sAo

HlEr\d

xA sor

rlrN

rAo Hrou xA nQr nuypN

GrANG AN MrNH

cQNG uoA xA

so: d4OmHxH-HD

DQc

tflp - Tr; do - Hgnh phric

An Minh,

V€ viQc hudng din thu b6o hi€m y tti hgc sinh nim hoc 201 5 - 2016

Hgl cuu Ncni.q, vrET NAM

"Sdy

h

thdng 7 ndm 2015

Kinh giri: HiQu truong c6c Trudrng Trung hgc ph6 thdng; Trung hoc co sd vd Ti6u hgc tr6n dia ban huygn An Minh. hiQn LuQt bno hi6m y G ngiry 14 thrlng.l I ndm 2008; Ludt sta AOi, UO sung m6t sO Oieu cria Lupt b6o hi€m y te dadugc QuOc hgi kh6a XIII thdng qua ngdy 13 thring 6 n[m 2014 vd c6 hiQu lgc ngey Ul0l/2015;

fhgg

Cin cri Nghi dlnh s6 105/20144ID-CP ngdy l5/lll20l4 cta Chfnh pht I quy \J

tlinh chi ti6t vd trucrng a5n ttri henh mQt s6 di6u cu-a Luat bno hirim y

C[n cf Th6ng tu s5 4]]2O!4/TTLT-BYT-BTC ngay

ti5;

z4/tt/zlt4

ciuaBo

y tis -

B0 Tai chinh hudng ddn thgc hiQn b6o hi6m y tti;

Nay 86o hi6m x6 hQi huyQn An Minh hucrng d5n thgc hign BHYT sinh nim hgc 2015 - 2016 nhu sau:

dtSi

vdi hgc

l. VA tl6i tugng rl6ng BHYT hoc sinh: D6i tu$tg tham gia: Hgc sinh (trir nhfrrrg hgc sinh dd tham gia BHYT thuQc c6c nh6m dOi tuqng kh6c nhu: Nguoi nghdo, ngooi ddn tQc thi6u rO l.[ng kh6 khdn vi d4c biet kh6 khan, ngudi thudc diqn h0 cfn nghdo, than nhan ngudi c6 cdng c6ch m4ng, t!6n nhdn si quan, binh si qu6n dQi, c6ng ?r, c9 y6u, bio trg x6 hQi, nguoi clang sinh s6ng tpi xd d{,c biet kh6 khin b6i ngang ven bitin...) dang theo hgc c6c co sd girio dgc, dio tpo thu6c hE th6ng gi6o dpc qu5" dan (ggi chung H tnrong hqc). 2. VA mric d6ng BHYT hgc sinh, phutrng thrlc d6ng, gi6 tr! sri dgng: 2.1. VC mric cl6ng: Hattg th6ng bing 4,:5Yo mfc luong co sd, trong ct6 Ngdn srich Nhd nudc h5 tro 30% mQnh gi6 thd BHYT, hgc sinh d6ng 70% mQnh gi6 th6. CU thiS:

+ Tham I

.

gia 12 thang:

I 50.000

x 4,5oh=5 1.750 ct6ng/thanglhs.

SO ti6n mQt hgc sinh

phii d6ng mgt th6 BHyT/m6t n6m ld:

+Thamgia6th6ng::434.7O0:.2:2l7.350d6ng/m5ihqcsinh. 2.2. Phucmg thirc d6ng, gi6 tri sri dpng the

*

N6u tham gia 6 th6ng

I

lAn:

Pqt l: Th&i gian thu vd nQp ti6n vdo tii khoan BFDGI huyQn tu ngdy 0118/2015 -3111012015. The c6 gi6 tr! srl dung tir ngiy LtfiDtzlts -31/3/zot6. Est 2; Thdi gian thu ti6n vd nQp ti6n vio tdi khoan BFDGI huyQn tu ngiy 01102/2016 - 31t3120f 6. The c6 giittr! sri dung tu ngiy 0l/4t2016 - 309nf.d,6. * N6u tham gia 12 thang:

Thdi gian thu vd nQp ti6n vdo tdi khoan BmG{ huyQn tu ngdy 01/8t2015 3111012015. The c6 gi6 tri sri dung rir ngay LtfiD?ats - 309nu6.

