Altay area: employee medical insurance "outpatient help" brings medical treatment for medical treatment

Tianshan.com reporter Zhang Ting correspondent Dong Shiju

"In the past, the medical expenses that children had occurred in the general outpatient clinic of the hospital could not be reimbursed, nor could they use their parents' medical insurance cards. Citizen He Xing took his child to the People's Hospital of Altay City for treatment. After enjoying the labor insurance outpatient collection policy of employees, he could not help but praise.

Employee medical insurance outpatient protection mechanism refers to reforming employees' personal accounts, establishing a guarantee for the integration of general outpatient clinics, incorporating outpatient costs into the scope of payment of employee medical insurance overall funds, and effectively improving the efficiency of medical insurance funds. Starting from September 1 this year, this policy landed in the Altay region. The employees, retirees, and flexible employees participating in employee medical insurance are included in the scope of guarantee, and can enjoy more medical insurance benefits of benefit and benefit the people.

It is understood that after the implementation of employees' medical insurance outpatient collection policy, the medical expenses that meet the prescribed general outpatient clinics can be included in the guarantee of the medical insurance overall funding fund, and the outpatient reimbursement scope of the insured persons can be used. Parents, children, and spouse members of family members are used for use. The scope of the policy guarantee includes general outpatient cost guarantee, outpatient chronic disease cost guarantee, outpatient special drug cost guarantee, and outpatient day surgery cost guarantee, which can not only reduce the burden of medical expenses of the family, but also prevent the invalid precipitation of personal account funds.

The medical staff of the outpatient clinic of the Altay area is explaining to the patient's medical insurance outpatient policy for employees and guiding the patient's mobile phone to bind the app. The picture is provided by the hospital.

"Download Xinjiang Medical Insurance APP — Enter the Service Hall -Click on the business (personal account family support) - Add your family in ..." On the morning of September 1st, at the People's Hospital of Altay, medical staff are seeking medical treatment to seek medical treatment Liu Yufen, patients with hypertension, interpreted the employee's medical insurance outpatient foremoon policy. Liu Yufen said that he suffered from high blood pressure and needed long -term medication and regular inspection. After a long time, he had to pay cash if he had insufficient balance of medical insurance accounts. After understanding the employee's medical insurance clinic, I learned that ordinary outpatient clinics can also be reimbursed, and she can also use her family's medical insurance card. She feels very practical.

"The medical expenses affordable by individuals that the employee's medical insurance insured person and the immediate family members in the hospital can be paid by the personal account of the employee. Various forms such as clinics, electronic screens, WeChat public accounts, and volunteer services have interpreted policies for the people to come to the hospital, allowing more insured employees to learn about this policy and enjoy policy dividends. The hospital will further improve the level of comprehensive services to better satisfy better satisfaction The masses need to see a doctor for medical treatment. "Qiao Shuqin, deputy head of the medical insurance department of the People's Hospital of Altay.

In accordance with the provisions of the Outpatient Affairs System, within a natural year of the insured employees, the expenses of the general outpatient clinic of designated medical institutions are incurred. %; Retirees are 5 percentage points higher than those of employees. The highest reimbursement of the annual reimbursement of ordinary outpatient expenses reached 3,000 yuan.

As of now, all designated medical institutions in the region have implemented the labor insurance outpatient aid system for employee's medical insurance clinics. The implementation of policies will further improve the medical insurance system of employees, enhance the guarantee function of medical insurance funds, improve the efficiency of the fund's use, and benefit 560,000 insured in the region.

"After the implementation of the" Outpatient Affairs "policy, not only encourages the insured employees to see a doctor nearby, avoid minor illnesses, but also promote the reasonable allocation of medical resources, guide hierarchical diagnosis and treatment, activate grass -roots medical resources, and facilitate the masses to enjoy medical services nearby, effectively reduce The masses' medical burden. The Regional Medical Security Bureau will further implement the implementation of the policy, simplify the process of work, improve work efficiency, and better serve the masses. " Rainbow said.

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