目前,城镇职工基本医疗保险制度采用的是“统账结合”的模式,门诊费用主要由个人账户支付,个人账户不足支付时,由个人自付;住院费用主要由统筹基金支付;同时,将部分需长期在门诊治疗且花费较大的治疗项目和慢性病纳入门诊特殊病种的管理范围,由统筹基金 At present, the basic medical insurance system for urban workers adopts the mode of “unified combination of accounts and funds”. The outpatient expenses are mainly paid by individual accounts. When individual accounts are underpaid, the individual pays for themselves. The expenses for hospitalization are mainly paid by the overall fund. At the same time, Need long-term outpatient treatment and spend more treatment items and chronic diseases included in the out-patient special disease management, from the overall fund