山西省阳泉市人民政府办公室


阳政办发[2000]85号

阳泉市人民政府办公室

关于印发《阳泉市城镇职工医疗保险医疗管理暂行办法》等八个办法的通知

各县（区）人民政府，市直各单位，省营以上企业：
《阳泉市城镇职工医疗保险医疗管理暂行办法》、
《阳泉市镇职工基本医疗保险费用结算管理暂行办法》、
《阳泉市职工大病统筹保险暂行办法》、《阳泉市职工补充
医保险暂行办法》、《阳泉市参保职工慢性病门诊医疗费用
管理暂行办法》、《阳泉市职工基本医疗保险个人帐户管理
暂行办法》、《阳泉市城镇职工基本医疗保险参保单位登
记、申报缴费暂行办法》、《阳泉市基本医疗保险定点医疗
机构、定点零售药店管理暂行办法》已经市政府研究同意，
现印发给你们，请遵照执行。



二OOO年十二月八日
阳泉市城镇职工医疗保险
医疗管理暂行办法


第一条 为加强医疗管理，方便参保人员就医、购药，按照国家基本医疗保险用药范围、山西省基本医疗保险诊疗项目、医疗服务设施范围和支付标准，根据《阳泉市城镇职工基本医疗保险实施办法》和医疗保险基金承受能力及医疗水平，制定本办法。
第二条 参保人员凭医疗保险经办机构统一印制的《医疗保险证》、《医疗保险个人帐户结算卡》、《医疗保险复式处方》、《医疗保险病历》（以下简称“四证”），可在取得职工医疗保险服务定点资格的任何一家医疗机构和药店就医、购药。
第三条 参保人员确因病情需要转外地医院治疗时，要经医院医保办审核，同级医疗保险经办机构批准。未经批准自行转外地治疗所发生的医疗费用自付。出差、探亲的参保人员因急诊、抢救可就近选择医院，在三日内报医疗保险经办机构，并及时办理有关手续。
常驻异地工作、定居的参保人员，可在居驻地就近选择一至二家医院为本人定点医院，由参保人员所在单位办理异地就医手续，报医疗保险经办机构备案。确因病情需要转院就医的，需由当地定点医院签署意见，按照属地原则实行逐级转诊、转院。
第四条 参保人员住院期间进行X一射线计算机体层摄影装置(CT）、立体定向放射装置(r-刀、X一刀、超声刀、钛激光刀、激光刀）、心脏及血管造影X线机（含数字减影设备）、核磁共振成像装置（MRI）、单光子发射电子计算机扫描装置（SPECT）、彩色多普勒仪、医疗直线加速器等大型医疗设备的检查、治疗费用单独计算，其单项费用在500元以下统筹基金支付70％， 501元——1000元统筹基金支付 60%， 1001元以上统筹基金支付50％。
第五条 基本医疗保险支付部分费用的诊疗项目，先由个人自负一定比例的费用，然后按《阳泉市城镇职工基本医疗保险费用结算管理暂行办法》第五条规定支付，其项目和个人自负比例如下：
（一）体外震波碎石与高压氧治疗、射频治疗，血液透析和腹膜透析及心脏搭桥术、心导管检查治疗项目（如：射频消融术、心瓣膜球囊扩张、左右心室造影、飘浮导管检查、PTCA、左右心导管检查治疗的项目）等个人自负 15％。
（二）安装各种人造器官和体内置放材料（如心脏起搏器、人工关节。人工晶体、人工喉、人工股骨头、血管支架等）和心脏激光打孔、抗肿瘤细胞免疫疗法和快中子治疗项目，个人自负20％。
（三)省物价部门规定的可单独收费的一次性医用材料和肾脏、心脏瓣膜、角膜、皮肤、血管、骨、骨髓移植自负25％。
（四）使用进口医用材料时，比照国产同类材料价格支付。
第六条 根据山西省医疗服务收费标准，我市基本医疗保险住院床位费和门（急）诊留观床位费暂按普通床位费最低标准支付；危重病人监护室监护床位费暂按省定标准支付；隔离病人住院床位费按普通床位费最低标准加三元支付；异地住院床位费按当地普通住院床位费最低标准支付；超出部分个人自负。
第七条 使用《山西省基本医疗保险药品目录》中“乙类目录”的药品，其费用先由参保人员自负20％，然后按《阳泉市城镇职工基本医疗保险费用结算管理暂行办法》第五条规定支付。
第八条 基本医疗保险不予支付的诊疗项目、医疗服务设施、药品按国家和山西省规定执行。
第九条 参保人员有下列情形之一者，发生的医疗费用统筹基金不予支付：
（一）患者住院不遵医嘱发生的一切费用；
（二）挂名住院或不符合住院条件的医疗费用；
（三）患者住院未按规定期限结算的医疗费用；
（四）治疗期间与患者病情无关或不符的一切费用；
（五）将本人基本医疗保险证件供他人就医、购药的医疗费用；
（六）私自涂改处方或自行开方索取的药品费用；
（七）“四证”遗失后，未及时挂失或补办证件期间发生的医疗费用。
第十条 因突发性、流行性和自然灾害等因素造成的大范围疾病的医疗费由政府综合协调解决。对超出基本医疗保险范围的特殊医疗，基本医疗保险统筹基金不予支付。
第十一条 职工因工（公）伤、生育而发生的医疗费，由工（公）伤生育保险基金解决。未参加工（公）伤、生育保险的，由原资金渠道解决。
第十二条 本办法自2001年1月1日起执行。

