共济资金可用于支付被共济人就医购药的个人负担费用、居民医保及长期护理保险个人缴费。在共济额 度内，共济人不能再使用该额度的个人账户资金。关系解除后未使用额度返还共济人账户。 国家医保局表示，此次政策的出台，旨在进一步落实国家关于健全职工医保门诊共济保障机制的部署。 近年来，职工医保个人账户家庭共济在地方实践中已取得积极成效，5年间省内共济累计惠及超7.8亿人 次。 该政策的实施，标志着职工医保个人账户共济功能从区域走向全国。通过将个人账户资金转化为家庭共 享的"健康基金"，不仅增强了医保制度的家庭互助能力，也提高了基金使用效率。异地工作的子女可以 更便捷地以个人账户资金支持家人的医疗与参保支出，使医保制度更加公平、更可持续。 （来源：中国妇女报） 转自：中国妇女报 中国妇女报全媒体消息 1月9日，国家医保局、财政部发布通知，进一步优化个人账户共济政策，打破 地域限制，强化家庭互助功能，将职工基本医疗保险个人账户共济范围从省内拓展至全国。 通知明确，跨省共济的适用对象范围为职工基本医疗保险参保人的近亲属。共济关系可由双方自愿建立 或解除，参保人医保关系变动时该关系自动解除，且一人可与多人互建共济关系。 ...

Group 1 - The article discusses the initiation of the 2026 urban and rural residents' medical insurance payment in Shanxi Province and provides guidance on how to use personal medical insurance accounts to pay for family members' insurance fees [1][3] - It outlines the process for adding family members to the medical insurance account sharing system, which includes reading and agreeing to the family account sharing notice [7][8] - The article emphasizes that the authorized person's personal account balance must exceed 1000 yuan for shared funds to be used, and that family members must be enrolled in the Shanxi Province employee or urban-rural resident medical insurance [8][14] Group 2 - The article details the steps for managing family members within the shared account, including how to unbind members and modify authorization details [11][12] - It explains the process for paying the urban-rural residents' medical insurance fees on behalf of family members, including the need to confirm payment details and read the payment commitment [12][13] - The article notes that starting from September 2024, the scope of family account sharing will expand to include close relatives such as spouses, parents, children, and grandparents [13][14]

Core Viewpoint - China has established the world's largest basic medical insurance network, covering the entire population, and aims to further improve the system to address challenges such as population aging and diverse employment forms [1][2]. Group 1: Medical Insurance Coverage and Quality - As of the end of 2024, approximately 1.327 billion people are enrolled in basic medical insurance, with a stable enrollment rate of over 95% [2]. - The total income of the basic medical insurance fund reached 3.491337 trillion yuan, while total expenditures were 2.976403 trillion yuan [2]. - The quality of insurance enrollment has improved, with a focus on optimizing the enrollment structure and maintaining the rights of the insured [2]. Group 2: Policy Initiatives and Reforms - The State Council issued guidelines in August 2024 to enhance the long-term mechanism for basic medical insurance enrollment, emphasizing the removal of household registration restrictions for insurance participation [5][9]. - The guidelines propose five major benefits for insured individuals, including expanded coverage for family members and increased insurance limits for those continuously enrolled [5][12]. - The government aims to improve the convenience and accessibility of medical insurance services, ensuring higher satisfaction among the insured [6][18]. Group 3: Technological Integration and Data Management - Cities like Shenyang and Zhejiang are utilizing big data and integrated databases to enhance the identification and management of insurance participants, achieving over 99% enrollment rates [3]. - The implementation of a "one person, one file" system allows for precise tracking of insurance status across various demographics [3]. Group 4: Addressing Challenges in Enrollment - Despite progress, challenges remain, such as difficulties for some individuals in enrolling at their place of residence and the need for better understanding of the insurance system [4][12]. - The government is focusing on improving the enrollment process for specific groups, including newborns and flexible employment workers, to ensure broader coverage [4][10]. Group 5: Future Directions - Future efforts will include merging employee and resident insurance systems, establishing a fair payment mechanism, and enhancing legal frameworks to ensure compliance and high-quality enrollment [6][12]. - The expansion of personal account sharing within families is expected to alleviate financial burdens on households, with significant improvements already noted in some regions [13][17].