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【省医保局】陕西不断增强参保群众获得感
Shan Xi Ri Bao· 2025-11-05 23:13
Core Viewpoint - The provincial government is implementing reforms to enhance the medical insurance system, focusing on inclusivity for various employment groups and improving benefits for continuous participants in the insurance scheme [1][2][3]. Group 1: Policy Changes - The removal of household registration restrictions allows flexible employment workers, migrant workers, and new economy personnel to participate in employee medical insurance at their place of employment [1][2]. - Special policies for specific groups include allowing out-of-town students and preschool children to enroll in medical insurance at their place of residence, and newborns can be enrolled immediately upon birth [2]. - A continuous insurance incentive policy has been introduced, where individuals who maintain continuous insurance for four years can increase their major illness insurance payment limit by up to 20% [2]. Group 2: Financial Contributions and Benefits - By 2025, the annual financial subsidy per person will increase by 30 yuan, reaching no less than 700 yuan, while the personal contribution remains unchanged at 400 yuan [3]. - The concentrated payment period is set from October to December 25, with continuous contributions during this period ensuring coverage for the entire year of 2026 [3]. Group 3: Special Provisions and Digital Services - A "green channel" for enrollment has been established for special groups such as the spouses and minor children of veterans, allowing them to receive benefits immediately even outside the concentrated payment period [4]. - The introduction of an "insurance wallet" for online and inter-provincial payment services aims to enhance convenience for participants [4]. - Digital initiatives include the establishment of a comprehensive database for enrollment, facilitating precise service delivery and making it easier for individuals to register and pay for insurance [4].
聚焦精细化管理 陕西全力建设“一人一档”全民参保数据库
Zhong Guo Xin Wen Wang· 2025-11-05 08:55
Core Insights - Shaanxi Province is focusing on building a "one person, one file" national insurance database to enhance the accessibility and convenience of insurance services [1][2][3] - The province aims to transition from "mandatory participation" to "high-quality participation" in medical insurance, ensuring sustainable development of the medical insurance system [1][2] Group 1: Policy Measures - The implementation of the "Implementation Opinions on Improving the Long-term Mechanism for Basic Medical Insurance Participation" aims to consolidate and expand insurance coverage [1][2] - Policies have been introduced to eliminate household registration restrictions for insurance participation, ensuring that flexible employment workers, migrant workers, and new economy personnel can participate in employee medical insurance [1][2] - Incentives for high-cost medical insurance payments have been established for continuous participants or those with zero reimbursements, with a maximum increase of 20% over the original payment limit [1] Group 2: Digital Empowerment and Management - The "one person, one file" initiative aims to create independent and continuously updated electronic insurance records for individuals, tracking their insurance journey from birth to old age [2] - This initiative addresses issues of fragmented information and insufficient continuity in traditional insurance management models, laying the groundwork for personalized health management services [2] - The province is enhancing the user experience by integrating newborn registration services and extending insurance registration to local communities, universities, and bank branches [2] Group 3: Future Directions - Shaanxi Province will continue to improve policy measures and implement the incentive and constraint mechanisms for resident medical insurance benefits [3] - Ongoing efforts will focus on enhancing service efficiency and advancing the construction and dynamic updating of the "one person, one file" national insurance database [3]
【省医保局】陕西各市(区)医保钱包全覆盖
Shan Xi Ri Bao· 2025-11-03 22:55
Core Points - The province has fully launched the medical insurance wallet function across all cities, enhancing the convenience of medical insurance payment for residents [1] - The medical insurance wallet is linked to personal medical insurance codes and addresses the challenge of cross-province mutual assistance, allowing family members to share funds within the province [1] Group 1 - The medical insurance wallet now includes new features such as resident insurance payment, family mutual assistance (including cross-province), and medical purchase settlement [1] - Residents can activate the medical insurance wallet through the "National Medical Insurance Service Platform" app, with specific transfer limits and operational hours [1] - Nearly 700 designated medical institutions have completed interface upgrades to support transactions via the medical insurance wallet [1] Group 2 - During the concentrated payment period for resident medical insurance, multiple payment channels are available, including online banking and mobile banking from ten partner financial institutions [2] - Offline payment options include bank counters, self-service machines, and the ability to pay for close relatives' insurance through the employee medical insurance personal account mutual assistance feature [2]
山西全面开通“医保钱包”啦!(附操作指南)
蓝色柳林财税室· 2025-09-28 01:19
Core Viewpoint - The article discusses the launch and functionality of the "Medical Insurance Wallet" in Shanxi Province, which allows insured individuals to transfer funds from their personal medical insurance accounts to their close relatives' wallets for medical expenses and insurance payments. Group 1: Introduction to Medical Insurance Wallet - The "Medical Insurance Wallet" is a fund account linked to the personal medical insurance code of the insured, enabling fund transfers for medical and insurance-related transactions among close relatives, including cross-province usage [5]. Group 2: Steps to Open and Use the Wallet - To open the Medical Insurance Wallet, users must log into the "National Medical Insurance Service Platform" app and follow a series of steps to confirm usage and set up the wallet [6][8][9]. - For family members, the process involves selecting a bound relative's account and confirming the wallet setup, which can be done by family members on behalf of those who may not have smartphones [10][12][15]. Group 3: Changing Usage Location - Users can change the usage location of their Medical Insurance Wallet by accessing personal information in the app and submitting a request for the change, which will be confirmed upon successful submission [17][19]. Group 4: Fund Transfer Process - The transfer process requires both the sender and recipient to have the Medical Insurance Wallet function enabled in their regions. Users must fill in recipient details and transfer amounts, followed by a verification step [20][21][22]. - Users can track their transfer records through the app, which provides details on both outgoing and incoming transactions [23].
