累计赔付超30亿元!2026年度“江苏医惠保1号”今晚24时投保截止!
Cai Fu Zai Xian·2025-12-31 01:25

Core Viewpoint - The "Jiangsu Medical Insurance 1" policy is a supplementary health insurance scheme in Jiangsu Province, which is set to close its enrollment for the 2026 year on December 31, 2025, at midnight, and has already attracted over 5.3 million participants [1][6]. Group 1: Policy Features - The policy offers low premiums, low entry barriers, and high coverage, with the basic plan costing only 158 yuan per year and the upgraded plan costing 258 yuan per year, providing up to 1 million yuan in medical expense coverage [3]. - It covers a wide range of medical expenses, including out-of-pocket costs within the medical insurance directory and certain non-covered drugs and medical supplies, effectively alleviating the financial burden of serious illnesses [3]. - The upgraded version includes coverage for advanced medical technologies such as proton therapy and CAR-T drugs, and it does not exclude patients with pre-existing conditions, ensuring comprehensive protection [3]. Group 2: Impact and Performance - Since its launch, "Jiangsu Medical Insurance 1" has attracted over 20 million participants and has paid out more than 3 billion yuan in claims, with an average payout of 10,000 yuan per person [6]. - The policy has significantly improved the sense of security and happiness among the public, with the highest single claim reaching 981,400 yuan and the highest individual payout totaling 1,455,400 yuan [6]. - The policy is designed to complement the basic medical insurance, addressing the gaps in coverage and further reducing the financial burden of medical expenses for residents [6]. Group 3: Enrollment and Claims Process - The enrollment for the 2026 policy year will close at midnight on December 31, 2025, with coverage starting from January 1, 2026, for a duration of one year [9]. - Participants can use their medical insurance individual account balance to pay for the policy premiums, allowing for family coverage under a single policyholder [7]. - Claims can be made at designated medical institutions across the country, and the policy allows for cumulative deductible amounts over the year, rather than requiring each claim to exceed the deductible [7].

累计赔付超30亿元!2026年度“江苏医惠保1号”今晚24时投保截止! - Reportify