　


国务院


外国籍非军用船舶通过琼州海峡管理规则(附英文)

1964年6月8日，国务院

第一条 根据《中华人民共和国政府关于领海的声明》，琼州海峡是中国的内海，一切外国籍军用船舶不得通过，一切外国籍非军用船舶如需通过，必须按照本规则的规定申请批准。
第二条 为便利对琼州海峡进行管理，设“中华人民共和国琼州海峡管理处”（以下简称琼州海峡管理处）。
本规则由琼州海峡管理处监督执行。
第三条 琼州海峡管理处对琼州海峡管理的区域（以下简称管理区）暂定如下：木栏头灯桩（约北纬20度09分37秒、东经110度41分）与生狗吼沙灯桩（约北纬20度26分、东经110度30分22秒）联线（简称东线）以西，▲尾角灯桩（约北纬20度13分30秒、东经109度55分30秒）与临高角灯桩（约北纬20度00分22秒、东经109度42分06秒）联线（简称西线）以东的水域。
第四条 外国籍非军用船舶如需通过琼州海峡，必须办理以下手续：
（一）在进入管理区四十八小时以前或在开出港启航以前，将船名、国籍、总吨、航速、船身颜色、烟囱标志以及何日、何时由何地开往何处等情况，详细电报琼州海峡管理处，请求过峡。
（二）接到批准过峡的通知后，应在进入管理区二十四小时以前或在开出港启航后二小时内，向琼州海峡管理处确报进入管理区的时间。
以上请求过峡和批准过峡等的来往电报，均由中国外轮代理公司海口分公司代转。
第五条 琼州海峡管理处对于已经批准通过海峡的外国籍非军用船舶，认为必要时，可以临时通知禁止通过。
第六条 外国籍非军用船舶通过管理区的时间，一律以白天为限，均应在日出后进入管理区，日落前全部通过管理区。琼州海峡管理处根据申请过峡外国籍非军用船舶的航速，核准其进出海峡的具体时间。
第七条 外国籍非军用船舶进出琼州海峡一律走中水道，但经琼州海峡管理处特别许可的不在此限。
第八条 外国籍非军用船舶通过管理区时，应在下列规定的航区范围内航行：自东线距木栏头灯桩四海里处至西线距临高角灯桩四海里处联线以北，自东线距木栏头灯桩六海里处至排尾角灯桩正南四海里处继至西线距临高角灯桩十四海里处联线以南的水域。
第九条 外国籍非军用船舶通过琼州海峡，必须严格按照所报时间及规定的航区通行。在进入管理区和在管理区通行时，如见有从岸上或舰艇上发出的信号，应立即回答并无条件地执行信号要求。由于不遵守上述规定而发生的后果概由船方自行负责。
第十条 外国籍非军用船舶通过琼州海峡时，不得使用雷达。如在航行中遇浓雾、暴雨等视线恶劣的情况，需要使用雷达时，应向琼州海峡管理处提出报告，说明理由以及当时的船位、航速等，经批准后方准使用。如当时情况紧急，危及船舶航行安全时，可以一面申报一面使用，并在事后，将使用起迄时间和经过情况详细报告琼州海峡管理处备案。
第十一条 外国籍非军用船舶通过琼州海峡时，不准进行照像、测量以及其他违反中华人民共和国法令的行为。
第十二条 外国籍非军用船舶违反本规则，按下列规定处理：
（一）在未进入管理区之前，可以命令其停止进入管理区，由原路返航绕海南岛航行，或者俟其办妥过峡手续并经批准后，再行过峡。
（二）如果已经进入管理区，可以命令其停航并监送至海口港进行检查，根据检查情况给予处分。在处理后，视情况可以准其通过管理区，或令其退出管理区，直到押送其退出海峡。