-

RiGng a5i voi cdc trudrng thuQc 4 xiz EOng hrmg A, vfin Kh6nh, v6n Khrinh tl6ng vir Thu$n hda n6u kh6ng cdn xi ilic biQt lrtrO t*rAn bii ngang, ven bi6n thi thu nhu sau:

* N6u tham gia 6th6ng I lAn: Eort l: Thdi gian thu vd ndp tidn vio tai khoan BID(H huyQn tir ngiy 0lll0l20l5 - 3l/1212015. Th6 c6 gi6 tri sri dppg tu ngdy 01t01t2016 -30t612CI16. Est 2: Thdi gian thu tidn vi nQp tiAn vdo tdi khoan BIDGI huyQn tu ngdy 0110312016 - 2014nU6. The c6 gi6 tri srl dpng tu ngdy flllZ?Afi - 3ltl2l20t6. (do thdng 5 * thdng 7 h7c sinh nghi hoc nhn thdi gian nQp tiin shm d€ BHXI in thd cdp

trudc thdi gian hgc sinh nghi h7c). N6u tham gia l2thdng:

Thoi gian thu vd nQp ti6n vdo tAi khoan BH)GI huyQn tu ngdy Llll}n}i5 3lll2l2ol5. The c6 gi6 tri sri dung tu ngdy Mrctnot6 - 3tfiztz0t6.

-

Lua i': Trong thdi gian the BHW cd gid tri

sth dryg md co quan BHXH chua in thd BHYT kip cho nhd trudng ,.ne, hgc sinh c6 nhu cauian khdm chiia b€nh thi liAn hQ vdri co quan BHXH huyen da duqc gray xdc nhQn tgm thdi.

"iip 3. Hd so tham gia BHYT hgc sinh:

-

Danh siich tham gia BHYT: Mfiu D03-TS, l$p 02 btn (do trudng ldp theo mdu ctinh kim -.tuu tqi.clt dia cki tran mdu oo's-is phdi lni ,a ali ,Ei i5 ina) thwdng trfi nhw dp, khu phii; xd/thi'trdn; huyQn).

i:

Vi dy: iip I0 chq A, xd E6ng hrng, huyQn An Minh, Ki€n Giang. I(h6ng ghi rlia chi trulng hgc nhu thli gian truOc.

- Danh srich hoc sinh dd c6 th6 BHYT thuQc cr{c cl6i tuo,ng kh6c: Miu 03/

IgIf, l$p 02 bin (do trrdng lqp theo mdu tt{nh kdm vd kim thio bdn photo thd BHYT). !

- Bi€n ban thanh ly hqp d6ng d6ng BHyr zot4-2015: MAu c04a-TS,lQp bin (do BHXH huyQn tQfl. 4. Kinh phi Chnm

s6c s6'c kh6e ban

tliu:

02

ning lV,

tdng thu qu!-BlfYT tinh tr6n t6ng sO hgc sinh clrng theo hgc tai nhd trudng c6 tham gia BHYT (k€ ce hgc sinh tham gia BII-YT theo nh6m tl6i tuqng kh6c nhu nguoi nghdo, cdn nghdo, b6o trg xE hQi...) vd lo/o t6ng sii ti€n rl6ng BHYT hang thang cria nhd trucrng cho co quan BHXFI. Vi du; Truong Tii5u hgc Thi tr6n I c6 dri diAu kiQn CSSKBD cho hgc sinh; ndm hoc 2015 2015 c6 500 hgc sinh theo hgc, gdm 10 em thuQc hQ nghdo, 15 em thuQc h0 can nghdo, 08 em than nhan eydn dQi, c6ng an, cdn l1i 467 em tham gia BHYT tpi truong. 56 ti6n BHXH trich chuy6n kinh phi CSSK hgc sinh lit2l.735.OO-O d6ng.

-

(7% x (500 hqc sinh x 4,5o x 1.150.000 rl6ng/thringx 12 thang)

Ngoii ra hang thrlng BH)G{ nla

t5ucrng cho co quan SO ti6n trich nhu sau:

huyQn cdn trfch l% tdng sO tiAn il6ng BHYT cria BHXH, sau khi nhan dugc tiAn ct6ng BfryT cria Nhd truong.

