Shanxi Province employee medical insurance personal account Family facilities function will be implemented on July 1 (with interpretation)

From July 1st, Shanxi Province will uniformly implement the Family Family Family Family Family Family Family Family, further expand the scope of the use of personal accounts, and benefit the majority of insured personnel. After realizing family facilities, in addition to the medical insurance personal account funds for employees and retirees, in addition to being used for the preparators to see the outpatient clinic, pharmacy purchase, or paying the personal burden on the person in hospital, they can also share them. Use.

The person who participated in the basic medical insurance (authorized) of the employees in Shanxi Province, through the binding of their family members, including spouses, parents, children (authorized persons), to achieve their personal account funds together with their family members. The binding family members must be personnel who have participated in the medical insurance of Shanxi Province or residents. The authorized person can set different single -time maximum payment quotas for each authorized family member.

Second, authorization (binding) procedure

The authorized person can log in to the "Shanxi Medical Insurance" WeChat public account or the "provincial public service medical insurance platform" (https://ybj.shanxi.gov.cn/ybfw/hallenter/index) for authorization binding.

3. Scope of use of the use

From July 1st, the scope of the first opening of the use of the use is: the authorized person (that is, a family member) can hold its own social security card or medical insurance electronic voucher to settle inpatients and clinics in Shanxi Province. When the outpatient drugs and residents' outpatient costs are coordinated, the parts that shall be borne by the individual, as well as the cost of buying drugs, medical devices, and medical consumables in general outpatient clinics, pharmacies, and pharmacies may be paid by the authorized person's personal account funds. If the authorized person is also a medical insurance participant in Shanxi Province and a balance of personal accounts, you must first consume your account balance before you can use the authorization of the authorized account.

In the future, the medical insurance department will gradually open the functions of paying residents' medical insurance, major illness insurance, and long -term care insurance costs to further expand the scope of use.

Fourth, precautions

The first is the funding account for funds. The part of only 1,000 yuan can be used by the authorized person, which cannot be used at less than 1,000 yuan.

The second is that if the authorized person is in a state of medical insurance or arrears, he cannot use a good luck account.

The third is that the authorized person can only use the award -winning account of one authorized person at a time.

Fourth, if the family relationship between the authorized person and the authorized person has changed (such as marriage changes), the authorization should be lifted immediately, otherwise the loss of funds will be responsible for the loss of funds.

Fifth, the authorized person can be lifted or increased at any time, or the maximum amount of the single payment is changed.

Sixth, public -funded medical staff do not implement family support for personal accounts.

In the process of using insured persons, it can be resolved through the service telephone consultation of the service centers released by the provincial medical insurance bureau.

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Source | Public account of Shanxi Medical Insurance Bureau

Edit | Feng Yuxian

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