2026年度“北京普惠健康保”参保突破300万人

Group 1 - The "Beijing Universal Health Insurance" program has surpassed 3 million participants, with the majority aged between 35-49 years, accounting for 29.1% of the insured population [1] - The health status of the insured shows that over 90% are considered healthy, and the payment method predominantly relies on individual medical accounts, which constitute 52.21% of the contributions [1] Group 2 - In 2026, the deductible for the health insurance program will decrease from 30,404 yuan to 15,000 yuan, with a new reimbursement rate of 25% for expenses between these amounts, while expenses above 30,404 yuan will continue to be reimbursed at 80% [2] - A case study of a 52-year-old woman with lung cancer illustrates that her total medical expenses were 529,699.85 yuan, with a reimbursement of 119,944.37 yuan, leaving her with a personal liability of 49,308.68 yuan for in-network costs and 360,446.8 yuan for out-of-pocket expenses; if this case occurred in 2026, her total reimbursement would increase by nearly 4,000 yuan [2] - The enrollment period for the "Beijing Universal Health Insurance" for 2026 will officially close on December 31, 2025, indicating a countdown of two weeks remaining for new participants [2]