"Administrative Measures for the Administration of Personal Accounts of Basic Medical Insurance in Jilin Province" will be implemented on October 1

In accordance with the requirements of the state and our province, the Provincial Medical Security Bureau and the Finance Department recently studied and formulated the "Administrative Measures for the Personal Accounts of Basic Medical Insurance in Town Workers in Jilin Province" (referred to as the "Measures") and implemented from October 1, 2022. Personal accounts for employee medical insurance have only been used by personal accounts. According to the latest provisions of the Measures, personal accounts can help their families in the future.

Personal account funds belong to the individual accumulation of individuals

The "Measures" proposes that in principle, the personal account of retirees will be included in the overall fund in principle, and two steps will be reached in two steps by the end of 2023. In the first step, it was not launched before the end of 2022. The average level of basic pensions in this coordination area was used as a fixed base in 2021, and the amount of personal accounts of retirees was included in the original proportion. Started before the end of the year, 2.8%of the average level of basic pensions in this coordination area was uniformly included in the personal account amount of retirees. Employees who transfer retirees will be included in their personal accounts from the following month.

Insurance employees (including flexible employees) who participate in basic medical insurance in accordance with the unified account combined model, all the basic medical insurance premiums paid by the employee unit are included in the overall fund; the basic medical insurance premiums paid by the individual For 2%of my participation in the payment base, the employees are included in the first step of the standard adjustment and the personal account of the retirement.

The medical insurance agency shall be included in personal account funds in accordance with the prescribed standards. If the insured unit interrupts the payment, the personal account of their employees will be suspended from the date of interruption.

Personal account funds are owned by individuals and accumulated rolling. Personal accounts deposit funds implement the interest rate calculation method, deposit funds and new injection funds, and implement the three -month deposit and complete deposit interest rate of the bank for three months. December 31. In the middle of the year, if the medical insurance relationship is transferred and inherited, the interest calculation and settlement will be synchronized when handling the stop insurance.

Participants can apply for establishing an account for a personal account family

When the employee's medical insurance relationship is changed, the medical insurance relationship shall be applied for the transfer of the transfer of medical insurance relationships. The balance of personal accounts is transferred with the medical insurance relationship. If the transfer of the medical insurance department cannot receive the personal account amount, it cannot be transferred with the transfer of the medical insurance personal account.

If the insured person cannot continue to participate in basic medical insurance due to death, abroad (border) residence, etc., the insured unit shall apply to the local medical insurance agency in a timely manner to apply for the termination of the insurance. The account is withdrawn at one time.

The medical insurance agency shall improve the online and offline service channels to facilitate the application of insured personnel to apply for the establishment of a personal account for the use of accounts (hereinafter referred to as the "family account") and register for their family members (including the spouse and parents of the insured persons themselves, parents, parents, And children) information. After family account registration, other family members do not need to register repeatedly to confirm; insured persons can change or revoke related family members' information.

Personal accounts must not be used for public health or health care consumption

The medical insurance department shall improve the medical insurance information platform and support the personal account to pay the insured persons within the policy scope of fixed medical institutions or fixed -point retail pharmacies. The affordable medical expenses, the cost of purchasing drugs, medical devices, and medical consumables in fixed -point retail pharmacies. Support personal account payment. I participate in large employees' large medical expenses subsidies and long -term nursing insurance personal payment; family members who support the registration of payment registered participating in the basic medical insurance for urban and rural residents, a large medical expenses subsidy for employees, and long -term nursing insurance.

Personal accounts shall not be used for public health costs, sports fitness or health care consumption, which are not expenditures that do not belong to the scope of basic medical insurance protection.

The policy scope of the personal account payment used by the insured himself (except the except part of the payment standard) is incorporated into the cumulative scope of various overall fund starting standards.

The medical security department establishes a dynamic supervision mechanism for the full process of personal accounts, and strengthens intelligent review and monitoring of personal accounts use and settlement. Improve the service agreement of fixed -point pharmaceutical institutions, and better play the role of comprehensive supervision of departmental linkage. If the designated pharmaceutical institutions, insured personnel and family members use personal account medical insurance funds illegally, they shall be dealt with in accordance with relevant laws and regulations and relevant medical insurance policies.

The province will formulate a unified personal account family member of the province's use procedures

If the unit pays the insurance subsidies (corporate medical supplements) such as the insured person, it will be implemented in accordance with the original regulations.

Provincial medical insurance agencies formulate the province's unified personal account family members of the family members of the family, and organize the implementation of medical insurance agencies at all levels.

The personal burden referred to in the "Measures" refers to the total cost of personal self -funded and personal payment. Personal burden payment includes personal account payment and cash payment. Personal self -payment refers to the medical expenses within the scope of the basic medical insurance directory that the insured. The part that deducts basic medical insurance, supplementary medical insurance and medical assistance after reimbursement shall be paid by the individual after reimbursement. Personal self -funding refers to the actual medical expenses incurred It is not a part that is within the scope of the basic medical insurance directory and is paid by the individual.

The Measures will be implemented from October 1, 2022, and the document is valid for 5 years.After the implementation of the Measures, if the management regulations of personal accounts of basic medical insurance for urban employees in our province are inconsistent with these measures, these measures shall prevail.City Evening News all -media reporter Liu Jiaxue

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