医保钱包实现跨省转账 如何开通?怎么使用?一文了解
Yang Shi Xin Wen· 2025-09-24 19:18
Core Insights - The recent upgrade of medical insurance services allows participants in employee medical insurance to transfer surplus funds from their personal accounts to family members in different provinces, facilitating cross-province mutual aid [1][3]. Group 1: Policy Impact - The implementation of the medical insurance wallet has significantly alleviated the financial burden on patients, particularly benefiting those who study, work, or retire in different locations [2]. - As of August 2025, Sichuan province has opened 150,000 medical insurance wallets, facilitating 34,000 transactions totaling approximately 24 million yuan [2]. Group 2: Financial Statistics - In the first seven months of this year, the total amount transferred through medical insurance wallets reached 116 million yuan, with 170,600 transactions conducted both within and across provinces [5]. - The cumulative balance of employee medical insurance personal accounts exceeded 1.44 trillion yuan in 2024, indicating a significant amount of dormant funds [3]. Group 3: Operational Guidelines - To open and use the medical insurance wallet, users must log into the National Medical Insurance Service Platform App and follow specific steps to activate the wallet [8]. - Each medical insurance wallet account is limited to three transfers per day, with a maximum transfer amount of 2,000 yuan per transaction [9].
国家医保局:医保钱包“共济金额”超2亿
Ren Min Wang· 2025-09-23 02:19
Core Points - The article discusses the launch of the Medical Insurance Wallet, which allows insured individuals to share their medical insurance funds with family members for medical expenses and insurance payments [2][10]. Group 1: Medical Insurance Wallet Overview - The Medical Insurance Wallet is a fund account linked to the personal medical insurance electronic certificate, enabling fund sharing among close relatives, including cross-province transactions [2]. - The primary goal of the Medical Insurance Wallet is to facilitate cross-province sharing, particularly transferring funds from employee insurance accounts to residents' insurance participants [2][10]. Group 2: Usage of Medical Insurance Wallet - Users can transfer funds from their personal medical insurance accounts to the Medical Insurance Wallet of close relatives after activation [3]. - Funds in the Medical Insurance Wallet can be used to pay for medical expenses at designated medical institutions [4]. - Currently, over 170,000 designated medical institutions and over 100,000 retail pharmacies support the use of the Medical Insurance Wallet for transactions [5]. Group 3: Implementation Status - As of now, the Medical Insurance Wallet has been launched in 30 provinces, municipalities, and regions, with the exception of Guangdong, which has not yet implemented this feature [10]. - Over 1.5 million insured individuals have activated and used the Medical Insurance Wallet since its launch, successfully completing 305,000 transactions, with the total amount exceeding 200 million yuan [13]. Group 4: Additional Features and Support - The Medical Insurance Wallet allows users to change their usage location if they accidentally select the wrong insurance area, with this feature available in 15 provinces [16]. - A function for proxy activation of the Medical Insurance Wallet is available for those who cannot use smartphones, ensuring accessibility for all family members [16].
山西全面开通“医保钱包”啦!(附操作指南)
蓝色柳林财税室· 2025-09-23 01:02
Core Points - The article discusses the launch of the "Medical Insurance Wallet" in Shanxi Province, which will be fully operational by August 2025, detailing its functionalities and usage [1][3]. Group 1: Opening the Medical Insurance Wallet - To open the wallet for oneself, users must log into the "National Medical Insurance Service Platform" APP and follow a series of steps including confirming usage and verifying the wallet location [4][6][7]. - For opening the wallet on behalf of family members, users must select a family member from a pre-bound account and confirm the wallet's usage location [8][9]. Group 2: Changing Usage Location - Users can change the wallet's usage location by accessing the personal information section in the APP and submitting the new location [10][13][14]. - A record of all changes made to the wallet's usage location can be viewed within the APP [15]. Group 3: Transferring Funds - The wallet allows for fund transfers, but both the sender and recipient must have the wallet function activated in their respective regions [16][22]. - Users must fill in recipient information and transfer amounts, followed by a verification step to complete the transfer [17][18][20]. Group 4: Usage Guidelines - The wallet can be used for various medical expenses, including self-paid costs at designated medical institutions and for personal insurance contributions [24][25]. - There are limits on the number of transfers and total amounts that can be transferred daily, with specific operational hours for transfers [22].
