhiQm sri dgng cho c6ng t6c CSSKBD, kh6ng dugc st dpng vdo c6c muc dich kh6c
- C6c kho6n chi CSSKBD dugc to6n, quy6t torin nhu sau:
+ OOi v6i Truong thqc hiQn hach to6n c6c khoin chi kh6m b6nh, chta
bQnh trong c6ng t6c CSSKBD.vdo chi phi thgc hiQn c6ng t6c y t6 tei co sd vir
quy6t torin v6i don vf quan lj cAp tr€n theo quy dinh hiQn hdnh;
+ D6i vdi Truong thUc hiQn h4ch to6n c6c khoin chi kh6m bQnh, chfta
bQnh c6ng t6c CSSKBD viro chi phi cira co sd vd quylit to,it voi don vi c6p
tr6n (n6u co);
+ 56 kinh phi.duqc c5p diin .rr6i ne* chua su dung h6t, duoc chuy6n ngu6n sang ndm sau ti6p tpc st dgng, kh6ng phii quy6t to6n voi co quan B[XH.
V TO CIIUC THII C HIEN
1 S& Gi6o drlc vi Dio t4o
- XAy dgng ktl hoach, dd c6c giAi ph6p ph6t triiin BFIYT vi giao chi ti6u
cho Phdng GD&DT c6c huyQn, thi x5, thdnh ph6 (ggi chung ld Phdng GD&DT c6c
huyQn) vd c6c don vi tryc thuQc, c6c co sd gi6o dgc c6p tinh tu ndm hgc 2020-2021 trd ili, bit buQc phni dat t! lC 100% HSSV tham gia BIIYT.
- Chi dao Phdng GD&DT c6c huyQn, thi x5, ph6 (gqi chung ld Phdng
GD&DT c6c huyQn), c6c trudng hgc tr.uc thuQc Sd quan ly tam t6t c6ng tactuyOn truy€n, thyc hiQn thu BIIYT theo quy dinh cta Luat BIIYT; theo ddi d6n d6c crlc
truong thgc hien c6 hiQu qu6 chinh s6ch BIryT HSSV; dua chi ti6u HSSV tham gia BHYT vdo chi ti€u thi dua dO drlnh gi6 k6t qua thuc hien nhi€m vu cria tlon vi
- Tdng culng tuy€n truyAn, gi6o dgc cho HSSV vd phr,r luynh hgc sinh
chinh s6ch, phrip lu4t v0 BIfYT vir vai trd, I nghia cta BIfYT d6i voi c6ng t6c
chim s6c, b6o v9 sirc kh6e HSSV
(8)- T6ng culng c6ng t6c tra, kitim tra dinh ki ho6c d6t xu6t viCc ttrgc
hiQn ph6p luQt vC BHYT tai c6c truorng thu6c.So quan l1i; c6 hinh thric xri lj kip thoi c6c truong hqp kh6ng tu6n thri quy tlinh v€ viQc thgc hi6n BHYT HSSV
- KiQn toan m4ng 1u6i y tii truong hgc, thr;c hiQn ti5t vi6c chlm s6c sric kh6e ban dAu cho HSSV
2 S& Lao tlQng Thuong Binh vir Xe hQi
- Chi dao c6c trucmg hgc tr.uc thuQc Sd LDTB&)GI quan ly ldm t6t c6ng t6c tuy6n truy€n, thqc hiQn thu BIfYT theo quy dinh cta Ludt BTIYT; theo d6i d6n d6c c5c truong t[uc hiQn c6 hi€u qui chinh s6ch B]IYT HSSV; tlua chi ti6u HSSV
tham gia BIfYT vdo chi ti€u thi dua dC d6nh gi6 kt5t qu6 thyc hi6n nhi6m qr cria
trudng hgc DAm bio tir ndm hoc 2020- 2021 trb di c6 100% HSSV tham gia
BIIYT theo quy dfnh
- Tdng culng c6ng trlc tra, ki6m tra dinh k, ho4c dQt xu6t vi0" thgc
hiQn ph6p ludt v6 BIIYT tai c6c trudng thuOc Sd quan lf ; c6 hinh thric xri ly kip
thdi c6c truong hqp kh6ng tuAn tht quy dinh v6 viQc thr,rc hi6n BFIYT HSSV
- Chi dao thuc hi6n tOt vi€c CSSKBD cho HSSV, tao diAu ki6n cho y tii
trubng hgc sri dung hiQu qui kinh phi CSSKBD Bio hi6m xn hQi tinh
- Ph6i hqp ch[t ch€ v6i Sd Gi6o duc vi Ddo tao,.Sd Lao dQng - Thuong binh vd Xa hQi, vir c6c co sd gi6o dqc, co sd gi6o dgc ngh6 nghiQp, c6c trudng Eqi
hgc tr€n tlia ban triiSn ktai thgc hiQn huong d6n c6ng t6c thu BHYT HSSV theo dung thoi gian vi theo dirng quy dinh cria Luit BIIYT.
