Beijing will no longer set up the maximum payment limit for employee medical insurance clinics next year

Xinhua News Agency, Beijing, August 19 (Reporter Chen Xu) The reporter learned from the news ventilated news ventilation of Beijing's promotion of outpatient protection mechanisms on the 19th. The bureau recently issued the "Notice on Adjusting the Regardless of Policies for the Basic Medical Insurance of Workers in the Municipality". It is clear that starting from January 1, 2023, the maximum payment limit of employee medical insurance clinics will not be set up to reduce the standards for employees' illness.

It is reported that at present, the maximum payment limit of the paid payment limit that is in accordance with the basic medical insurance payment regulations that occur within the year in accordance with the annual medical insurance payment regulations in the year is 20,000 yuan, which is beyond the individual burden. From January 1, 2023, the maximum payment limit of employee medical insurance clinics will no longer be set up, and the reimbursement ratio of less than 20,000 yuan will remain unchanged. 60%of the employees of more than 20,000 yuan will be reimbursed, and retirees will be reimbursed by 80%.

Beijing promotes the reform of the news ventilation of outpatient protection mechanisms. (Photo by Chen Xu, a Xinhua News Agency)

In order to further reduce the burden of medical expenses of patients with major illnesses, since 2022, the standard for employee's major disease protection starting standard has been reduced from 39,525 yuan to 30,404 yuan. The cumulative personal payment medical expenses of the insured persons in the year and the cumulative personal payment of the outpatient and hospitalization of the insured will exceed the "second reimbursement" of the medical security of urban employees. A total of 60%of the total of 50,000 yuan is reimburseed by 50,000 yuan and 70%of the reimbursement of more than 50,000 yuan.

According to the relevant person in charge of the Beijing Municipal Medical Insurance Bureau, the outpatient treatment is not available. It is expected that about 170,000 participants will be benefited each year to reduce the burden on the insured by about 1 billion yuan. After the employee's serious illness will reduce the line, it is expected to benefit about 35,000 participants each year to reduce the burden on the insured by about 120 million yuan.

From September 1, 2022, the improvement of personal accounts will be improved. All the basic medical insurance premiums paid by the employer will be included in the overall fund, and all the basic medical insurance premiums paid by the employees will be included in the personal account. Personal account funds implement accounting management. Insured personnel cannot be freely withdrawn and achieved targeted use. It is mainly used to pay medical expenses incurred in fixed -point medical institutions or fixed -point retail pharmacies. Before September 1st, the personal account funds in the passbook for medical insurance have been included, and the insured can still be freely withdrawn in the future.

[Editor in charge: Zhang Yongsu]

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