Outpatient Westing September 1st will be launched to implement Qiannan employee medical insurance account.
Author:Yunqiannan Time:2022.07.22
The reporter learned from the official website of the state government: In order to revitalize the employees' medical insurance clinic account fund, the realization of personal accounts from the "accumulation guarantee model" to the "achidity guarantee model". The Implementation Plan for the Insurance Clinic Affairs Protection Mechanism "will be incorporated into the medical insurance reimbursement and realize the use of personal accounts for personal accounts by the implementation of the medical insurance reimbursement and realization of personal accounts.
It is understood that since the establishment of employees' medical insurance, it is implemented by the combination of a coordinated fund and a personal account to coordinate the fund to ensure the expenses of hospitalization and outpatient diseases. Personal account guarantee outpatient medical treatment and pharmacy purchase expenses. Because it is a personal accumulation, the accumulation gap between health and non -healthy people has a large gap, and personal accounts between family members cannot be shared. Establishing a support mechanism for employee medical insurance clinics, the purpose is to strengthen mutual assistance and help, revitalize the personal medical insurance clinic account fund, and realize the transformation from the "accumulation guarantee model" to the "good luck type guarantee model", which will help improve the efficiency of fund use efficiency , Meet the demand for ordinary outpatient clinics of insured employees.
The first outpatient collection is to use the money in the large pond of the fund, and use the cost of the insurance employees. The general outpatient expenses are included in the reimbursement of the overall fund to realize the "great help" of society and reduce the burden on ordinary outpatient clinics of insured employees. The second is that the money in the personal account can be used for family support and realizes the "small agency" of the family. Those who accumulate more about personal accounts can be used to reduce the economic burden on the family's medical treatment. For example: If only one person in the family participates in the medical insurance of the employee and the other family members are sick and hospitalized, the medical expenses of the personal burden incurred in the medical institution can be paid using the personal account of the direct relatives to reduce the economic burden of medical treatment.
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