Vi dq:. Tyong Ti0u hgc.Thi tr6n I hang th6ng lQp BFfyT cria gi6o vi6n nhd BFIYT), !.y_$e_"Oi sti tien 10.000.000 d6ngithring (kh6ng Uao g6m ti,On lai chprn E6ng BH)GI huyQn trfch chuytln cho Trudrng h 10.000.000 i l%o:100.000 d6ng. -

5. Di6u ki€n, quy mo td chric; nQi dung chi, qu6n ty kinh phi CSSKBD t4i nhir trudng 5.1. Nhe

ttuolg dugc c6p kinh phi tu quf kh6m

vi

thanh quy6t to6n

benh, chta benh BHYT s6csr?ckh6ebandduchohgcsinh,..coQUffi,khic6dric6cdi6ukiQnsaud6y:

ct6

chlm

a) C6 it nh6t mQt ngu&i chuy€n tr6gh hoflc ki€m nhiQm ho{c hqrp d6ng'lao dQng thoi han tt dt 03 th6ng trd l6n, trinh d0 t6i thiiSu li trung cdp y;

.ban ddu 9l C6 phong y tti ho6c phong ldm viQc ri6ng cIiS thyc hiQn viQc so cdp cfru, xri rri cho hoc sinh, giiio

vi6n khi b! tai npn thuong tfch, c6c bQnh tl6ng thuong trong thoi gian tq" tap, iim viQc tpi nhiiruong. 5.2. NQi dung chi chdm s6c sric kh6e ban dAu:

a) Chi mua thu5c, v6t tu y t6 phuc vu so c6p cftu, xri trf ban dAu cho hgc sinh, gi6o vi6n khi bitai nan thuong tfch vd c6c bQnh th6ng thudng trong thoi gian hgc, ldm

vi$c t4i

nhi tru
b) Chi mua sim, sta chfia trang thi6t bi y tti th6ng thucrng phuc vu ch6m s6c sric kh6e ban dAu tpi nhd trudrng; c) Chi mua vdn phong phAm, ffi tei ii6u phuc vU vi6c quan l), h6 so sric kho6 hgc sinh, ngudi lao dQng;

d) chi mua sdch,. tdi liQu, dung c.1r phpc vg ho4t clOng tuy€n truydn, gihng d4y, girio dpc ngopi kho6 vA chdm s6c, tu,r6ni,ic kho6, sric kho6 sinh sin ,a t6ioalni6i

gia ctinh t4i nhi truong.

d) Cric khoan chi kh6c d6 thuc hi€n cdng t6c chdm s6c sr?c kh6e ban diu tai nhi

trucmg.

5.3. Quin ly

vi thanh quy6t toan kinh phi:

a) Nhn trudrng tluqc c6p kinh phf tu qu! kh6m benh, chta benh BHYT c6 tr6ch nhigm sri dpng cho c6ng t6c chlm s6c sfc khde ban dAu cho c6c AOi tuqng do nhi trudrng quin ly, kh6ng dugc str dgng vdo c6c mpc dich kh6c.

b) Cric khoan chi chbm s6c srlc kh6e ban dAu quy cllnh tai tli6m 5.2. tr6n dugc h4ch toiin, quy6t todn nhu sau:

- Nhe truong thuc hiQn hpch toiin c6c khoan chi chdm s6c sric khod barr diu vdo chi phf thgc hi€n c6ng titc y ti5 t4i co sd vd quy6t to6n v6i tlon v! quan L! cip trdn theo quy ctinh hiEn hanh;

c) Nhn truong dugc c6p kinh phf chdm s6c sric khod ban dAu kh6ng phii quy6t to6n voi 86o hi6m xd hQi huy6n nhung c6 trilch nhiQm b5o c6o v6 viQc ru aUng tcintr phi khi Bio hi6m xi hQi, co quan nhd nu6c c6 thAm quy6n y6u cdu. d) S6.kinh phf duoc cdp dtln cu6i ndm chua sti dpng h6t, duoc chuy6n ngu6n sang nlm sau ae titip fuc sti dpng. 6. HO so kinh phi chlm s6c srlc kh6e ban

tliu:

