China

The scope of "family solidarity" medical insurance in all provinces across the country has been expanded to include close relatives

2024-12-26   

According to the WeChat official account of the National Health Insurance Bureau, in 2021, the State Office will print and distribute documents to expand the use of personal accounts of employees' medical insurance from employees themselves to their "spouses, parents and children" participating in basic medical insurance; In July of this year, the State Council issued another document to further expand the scope of mutual assistance for employees' medical insurance personal accounts from "spouses, parents, and children" to "close relatives" who participate in basic medical insurance. 1、 As of December 9, all provinces have expanded the scope of mutual aid for employees' medical insurance to their close relatives. Following that in October this year, all provinces have realized mutual aid for employees' medical insurance personal accounts across the province's overall planning areas. As of December 9, all provinces have expanded the scope of mutual aid from "spouse, parents, children" to "spouse, parents, children, brothers and sisters, grandparents, maternal grandparents, grandchildren, and grandchildren". Insured individuals can bind their close relatives through online channels to achieve mutual assistance in their personal medical insurance accounts. 2、 From January to November 2024, there were 325 million individual accounts of employee medical insurance, an increase of 42 million from January to October; The amount of mutual aid reached 44.453 billion yuan, an increase of 7.545 billion yuan from January to October. From the perspective of mutual aid regions, within the same overall planning area (usually the same city), there were 300 million mutual aid visits, with a total amount of 39.317 billion yuan; There were 25.3601 million cross regional mutual aid cases within the province, with a total amount of 5.136 billion yuan. From the perspective of mutual aid purposes, 34.308 billion yuan was used to pay for personal medical expenses incurred in designated medical institutions, 2.072 billion yuan was used to pay for personal expenses incurred in designated retail pharmacies, and 7.48 billion yuan was used for personal contributions to participate in basic medical insurance for residents. After entering the centralized payment period for residents' medical insurance in September, the personal payment amounts for employee medical insurance in September, October, and November for participating in residents' basic medical insurance reached 1.228 billion yuan, 2.751 billion yuan, and 3.021 billion yuan, respectively. Among them, from January to November, the amount of mutual assistance used for residents' insurance in Hebei Province reached 830 million yuan, Henan Province was 766 million yuan, Zhejiang Province was 486 million yuan, Shandong Province was 479 million yuan, and Hunan Province was 477 million yuan, ranking among the top five in the country; In addition, provinces with a population of less than 50 million, such as Guizhou, Shaanxi, and Shanxi, have provided more than 300 million yuan in mutual assistance funds for residents to participate in insurance. (New Society)

Edit:Yao jue Responsible editor:Xie Tunan

Source:CNS.cn

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