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实在的便利!医保跨省异地就医,动动手指就搞定
Xin Hua Wang·2025-08-03 02:57

Core Viewpoint - The implementation of cross-provincial medical insurance direct settlement is significantly enhancing convenience for insured individuals, allowing for immediate reimbursement without the need for lengthy processes or upfront payments [1][2]. Group 1: Direct Settlement Benefits - Cross-provincial direct settlement applies to both long-term residents and temporary medical service users, enabling insured individuals to enjoy direct reimbursement based on the "medical location directory and insurance policy" after online registration [2]. - As of now, there are 644,000 cross-provincial networked medical institutions across the country, with over 500 million direct settlement services provided during the 14th Five-Year Plan period, reducing out-of-pocket expenses for the public by over 550 billion yuan [2]. Group 2: Technological Support - The efficiency of cross-provincial direct settlement is supported by a robust medical insurance information system, with over 1.236 billion people using the medical insurance code by June 2025, and an average of 14.5 million daily settlements [2]. - The online handling rate of medical insurance government services has increased from 55% in 2020 to 92% in 2024, indicating significant improvements in service accessibility [2]. Group 3: Expansion of Services - The direct settlement for outpatient chronic special diseases is expanding, with five new diseases added in 2024, including chronic obstructive pulmonary disease and rheumatoid arthritis, enhancing coverage for patients [3]. - As of the first quarter of 2025, the number of designated medical institutions for outpatient chronic special disease direct settlement reached 74,000, a 2.62% increase from the end of 2024 [3]. Group 4: Future Developments - The National Medical Insurance Service Platform App is continuously improving its features for online registration and inquiry, facilitating easier access to medical insurance services for the public [4]. - The National Medical Insurance Bureau plans to further enhance digital capabilities to provide more precise and refined services, catering to diverse medical insurance needs [4].