- MIu OI/BHYT vd h6 so kdm theo bao g6m,

+ Quyilt dinh thdnh l4p phdng y t6 cria nhi truong: 0l ban sao; + Vln bdng chuy6n m6n (trungcip y tro l€n): 0l ban sao; + Hgp ddng lao d6ng; Quyilt dinh tuy€n dpng, phan c6ng: 01 ban sao. - MAu C84a-HD; miu O1b/BHYT:02 ban (m5u kdm theo);

- MIu C84b-HD, m5u 03-QT (diinngdy 30/9/2015 BHXH

huyQn sd

g*i

cho cdc

trudng). 7. Va quy6, tg'i hu6ng BHYT khi .Ii khr{m chiia bQnh dfng quy dinh - Theo quy dinh cria Lupt BHYT, Nghi dinh sO 105/20144{D-CP vd Th6ng tu li6n tich sd 4ll20l4lTlLT-BYT-TC.

-

Du-ry. c

c6p thd BHYT c6 gi6 tri

st

dUng theo thdi gian tham gia

l}thring ho{c

6 thang.

- Hgc sinh duoc d6ng ky kh6m chfra

benh KCB ban dAu tei Benh vi6n da khoa huyQn, trpm y td cdc xd vd Benh viQn huy$n, trpm y t€ xdthuQc huygn khric gi6p ranh tr€n dla ban huyQn;

- Duo. c chlm s6c ,,:sirc kh6e ban clAu tpi y tti truong hgc;

- Dugc hu&ng cfr6 aO BHYT khi kh6m chta benh tqi c6cco sd y tiS noi deng ky kham chfra qe* Uai aAu; f.f,,i," chta benh trong t*""g-frs,p 16, Jn"v3"'rit;;iri hqp v6i tuy6n chuyCn m6n k! thuflt theo quy OJntr cr:a e6 Y t6; khi sri drrng cac dich ,U.ky thuflt cao c6 chi phi l
.-"

- Truong hgrp cli KCB tr6i tuy6n (kh6ne dfin dugc huong quy6n loi KCB theo tuy6n Benh uigr rhu suu, + TAi benh viQn tuy6n trung uong + Tai benh vi6n tuy6n tinh

li

h

4A% chi phf di,iu tr! nQi tru.

60% chiphi di6u tri nQi tru.

+ Tai benh vi6n ruy6n huydn ldTA% chi phi KCB; rcO% chi phf KCB tu ngdy at/01/2016. - Dugc hucrng l00yo chi phf KCB khi ngucri benh co thdi gian tham gia BFIYT 5 ndm li€n tpc tro l6n vd c6 s6 ti6n cirng chi tr6 chi phi KCB trong nam lcrn hon 6 thdng lucrng co sd, tru tru&ng hqp tU di KCB kh6ng dfng tuy6n. 8. Hoa hdng thu BHYT hgc sinh:

Mric chi hoa h6ng Eei ly thu BFfYT hgc sinh dugc trich ngay cho c6c trucrng khi n$p ti€n .BHYT va nfra trudng lpp m6u C66-HD cung giey libi thiQu c6n bQ nhi tryorrg ddn nhtn ti6n tai ro qr* B-ruGI huyQn. Mfc ch] i'ou hSrg:3,ioto tinh tr€n sd ti€n nhd trudrng thu do hoc sinh tham gia

BttyT

d6ng.

9. MOt s6 luu y:

- Hgc sinh ctlng ky d6ng BHYT phii cung cdp diy dri c6c th6ng tin g6m: Dia chi theo hg khAu thuong tru, t4m tru, ngqy, th6n& n6m sinh, gidi tinh... ae ,fr'a trucmg a.a1{31lft* gia BHYT han ch6 tOi da sai thdng tin tr€n the BHYT khi de in [n cdp th6 BHYT cho hgc sinh;