- Chi dao BID(H c6c huyQn phiii trqp v6i Phdng GD&DT c6c huy6n,
trudnglrgc
-d6ng tr6n dia ban Huy0n t6 chric tuy€n truy€n, huong dan nghigp vg,
cung cAp mAu bi6u v€ c6ng tac BIIYT HSSV theo quy dinh
- Ph6i harp v6i Sd GD&DT, Sd LDTB&XH vi c6c nginh c6 liOn.quan t6 chric thantr tra, ki6m tra dinh ki hoac dQt xudt viQc thgc hiQn phrip luit vC BIIYT
l , I
tai c6c trudns; t6 chuc t6ng kOt c6ng t6c BHYT HSSV hang nim vi dO nghf khen thuong d6i voi t{p th6 c6 nh6n c6 tich trong viQc t6 chric thUc hi€n BFIYT
HSSV
- fhOi trop v6i Sd Y tti c6ng t6c chi d4o c6c co sd KCB tr6n dia ban tinh nAng cao ch6t lugng vd thgc hiQn t6t c6ng t6c KCB cho HSSV
4 Phdng Gi6o dgc & D3o t4o c6c huyPn
- fh6i trqp BIXH huyQn ph6 bii5n vdn ban ndy vi chi d4o thgc hign.BIIYT HSSV d€n c6c trudng hgc thuQc Phdng GD&DT huyQn quan lj ngay tir ddu n6m hqc, dim bdo hang nim 100% HSSV tham gia BIIYT.
- Chi dao trudng hgc nQp ti6n vd danh s6ch tham gia dung thdi gian quy
dinh.; thiing ke HSSV tham gia BIIYT d nh6m diSi tugng kh6c chinh x6c vd dAy
dir dC tinh chung vdo t! lQ tham gia BHYT cria trudng hgc
,0 H'€t iA Hof
ilt DUft
(9)- Ting culng c6ng t6c tra, ki6m tra dinh lci hodc d6t xu6t ,riec thu"
hiQn ph6p luQt v6 BIIYT tai c6c truong thu6c Phdng quan lf; c6 hinh thric xri ly
kip thd c6c trudmg hgp kh6ng tuAn tht quy dinh ve viQc thpc hi6n BIIYT HSSV - KiQn toan m4ng luoi y tii truorg hoc, thuc hiQn trit viQc CSSKBD cho hoc
sinh
5 BIilCI eic huyQn
- Ph6i hap Phdng GD&DT c6c huyQn tham muu v6i UBND c6c huy6n ban
hanh vEn ban chi d4o c5c truong hgc tr6n dia ban nghiEm tuc thuc hiQn thu BHYT
HSSV hang ndm theo dung quy dinh dat tf lQ 100% ^,r , ^ , I
- Ti6p nhin h6 so tham gia BHYT cta c6c em HSSV, xt ly dt liQu vd ti6n
hanh cdp the BHYT HSSV dam bAo kip thsi vd dung quy dinh
- Ph5i hgp voi c6c trudrng hgc t6 chtc tuy6n truydn, huong din thuc hi6n c6ng t6c BIryT HSSV; titip nhin danh s6ch, thu tiAn vd ph6t hanh the BIIYT kip thdi, chffix6c.