医保个人账户给家人“转账”,用它→实用指南
蓝色柳林财税室· 2025-09-22 13:36
Core Viewpoint - The article discusses the introduction and functionality of the Medical Insurance Wallet, which allows for the pooling of personal medical insurance accounts among close relatives, facilitating medical expense payments and insurance contributions across provinces in China [3][4][7]. Group 1: What is the Medical Insurance Wallet? - The Medical Insurance Wallet is a fund account opened by the medical insurance department for insured individuals, linked to their personal medical insurance electronic credentials, enabling fund sharing among close relatives for medical expenses [3]. - The primary goal of the Medical Insurance Wallet is to address the issue of cross-province fund sharing, particularly transferring funds from employee insurance accounts to residents' insurance participants [3]. Group 2: How to Use the Medical Insurance Wallet? - After opening the Medical Insurance Wallet, insured individuals can transfer funds from their personal medical accounts or the wallet to the wallets of close relatives [4]. - Funds in the Medical Insurance Wallet can be used to pay for medical expenses at designated medical institutions. Currently, over 170,000 designated medical institutions and over 100,000 retail pharmacies nationwide support the use of the Medical Insurance Wallet [5]. - Residents can also use the funds in the Medical Insurance Wallet for insurance contributions [6]. Group 3: Regions with Medical Insurance Wallet Availability - As of now, the Medical Insurance Wallet is available in 30 provinces (municipalities and autonomous regions) and the Xinjiang Production and Construction Corps, with Guangdong being the only province not yet online [7]. - Even in regions where the wallet is available, some cities may still be undergoing technical adjustments, so users should confirm local availability before use [7]. Group 4: User Statistics - Over 1.5 million insured individuals have opened and used the Medical Insurance Wallet, successfully transferring funds in 305,000 transactions, with the total amount exceeding 200 million yuan [8].
就医购药、参保缴费都可用 转存收藏医保钱包实用指南
Yang Shi Xin Wen· 2025-09-22 01:58
Core Concept - The "Medical Insurance Wallet" is a new feature that allows for the pooling of individual medical insurance accounts among close relatives, facilitating medical expense payments and insurance contributions through a national medical insurance service platform app [2][3]. Group 1: Functionality of the Medical Insurance Wallet - The Medical Insurance Wallet enables insured individuals to transfer funds from their personal medical accounts to the wallets of close relatives [3]. - It can be used for settling medical expenses at designated medical institutions and pharmacies, with over 170,000 medical institutions and 100,000 retail pharmacies nationwide currently supporting this feature [4]. - Residents can also use the funds in their Medical Insurance Wallet for insurance premium payments [7]. Group 2: Availability and Usage - The Medical Insurance Wallet is available in 30 provinces, municipalities, and regions, with the exception of Guangdong, which has not yet launched the service [8]. - As of now, over 1.5 million insured individuals have activated and used the Medical Insurance Wallet, successfully transferring funds in 305,000 transactions, amounting to over 200 million yuan [9]. - Users are advised to check the local availability of the Medical Insurance Wallet before attempting to use it, as some areas may still be in the process of activation [8]. Group 3: Additional Features - The Medical Insurance Wallet allows for a change of usage location if the wrong insurance area is selected, with this feature currently available in 15 provinces [14][15]. - A "proxy activation" feature is available for those who may not be able to use smartphones, allowing family members to activate the wallet on behalf of others [16].
职工医保账户余额可以转账了!这样开通→操作方法
蓝色柳林财税室· 2025-09-19 06:43
Core Viewpoint - The article discusses the functionality of the medical insurance wallet, which allows insured individuals to transfer funds from their personal medical insurance accounts to their close relatives' accounts for medical expenses, including cross-province transfers [2][4]. Group 1: Medical Insurance Wallet Overview - The medical insurance wallet is a fund account opened by the medical insurance department for insured individuals, linked to their personal medical insurance code [2]. - Insured individuals can use the wallet to transfer funds to close relatives for medical treatment and medication purchases, facilitating inter-family support [2]. Group 2: Cross-Province Fund Sharing - Previously, the personal medical insurance account only allowed fund sharing within the same province. Now, if an insured person has surplus funds in their account, they can transfer money to family members in different provinces, provided the family members are enrolled in basic medical insurance locally [4]. Group 3: Wallet Opening Process - To open a medical insurance wallet, users must log into the "National Medical Insurance Service Platform" and confirm their information to complete the wallet setup [6][10][12]. Group 4: Transfer Process - Users can initiate a transfer by filling out the recipient's information and submitting a transfer request. The transfer limits include a maximum of three transactions per day and a maximum amount of 2000 yuan per transaction [18][22]. - If the recipient does not accept the transfer promptly, the funds will be returned to the sender's account the next day [24].