RULES FOR THE CONTROL OF NON-MILITARY VESSELS OF FOREIGN NATIO-NALITY PASSING THROUGH THE QIONGZHOU STRAIT

Important Notice: (注意事项)
英文本源自中华人民共和国务院法制局编译, 中国法制出版社出版的《中华人民
共和国涉外法规汇编》(1991年7月版).
当发生歧意时, 应以法律法规颁布单位发布的中文原文为准.
This English document is coming from the "LAWS AND REGULATIONS OF THE
PEOPLE'S REPUBLIC OF CHINA GOVERNING FOREIGN-RELATED MATTERS" (1991.7)
which is compiled by the Brueau of Legislative Affairs of the State
Council of the People's Republic of China, and is published by the China
Legal System Publishing House.
In case of discrepancy, the original version in Chinese shall prevail.

Whole Document (法规全文)
RULES FOR THE CONTROL OF NON-MILITARY VESSELS OF FOREIGN NATIO-
NALITY PASSING THROUGH THE QIONGZHOU STRAIT
(Promulgated by the State Council on June 8, 1964)
Article 1
According to the Declaration of the Government of the People's Republic of
China concerning the Territorial Waters, the Qiongzhou Strait is an inland
sea of China, which is closed to all military vessels of foreign
nationality. Non-military vessels of foreign nationality to pass through
the Strait must be subject to an application for approval according to the
provisions of these Rules.
Article 2
The Qiongzhou Strait Administrative Office of the People's Republic of
China (hereinafter referred to as "the Qiongzhou Strait Administrative
Office") shall be set up to facilitate the administration of the Qiongzhou
Strait.
These Rules shall be implemented under the supervision of the Qiongzhou
Strait Administrative Office.
Article 3
The area under the administration of the Qiongzhou Strait Administrative
Office with respect to the Qiongzhou Strait (hereinafter referred to as
the administrative area) is tentatively delimited as follows: the water
area west of the line (the east line for short) linking the Mulantou Lamp
Stake (approximately north latitude 20x09'37", east longitude 110x41') and
the Shenggouhousha Lamp Stake (approximately north latitude 20x26', east
longitude 110x31'22") and east of the line (the west line for short)
linking the Jiaoweijiao Lamp Stake (approximately north latitude 20x13'30"
, east longitude 109x55'30") and the Lingaojiao Lamp Stake (approximately
north latitude 20x00'22", east longitude 109x42'06").
Article 4
Non-military vessels of foreign nationality that need to pass through the
Qiongzhou Strait must go through the following formalities:
(1) Report in detail by telegram such information as the ship's name,
nationality, gross tonnage, speed, hull colour, funnel marks, date and
time and port of departure, port of destination, etc. to the Qiongzhou
Strait Administrative Office and ask for permission to pass through the
Strait 48 hours before entering the administrative area or before leaving
the port of departure.
(2) Report accurately, after receiving the notice of approval for passing
through the Strait, the time of entering the administrative area to the
Qiongzhou Strait Administrative Office 24 hours before entering the
administrative area, or within 2 hours of weighing anchor at the port of
departure.
The above-mentioned telegrams concerning request and approval for passing
through the Strait shall all be conveyed through the Haikou Branch of the
China Ocean-shipping Agency Corporation.
Article 5
When deemed necessary, the Qiongzhou Strait Administrative Office may send
a summary notice to forbid a non-military vessel of foreign nationality
which has obtained the approval to pass through the Strait.
Article 6 [*1]
All non-military vessels of foreign nationality to pass through the
administrative area shall do so without exception within daytime. All of
them must enter the administrative area after sunrise and leave it before
sunset. The Qiongzhou Strait Administrative Office shall check and approve
