医疗保险
Search documents
【医保小课堂】一文看懂医保“起付线”,看病花费心里有数
Sou Hu Cai Jing· 2026-01-31 18:37
什么是起付线 温馨提醒 职工医保住院/门诊起付线 是多少 在不同级别的医院住院就医有不同的起付线标准! 医院级别越高,起付线标准越高,报销比例相对较低。 小病选择小医院,起付线低,报销比例更高! | | | | 职工医保住院起付线标准 | | | --- | --- | --- | --- | --- | | 医院 级别 | 第一次 | 第二次 | 第三次 及以后 | 备注 | | - 级 | 200 元 | 100 元 | 元 | 1.恶性肿瘤患者,在一个 | | 医院 | | | | 医疗年度内多次因放疗、 化疗、靶向药物治疗住院 | | 二级 | 500 元 | 250 元 | 元 | 发生的医疗费用,只扣一 次起付标准; | | 医院 | | | | 2.烟台市定点中医医疗机 | | 三级 | 800 元 | 400 元 | 元 | 构职工医保住院起付线较 同级综合医疗机构降低 | | 医院 | | | | 20%。 | 起付线是医保报销的"门槛",是医保基金报销的计算起点。通俗来讲,就是符合医保报销标准的医疗费用达到一定数额才能开始报销。起点以下的医疗费 用,医保统筹基金不予支付,由参保人自付。 起 ...
这起震惊美国的大案,有最新进展
Xin Lang Cai Jing· 2026-01-31 12:16
多家美媒在报道中指出,美国医疗保险行业的逐利性让众多美国人深受其害,因此路易吉的举动使其成为了许多人心中的英雄,也给本案附加 了强烈的政治性。由于特朗普政府曾点名要对路易吉寻求死刑判决,因此这一判决对特朗普政府而言是一次重大挫折。 审核 | 周扬 当地时间1月30日,美国联邦地区法院驳回了针对路易吉·曼焦内4项联邦指控中的2项。美国有线电视新闻网(CNN)称,这一裁决意味着路易 吉将免于死刑。 2024年12月,路易吉于纽约市一家酒店外对美国联合健康保险公司首席执行官布赖恩·汤普森连开数枪,作案视频曝光后震惊全美,并获得了 全球媒体的关注。报道称,检方对路易吉提起了4项指控,分别是持枪谋杀罪、非法使用枪械以及跨州跟踪罪、使用互联网追踪他人罪,其中 前两项罪名最高可判处嫌疑人死刑。 据美联社30日报道,法官玛格丽特·加内特驳回了持枪谋杀罪、非法使用枪械这两项指控,报道称,在美国联邦层面的法律框架内,这两项指 控成立的条件需要嫌疑人同时犯有其他暴力罪行,但由于检方起诉路易吉的另外两项罪名均非"暴力犯罪",因此无法判决路易吉死刑。 加内特承认,该判决确实不符合公众的直觉,但她作为法官只能按照现行法律审理此案。报道指 ...
震惊美国的大案有新进展!美媒:枪杀美保险公司CEO的路易吉将免于死刑
Xin Lang Cai Jing· 2026-01-31 12:15
路易吉(中)资料图 2024年12月,路易吉于纽约市一家酒店外对美国联合健康保险公司首席执行官布赖恩·汤普森连开数枪,作案视频曝光后震惊全美,并获得了 全球媒体的关注。报道称,检方对路易吉提起了4项指控,分别是持枪谋杀罪、非法使用枪械以及跨州跟踪罪、使用互联网追踪他人罪,其中 前两项罪名最高可判处嫌疑人死刑。 多家美媒在报道中指出,美国医疗保险行业的逐利性让众多美国人深受其害,因此路易吉的举动使其成为了许多人心中的英雄,也给本案附加 了强烈的政治性。由于特朗普政府曾点名要对路易吉寻求死刑判决,因此这一判决对特朗普政府而言是一次重大挫折。 来源:环球时报新媒体 据美联社30日报道,法官玛格丽特·加内特驳回了持枪谋杀罪、非法使用枪械这两项指控,报道称,在美国联邦层面的法律框架内,这两项指 控成立的条件需要嫌疑人同时犯有其他暴力罪行,但由于检方起诉路易吉的另外两项罪名均非"暴力犯罪",因此无法判决路易吉死刑。 当地时间1月30日,美国联邦地区法院驳回了针对路易吉·曼焦内4项联邦指控中的2项。美国有线电视新闻网(CNN)称,这一裁决意味着路易 吉将免于死刑。 加内特承认,该判决确实不符合公众的直觉,但她作为法官只能按 ...
