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都是错的!关于医保这些误区不要信,事关就医、报销,个人账户!
Sou Hu Cai Jing·2025-09-29 22:42

Core Viewpoint - The article highlights misconceptions surrounding medical insurance policies in China, particularly regarding hospitalization duration, big illness insurance, and the use of personal medical accounts, emphasizing the need for better public understanding of these policies. Group 1: Hospitalization Policies - Many patients are misled to believe that they must be discharged after 15 days of hospitalization due to insurance regulations, which is not true as there is no such policy from the national medical insurance department [1][5] - Medical institutions often pressure patients to leave or transfer based on the false claim that their insurance limit has been reached, which violates insurance agreements [5] Group 2: Big Illness Insurance - Big illness insurance is not limited to specific diseases but is based on the cumulative medical expenses incurred by any illness, allowing for broader coverage [2] - In 2023, 11.56 million people benefited from big illness insurance reimbursements, with an average reduction in out-of-pocket expenses of approximately 8,000 yuan, and the maximum reimbursement can reach hundreds of thousands of yuan [1] Group 3: Medical Account Misconceptions - There is a common misconception that personal medical accounts will be cleared if contributions are suspended for three months; however, the balance remains intact despite any interruptions in payments [5] - The personal medical account consists of current year funds and accumulated balances from previous years, and funds can be used for family members' medical expenses, but the card cannot be lent to others [6][7] Group 4: Direct Settlement for Cross-Province Medical Treatment - The process for direct settlement of medical expenses when seeking treatment outside one's registered area involves prior registration, selecting a designated medical institution, and using an electronic medical insurance card for payment [4] - The direct settlement system has been expanded to cover both outpatient and inpatient services across provinces, enhancing accessibility for patients [8]