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我省基本医保参保人数达952.37万人
Hai Nan Ri Bao· 2025-06-18 00:58
Group 1 - The core viewpoint of the news is the stable operation of the basic medical insurance fund in Hainan province, with a total income of 8.263 billion yuan and total expenditure of 6.451 billion yuan from January to May this year, resulting in a cumulative balance of 45.929 billion yuan [1] - As of June 13, the total number of insured individuals in the province reached 9.5237 million, with a comprehensive insurance rate stabilizing around 95% [1] - The province has eliminated the household registration restrictions for insurance participation and improved the incentive and constraint mechanisms for continuous insurance, focusing on specific groups such as college students and new employment forms [1] Group 2 - The province has increased the ordinary outpatient benefits for employee medical insurance, raising the annual maximum payment limit to 25,000 yuan for employed individuals and 30,000 yuan for retirees [1] - The "Hui Qiong Bao" 2025 version of the one-stop claim service has been launched, allowing simultaneous settlement of medical insurance, commercial insurance, and out-of-pocket expenses, eliminating the need for upfront payments by insured individuals [2] - The cross-provincial direct settlement for medical treatment has been actively promoted, with 366 hospitals and 744 outpatient facilities already connected for direct settlement [2]