职工医保个账共济超4亿人次
Xin Lang Cai Jing· 2026-01-31 07:08
Group 1 - The core viewpoint of the news is the introduction of a mutual aid system for employee medical insurance personal accounts, allowing family members to use the funds for medical expenses [1] - From January to December 2025, a total of 464 million instances of mutual aid were recorded, with a total amount of 68.77 billion yuan [1] - The mutual aid system applies to close relatives, including spouses, parents, children, siblings, grandparents, and grandchildren, who are all required to be insured under basic medical insurance [1] Group 2 - The total income of the basic medical insurance (including maternity insurance) coordination fund in 2025 reached 2.954406 trillion yuan, while the total expenditure was 2.423124 trillion yuan, indicating stable overall operation [2] - The income from the employee basic medical insurance (including maternity insurance) coordination fund was 1.831766 trillion yuan, and the income from the urban and rural residents' basic medical insurance coordination fund was 1.12264 trillion yuan [2] - The expenditure for the employee basic medical insurance (including maternity insurance) coordination fund was 1.357417 trillion yuan, which included 135.965 billion yuan for maternity insurance benefits, while the expenditure for the urban and rural residents' basic medical insurance coordination fund was 1.065707 trillion yuan [2]
去年我国基本医保统筹基金收入约2.95万亿元
Xin Lang Cai Jing· 2026-01-30 22:49
(来源:中国妇女报) 转自:中国妇女报 新华社北京1月30日电(记者 彭韵佳) 记者1月30日从国家医保局获悉,2025年1月至12月,我国基本医 疗保险(含生育保险)统筹基金总收入29544.06亿元,基本医疗保险(含生育保险)统筹基金总支出 24231.24亿元,基本医疗保险基金整体运行平稳。 数据显示,2025年职工基本医疗保险(含生育保险)统筹基金收入18317.66亿元,城乡居民基本医疗保 险统筹基金收入11226.40亿元。 2025年职工基本医疗保险(含生育保险)统筹基金支出13574.17亿元,其中生育保险基金待遇支出 1359.65亿元;城乡居民基本医疗保险统筹基金支出10657.07亿元。 ...
我国基本医保统筹基金收入约2.95万亿元
Xin Lang Cai Jing· 2026-01-30 20:48
数据显示,2025年职工基本医疗保险(含生育保险)统筹基金收入18317.66亿元,城乡居民基本医疗保 险统筹基金收入11226.40亿元。 2025年职工基本医疗保险(含生育保险)统筹基金支出13574.17亿元,其中生育保险基金待遇支出 1359.65亿元;城乡居民基本医疗保险统筹基金支出10657.07亿元。 新华社北京1月30日电 (记者 彭韵佳) 记者1月30日从国家医保局获悉,2025年1月至12月,我国基本 医疗保险(含生育保险)统筹基金总收入29544.06亿元,基本医疗保险(含生育保险)统筹基金总支出 24231.24亿元,基本医疗保险基金整体运行平稳。 ...
2025年职工医保个人账户共济4.64亿人次,共济金额687.7亿元
Jin Rong Jie· 2026-01-30 06:40
Core Insights - The article discusses the implementation of a mutual aid system for employee medical insurance personal accounts in China, allowing for immediate access to funds through binding personal accounts and medical insurance wallets [1] Group 1: Implementation Details - As of January 30, the National Healthcare Security Administration has enabled mutual aid for employee medical insurance personal accounts [1] - From January to December 2025, there were 464 million instances of mutual aid, totaling 68.77 billion yuan [1] - A total of 1.121 million transactions were conducted through the medical insurance wallet, amounting to 750 million yuan [1]
2025年1-12月职工医保个人账户共济4.64亿人次 共济金额687.7亿元
Yang Shi Wang· 2026-01-30 03:25
Core Insights - The article discusses the implementation and usage of the employee medical insurance personal account mutual aid system in China, highlighting the total number of participants and the financial amounts involved for the year 2025 [1]. Group 1: Mutual Aid Through Personal Accounts - In 2025, there were 464 million instances of mutual aid through personal accounts, amounting to 68.77 billion yuan [1]. - Within the same year, 463 million instances of mutual aid occurred within the province, totaling 68.02 billion yuan [2]. - Of the total mutual aid, 421 million instances occurred within the same planning area, contributing 60.08 billion yuan, while 4.17 million instances crossed planning areas, amounting to 7.94 billion yuan [2]. Group 2: Usage Breakdown - The mutual aid was primarily used for medical expenses incurred at designated medical institutions, totaling 48.84 billion yuan, and for personal contributions to basic medical insurance, which accounted for 14.23 billion yuan [2]. - Additional uses included 0.76 billion yuan for long-term care insurance contributions and 0.14 billion yuan for other purposes [2]. Group 3: Mutual Aid Through Medical Wallets - In 2025, there were 1.121 million transactions through the medical wallet, with a total mutual aid amount of 0.75 billion yuan [3]. - Out of these transactions, 648,800 were within the province, amounting to 0.44 billion yuan, while 472,200 transactions crossed provincial lines, totaling 0.31 billion yuan [4]. Group 4: Regional Breakdown - The article provides a detailed breakdown of mutual aid by region, with significant contributions from provinces such as Jiangsu (6.56 billion yuan), Zhejiang (8.04 billion yuan), and Guangdong (4.96 billion yuan) [5]. - The total mutual aid amount across all provinces through personal accounts reached 68.02 billion yuan, with a total of 462.82 million instances recorded [5].