- Thuc hiQn chuy6n kinh phi CSSKBD (n6u c6c trudmg hgc c6 dri diAu kiQn
theo quy dinh) vd phAn chi tht iao cho c6ng t6c thu BIfYT HSSV cho trudmg theo dung quy dinh
C{c Tru}ng hqc
- X6c dinh viQc t6 chric thu BHYT HSSV ld tr6ch nhiQm cta nhd trudrng, /
dim bio c6c trudng c6 100% HSSV tham gia BIIYT Xem chi ti6u tham gia
BHYT HSSV ld mOt chi ti€u drlnh giri thi dua hdng nim cria Nhd trudng
- NAng cao tinh thin tr6ch nhigm cta can bQ quan lj, d6i ngfl gi6o vi6n nhd
ffi*g; XAy dpg ti6u chi k6 hoach ph6t tri6n BIIYT tai m5i tnrong hoc vd t6
chirc thr,rc hiQn c6Lc gi6i ph6p li6n quan ae aam b6o 100% HSSV tham gia BHYT
theo quy dinh
- Thucmg xuy6n ph6i hqrp vdi cs quan BIDGI tang cudng c6ng t6c tuy6n truyAn cho thAy, c6, HSSV vd phr,r huy$1hi,5u rd vd g}ryt HSSV theo quy djnh
cta Luft BHYT (dAy m4nh tuy6n truy6n sdu rQng linh nh6n vin, tinh c6ng d6ng cria chinh s5ch BlfYI, tr6ch nhigm, nghia w, quy€n lqi tham gia BTIYT vd
c6ng t6c chim s6c bio v6 sric kh6e HSSV)
- C6c truong hqc thdnh I6p b0 ph4n thu BHYT HSSV tir dAu nim hgc
d6 t6 chric thu ti}n vd lQp danh s6ch HSSV tham gia diy dri, chinh x6c gui v€ cho co quan BIDGI de kip thoi in th6 vi cAp ph6t cho HSSV
- Tnng cudrng c6ng t6c ki6m tra, gi6m s6t va viQc tham gia BIfYT cria
HSSV theo quy dinh cria Lu{t BfryT C6 hinh thirc xir lj k! lu6t kip thoi c6c
trudng harp HSSV kh6ng tham gia BIfYT theo quy dinh
- Sri dung ngu6n kinh phi CSSKBD dirng muc dich vi d4t hiQu qui.
Tr6n dAy ii Huong aAn tien ngiurh thr,rc hien BIryT HSSV cria Sd Girio
duc vir Diro tao - Sd Lao dQng Thuong Binh & Xa hQi - Bio hi6m x6 h6i tinh Binh
Duong Hucrng d6n ndy c6 hiQu luc ki5 tu ngey ky vd tlugc ep dung hiing nim cho
d6n khi c6 vdn bin kh6c thay thi5 YCu cAu c6c don vi c6 li6n quan tri6n khai thUc
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(10)hiQn dring nQi dung Hufng d6n niry d6m b6o IOO%HSSV tham gia BHYT theo
quy dinh cria ph6p luft Trong qu6 trinh thgc hi6n n6u c6 vucnrg mdc, c6c dcrn vi
kfp thoi v0 So Gi6o dpc vh Ddo tao - Sd Lao dQng Thuong Binh &Xd hQi - Bio hi6m xd hQi tinh Binh Ducrng d0 xem x6t, gi6i quy6t./
Ydn Phong
Noi nhQn:
- BHXH Viet Nam (dC b6o c6o); - UBND tinh; huyQn, tx, (di5 b6o c6o);
- 56 GD&DT, Sd LDTB&XH;
- s6 Y t6, s6 Tii chinh (dc phoj hqp);
- C6c co sd GD, co so GD nghd nghi6p, trudng DH;
- Cic Phdng nghiQp vs BHXH tinh;
- C6c Phong GD&DT huy€n, TX, TP; - BHXH c6c huy6n, TX, TP;
- Website BHXH BinhDuong;
- Luu: VT, TT&PTDT
so GrAo DU C&DAO T4O
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