the exact time for entering and leaving the Strait according to the speed
of the non-military vessels of foreign nationality which have applied to
pass through the Strait.
Article 7
Except those which have obtained special permission from the Qiongzhou
Strait Administrative Office, all non-military vessels of foreign
nationality entering and leaving the Qiongzhou Strait must use the middle
water course.
Article 8
Non-military vessels of foreign nationality passing through the
administrative area shall navigate in the following prescribed area: north
of the line linking the point on the east four nautical miles from the
Mulantou Lamp Stake and the point on the west four nautical miles from the
Lingaojiao Lamp Stake, and south of the line linking the point on the east
six nautical miles from the Mulantou Lamp Stake and the point four
nautical miles due south of the Paiweijiao Lamp Stake and then the point
on the west 14 nautical miles from the Lingaojiao Lamp Stake.
Article 9
Non-military vessels of foreign nationality to pass through the Qiongzhou
Strait must do so in strict accordance with the reported time and the
prescribed area. If they see any signals sent from ashore or naval vessels
while they are navigating into or within the administrative area, they
shall give an immediate reply and unconditionally carry out the
instructions conveyed by the signals. Any consequences arising from
failure to observe the above-mentioned stipulations shall be borne by the
vessels themselves.
Article 10
Non-military vessels of foreign nationality passing through the Qiongzhou
Strait shall not use radars. If it is necessary to use the radar in case
of dense fog, rainstorm, or other bad conditions affecting visibility, the
vessels shall report to the Qiongzhou Strait Administrative Office to
explain the necessity and report their positions, speeds and other
information. They may use the radar only after obtaining permission. In
case of an emergency endangering navigational safety of the vessels, they
may use the radar while making the reports; and after the emergency, the
vessels shall make a detailed report concerning the length of time for
using the radar and the whole course of the incident to the Qiongzhou
Strait Administrative Office for the record.
Article 11
Photographs, surveys or other activities violating the relevant laws and
regulations of the People's Republic of China are forbidden when non-
military vessels of foreign nationality pass through the Qiongzhou Strait.
Article 12
Where non-military vessels of foreign nationality violate these Rules, the
cases shall be dealt with as prescribed below:
(1) Those vessels that have not yet entered the administrative area may be
ordered not to enter but to go back by the original route and navigate
round the Hainan Island; or they may be ordered to go through the
necessary formalities for approval before passing through the Strait.
(2) Those vessels that have entered the administrative area may be ordered
to stop navigation and taken to the Haikou Harbour for inspection, the
result of which shall determine the penalty to be given. The Qiongzhou
Strait Administrative Office may then, depending on circumstances, allow
the vessels to pass through the administrative area, or order them to go
back, or even send them under escort out of the Strait.
Note:
[*1] On April 17, 1985, upon approval of the State Council and the Central
Military Commission, this Article was amended as follows: "Non-military
vessels of foreign nationality may pass through the Strait upon receiving
notice of approval, but their speed may not exceed 10 knots when they are
navigating into and within the administrative area." - The Editor.