我市今年将深度优化“全民医保”
Zheng Zhou Ri Bao· 2026-01-29 00:51
Core Insights - The article emphasizes the importance of universal healthcare and outlines the goals for the city's healthcare insurance system by 2026, focusing on high-quality development and the construction of an "intelligent healthcare system" [1] Group 1: Healthcare System Development - By 2026, the city aims to fully implement national-level healthcare pilot programs and ensure the smooth launch of long-term care insurance [1] - The city will optimize and improve the maternity support policy system as part of its healthcare strategy [1] Group 2: Financial Management and Market Activation - The healthcare fund will focus on reducing costs and burdens, stimulating market vitality, and innovating fund empowerment through prepayment incentives [1] - Efforts will be made to promote the development of the pharmaceutical industry and attract national-level platforms to settle in Zhengzhou [1] Group 3: Targeted Initiatives and Accessibility - The healthcare department will conduct targeted initiatives to expand coverage for key populations and enhance the convenience of insurance payment mechanisms [1] - The city aims to consolidate and expand the achievements in poverty alleviation, ensuring that health-related poverty is effectively addressed [1] Group 4: Service Improvement and Technology Integration - The city plans to enhance the convenience of services by improving the "10-minute healthcare service circle" and streamlining processes for efficient service delivery [1] - There will be a focus on building an intelligent healthcare system that offers a comprehensive service experience through various media formats [1]
异动盘点0128 | 内房股多数上涨,芯片股表现强势;医疗保险股盘前集体大跌,热门中概股盘前走高
贝塔投资智库· 2026-01-28 04:01
Group 1: Hong Kong Stock Market Performance - Most property stocks in Hong Kong rose, with China Jinmao (00817) up 7.95%, Greentown China (03900) up 5.79%, and China Overseas Macro Yang Group (00081) up 4.62%. Vanke Enterprises (02202) also saw a gain of 2.49% following significant progress in debt resolution, with the extension proposals for two medium-term notes totaling 5.7 billion yuan approved [1][1]. - Pop Mart (09992) increased by over 4.8%, reflecting confidence in its development as it recently repurchased shares for the first time since early 2024, which is expected to attract more investors [1][1]. - Nanshan Aluminum International (02610) rose over 4.7% after announcing plans to invest approximately 4.37 billion USD (about 30.56 billion yuan) in a new aluminum project in Indonesia [1][1]. Group 2: Notable Company Announcements - Alibaba Health (00241) rose over 3.3% after launching a new feature for its AI medical application "Hydrogen Ion" [2][2]. - GCL Global (GCL.US) increased by 9.91% ahead of its earnings call scheduled for January 30, 2026 [5][5]. - Ericsson (ERIC.US) continued its upward trend with a 4.03% increase after reporting a strong Q4 2025 financial performance, with adjusted EBITA rising 24% year-on-year [5][5]. Group 3: Market Trends and Price Adjustments - The gold market saw a significant rise, with spot gold prices surpassing 5200 USD, leading to a 7.38% increase in the shares of Wan Guo Gold Group (03939) [2][2]. - The semiconductor sector showed strong performance, with stocks like Naxin Micro (02676) up 10.62% and a price adjustment announcement from Zhongwei Semiconductor indicating a price increase of 15% to 50% due to supply-demand pressures [3][4]. - The storage sector also experienced a pre-market surge, with Micron Technology (MU.US) up 5.44% as price increases spread across the storage market [7][7].