It's related to you! Sixteen convenient measures for medical insurance services have arrived, which are convenient | medical insurance | convenient measures
Today, the National Medical Insurance Administration issued a notice on the implementation of 16 convenient measures for medical insurance services, introducing 16 convenient measures for medical insurance to solve the bottleneck problem of people handling medical insurance business.
Solve the bottleneck problem of people handling medical insurance business
The Notice clearly states that the issuance of "Basic Medical Insurance Participation Certificate" and "Basic Medical Insurance Relationship Transfer and Continuation Contact Letter" in the inter provincial transfer and continuation of basic medical insurance will be cancelled. The transfer and continuation time of basic medical insurance across provinces has been reduced from 45 working days to 15 working days. The insured can independently choose to apply online or go to the nearest window of the handling institution in the place of transfer and the place of transfer, and can apply online and check the progress of the application at any time. If insured individuals have not completed the registration and filing for medical treatment in a different location before hospitalization, and have completed the registration and filing before discharge settlement, cross provincial networked designated medical institutions should provide direct settlement services for cross provincial and cross regional medical treatment, allowing long-term residents living across provinces to enjoy benefits in both the filing and insured locations. If long-term residents living in other provinces and regions need to return to their place of insurance for medical treatment within the validity period of their registration, they can also enjoy medical insurance settlement services in their place of insurance. In the event of emergency rescue, if the insured person has not filed for medical treatment in a different location, it shall be deemed that the record has been filed. The insured person is allowed to directly settle the relevant outpatient and inpatient medical expenses and other sixteen convenient medical insurance services according to the relevant treatment standards for emergency rescue in a different location.
Direct settlement for medical treatment across provinces and regions to reduce people's travel expenses and advance funds
Among the sixteen convenient measures for medical insurance services announced this time, eight involve direct settlement for medical treatment in other places, as well as issues of concern to the public such as filing for medical treatment in other places, manual reimbursement after self payment settlement for discharge, and cross provincial reimbursement for chronic and special diseases in outpatient clinics.
According to data released by the National Medical Insurance Administration, there are currently 68800 designated medical institutions across provinces in China that have connected their hospitalization expenses, an increase of seven times from 2017. The cross provincial direct settlement rate of hospitalization expenses has increased from less than 5% in 2017 to around 65% in 2022, benefiting a total of 20.3876 million people. At the same time, breakthroughs have been made in the direct settlement of general outpatient fees and chronic diseases across provinces nationwide, and the scope of direct settlement has been further expanded, making it convenient for people to seek medical treatment in other places.
Promote the application of electronic medical insurance vouchers throughout the entire process of seeking medical treatment
The notice clearly requires the nationwide promotion of the application of electronic medical insurance vouchers throughout the entire process of medical treatment and drug purchase. Insured individuals do not need to hold physical cards, and can see and buy medicine with only the QR code or facial recognition of their medical insurance electronic voucher.
In the morning, Ningbo citizen Zhang Qiaoying arrived at the First Affiliated Hospital of Ningbo University, opened her phone, scanned the electronic medical insurance certificate, and completed the registration. Subsequently, she went to the gastroenterology consultation room for treatment. After consultation and examination, the doctor diagnosed her with gastritis and prescribed three medications for her. Among them, the medication called pantoprazole sodium enteric coated capsules is not included in the drug catalog provided by the hospital pharmacy.
Ms. Zhang settled the hospital's medical expenses in the consultation room by scanning the medical insurance electronic voucher. Later, she went to a pharmacy outside the hospital and purchased external medicines by scanning the electronic medical insurance certificate.
Through digital reform, Ningbo, Zhejiang Province has promoted the application and implementation of electronic medical insurance vouchers, covering all 3771 designated medical insurance institutions in Ningbo. With the online use of electronic medical insurance vouchers, citizens can complete medical treatment, medical insurance inquiries, and medication purchases more conveniently with a QR code.