,I

Hqc sinh tham gia BHYT khi it6n KCB phii xudt trinh the BHYT ctrng vdi gi6y td Oy thdn c6 ddn tnh; do vdy, cl6i v6i hoc sinh dudi t+ tuOi chua du-oc c6p Cf,iog minh nhdn den GA cd nhirng hoc sinh dd duqc ciip thd BHYT theo cdc nh6m 16r_yys dtqc Nhd nu6, ry ddi), nt a t**g cung chp danh s6ch, at reu,-at.o BH)GI in th6 hgc sinh chuy6n lai cho nhd truong arin trintr vd d6ng ddu gi6p lai. Ifti cti kh6m benh xu6t trinh the BHYT ve the hgc sinh d6 dugc huong q:uyen tlqi ^Brryr tfr.o quy dinh.

il;

Trong qu6 trinh.tO chric thgc hiQn, nOu c6 vudng mic, dE nghi citctruong phan ' 6nh kfp thsi ve 86o hi6m xa hQi huyQn dri nghiCn cuu, giai quyct./.Noi nhQn: - Nhu tr€n; - Luu:VT.

Cao

Vin Bic

*li!

o.t

S'.

= oag

8'.

o

t\)

d.

t,

=

Hi

JT EEg

>

FsF

rs

-Jl-l=r

v ex

=

Ig'gHi

Ailm i!: g.

;,€ Ao L

HTFE9 D a 5ott:,

= s,.

E

E

i,'s d

+9 o-J

6;vo ''5 :s' +.,-t 'a

rf rf ,i $s

}

O' oq =

o' D

N

?

€E5Ei:" o= -'.'.$ !?.i 3$

3:rf riF (.E,

?

rE

= x = 3',155r

"l

= 9:

xBmG te * =

'o

D

l

i€H:,=

:'

eigrt; '<.< 3 .1, tc

a a.r, a?

o s!

5,

g 'o,

$$iE 6E3

O!

2 a o ?:2

o

='H TO

r;.j

Ox

:t '3

w

.l r! E.

g o

<=

pE

v+ .D <';

O.

Q. oa

.5;

J

2l

oe

N3

z(r)

(,r

:

*! Yu <.5

E

o. m

-t

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E1=

:E P €.8 E

*:a s: !6 I.

zo I'i za r

Mlu s6mrBHyT

..............(TGn co quan

qutn lf)

DANH SACH HQC SrNH, SrNH VrtN THAM CiA BHYT THEO NHOM D6I TUOXG KHAC

Thoi hpn st dgng STT

H9 t€n

Nguli tflp bi6u (ky, hq t6n)

Ngny thang n6m sinh

LW

Ma the

BHYT

Noi cf[ng ky kh6m

cria thd

benh, chta

Tir

D6n

.....,n4dy ......thdng ...... ndm 20.... Thfi tnrfng ilon v! (ky, hg t6n, ct6ng d6u)

bQnh ban -; oau

tvtiu s5 oUBHYT

coNG HOA xa

TOn trudng:

DOc

llp

ugl cHU NGHIa \rIEr

NAM

- Trr do - 4enh Phtic

rAN of xcst rnicn cHUYtN KINH TNi CUAM S6C STIC TTT6N BAI\ OAU Kinh grii: 86o hi6m xA hQi tinh/huyQn .......

cin ctl quy cllnh tai Diau 18 Th6ng tu li€n tich si5 4I/TTLT-BYT-BTC ngey Z4/tt/20r4 ciali€n B0 Y te - Ba Tei Jtint, hy*g dan thuc hl{ b6o hiem y t6,

il;6i ;il

rJrJr

lao itQng/hec sinh, sinh vien/trd em dud-i o tooi tai don vi, c\r ttr6 nhu

sau:

.. can b0 g6m l. VA nh6n lgc y ti5: c6 ... . . ..-. : 1 .l Ong/bA: .... . - Trinh d0 dno tao:

.

- Quyet
2. VA cc

sO


ct6ng

lim

viQc^Iqtp d6ng lao dQng sO ...'..-.

tt

ngdy

ngdy . ....1..-.....120.-....

v$t ch6t:

kinh Chring t6i cam ktit aam bio rhi cli€u kiQn theo quy dlnh cria ph6p lu0t
Thfr tru&ng ilonvi (ky, hq t€n, d6ng ddu)