Core Viewpoint - Yantai City is currently in the concentrated insurance payment period for the 2026 resident basic medical insurance, with specific timelines for different groups of residents [1][2] Group 1: Insurance Payment Period - The concentrated insurance payment period for residents' basic medical insurance in Yantai City started on October 12 and will end on December 31, 2025, for most residents, while students will start from September 1, 2025 [1] - All urban and rural residents not covered by employee basic medical insurance can participate, including students, rural residents, urban non-employed residents, retirees without employee insurance, unemployed individuals who have exhausted unemployment benefits, and non-local residents with Yantai residence permits [1] Group 2: Medical Insurance Benefits - Yantai City has increased the level of medical insurance coverage, reducing the threshold for multiple hospitalizations; the threshold for the second hospitalization in a medical year is halved, and for the third and subsequent hospitalizations, it is reduced to 100 yuan [2] - The reimbursement ratio for ordinary outpatient services has been raised from 50% to 65%, alleviating the medical expenses burden by approximately 100 million yuan annually [2] - A reimbursement mechanism for outpatient medications for common diseases like hypertension and diabetes has been established, with reimbursement ratios increasing from 50% to 75% [2] - Starting January 1, the annual maximum payment limit for ordinary outpatient services for residents will increase from 200 yuan to 230 yuan per person, and for minors' accidental injury outpatient services, it will rise from 3000 yuan to 3500 yuan per person [2]
明年起,烟台医保一档缴费居民普通门诊年度最高支付限额将提高
Qi Lu Wan Bao Wang·2025-10-24 09:21