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好消息!医保账户余额能转账了
Sou Hu Cai Jing· 2025-08-27 00:53
您知道吗? 一定要看下自己要去的医院 目前能不能用医保钱包 一起来看看~ 医保钱包是什么 医保钱包是医保部门为参保人开通的资金账户,与个人医保码相关联。 参保人可通过医保钱包转账功能,将医保个人账户资金转账至近亲属的医保钱包,用于就医购药结算,实现近亲属之间(含跨省)医保个人账户共济使 用。 个人账户资金跨省家庭共济 医保个人账户不光能自己用 还能给家人"钱包转账" 但转账前 以往医保个人账户只实现了省内共济,如果参保人和家人不在同一个省份参保,是无法实现共济的。 当前,如果参保人参加职工医保,且个人账户上有富余资金,即便参与共济的家人在外地,只要家人在当地参加基本医保,参保人就可以使用医保钱包向 家人转账,实现个人账户资金跨省共济使用。 (上下) 1 医保钱包开立流程 打开国家医保服务平台,若是显示未登录,点击未登录即可登录(如果是首次登录,点击立即注册),若是已登录,忽略此步骤: 在国家医保服务平台首页,点击医保钱包,进入之后会显示医保钱包待开通信息,确认使用钱包界面: $$|\Xi\langle\Xi|\overleftarrow{\Phi}\overleftarrow{\Phi}\rangle\opl ...
决胜“十四五” 打好收官战|织密医疗保障网——我国基本医保制度不断完善
Xin Hua She· 2025-08-24 12:19
新华社北京8月24日电 医保,关系着每个人的切身利益,是民生保障中的重要一环。 以解除全体人民的疾病医疗后顾之忧为根本目的,"十四五"以来,我国医保提质扩面广覆盖,进一步减 轻人民群众疾病医疗负担,守好"看病钱""救命钱"。 全民参保进入新阶段 国家医保局局长章轲介绍,"十四五"期间,全国基本医保参保率稳定在95%左右。2021年至2024年,累 计近200亿人次享受医保报销。 "居民医保是我送给孩子的第一份礼物!"山东济南刘女士产后住院时,便线上为孩子办好了医保。 新生儿凭出生证明就可以参保,参保后即可享受待遇;进一步放开放宽参保户籍限制;创新建立参保缴 费激励约束机制……我国全民参保进入新阶段。 ——扩大生育保险覆盖面。截至2025年6月,有2.53亿人参加生育保险,基金累计支出4383亿元,享受 待遇9614.32万人次。 "目前,全国有近六成统筹地区将生育津贴直接发放给参保女职工。"章轲说,我们将加快新生儿护理、 分娩镇痛等价格项目立项,促进儿科、产科优化服务,积极推动目录内生育医疗费用全报销。 ——完善大病保险、医疗救助制度。"十四五"时期各项医保帮扶政策累计惠及农村低收入人口就医达到 6.73亿人 ...
决胜“十四五” 打好收官战|织密医疗保障网——我国基本医保制度不断完善
Xin Hua She· 2025-08-24 07:18
全民参保进入新阶段 国家医保局局长章轲介绍,"十四五"期间,全国基本医保参保率稳定在95%左右。2021年至2024年,累 计近200亿人次享受医保报销。 "居民医保是我送给孩子的第一份礼物!"山东济南刘女士产后住院时,便线上为孩子办好了医保。 新生儿凭出生证明就可以参保,参保后即可享受待遇;进一步放开放宽参保户籍限制;创新建立参保缴 费激励约束机制……我国全民参保进入新阶段。 ——扩大生育保险覆盖面。截至2025年6月,有2.53亿人参加生育保险,基金累计支出4383亿元,享受 待遇9614.32万人次。 "目前,全国有近六成统筹地区将生育津贴直接发放给参保女职工。"章轲说,我们将加快新生儿护理、 分娩镇痛等价格项目立项,促进儿科、产科优化服务,积极推动目录内生育医疗费用全报销。 新华社北京8月24日电 题:织密医疗保障网——我国基本医保制度不断完善 新华社记者彭韵佳、徐鹏航 医保,关系着每个人的切身利益,是民生保障中的重要一环。 以解除全体人民的疾病医疗后顾之忧为根本目的,"十四五"以来,我国医保提质扩面广覆盖,进一步减 轻人民群众疾病医疗负担,守好"看病钱""救命钱"。 跨省共济,只是医保待遇保障"扩容 ...
持续巩固拓展全民参保成果
Jing Ji Ri Bao· 2025-08-02 21:50
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].
【省医保局】全省医保重点工作现场推进会议在榆林召开
Shan Xi Ri Bao· 2025-07-18 00:25
Core Insights - The meeting held on July 16 focused on reviewing the performance of the provincial medical insurance system in the first half of the year and planning for the second half [1] Group 1: Performance and Achievements - The provincial medical insurance system has made steady progress in reform, management, and service optimization, with improvements in both quality and efficiency [2] - Key reforms include the implementation of the provincial adjustment fund system, payment method reforms, and the dynamic adjustment of medical service prices [2] - Special initiatives have been effectively carried out, including the rectification of issues in medical insurance fund management and the crackdown on fraudulent activities in the pharmaceutical sector [2] Group 2: Future Focus and Strategies - The provincial medical insurance system aims to enhance the balance between development and safety, improve fund management, and expand the coverage of medical institutions [3] - There is a strong emphasis on integrating medical insurance work into broader development strategies and improving the resilience and efficiency of fund operations [3] - Long-term planning is essential, with a focus on institutional development and optimizing management practices to ensure effective service delivery [3] Group 3: Collaborative Efforts and Innovations - The meeting highlighted the importance of collaboration among various departments and the need for continuous innovation in medical insurance practices [4] - Observations were made at various local facilities to assess innovative practices and their effectiveness in improving medical insurance services [4]
全国337个统筹区已开通医保钱包,实现跨省共济
Core Points - The National Healthcare Security Administration announced that as of June 30, 2025, 337 coordinated areas across 30 provinces and the Xinjiang Production and Construction Corps have opened the medical insurance wallet, enabling cross-province mutual assistance [1][2] - The initiative aims to enhance the fairness of social security and improve the efficiency of personal medical insurance accounts, making medical services more convenient for citizens [1] - The number of coordinated areas with open medical insurance wallets has increased by over 100 in less than two months, indicating rapid expansion [1] Summary by Sections Medical Insurance Wallet Implementation - The medical insurance wallet allows for the mutual assistance of personal medical accounts among close relatives, enabling fund transfers for medical expenses and personal contributions to health insurance [2] - Users can activate the medical insurance wallet through the National Medical Insurance Service Platform App, but both the sender and recipient must have the wallet function enabled in their respective regions for transfers to occur [2] Regional Coverage - As of June 30, 2025, 24 provincial-level medical insurance departments have fully opened the medical insurance wallet across their jurisdictions, including major provinces such as Beijing, Shanghai, and Guangdong [1]
职工医保个人账户里的钱如何跨省给家人用?一文教会你操作步骤
蓝色柳林财税室· 2025-07-06 01:19
Core Viewpoint - The article discusses the expansion of the personal account system in China's employee medical insurance, allowing for cross-province family pooling of funds, which enhances the accessibility and flexibility of medical expenses for family members [3][5]. Group 1: Overview of Medical Insurance Personal Accounts - The employee medical insurance system in China combines social pooling and personal accounts, where funds can be used for personal medical expenses [1]. - The personal account funds were previously limited to intra-province pooling, but now allow for cross-province transfers if family members are enrolled in basic medical insurance [3]. Group 2: Implementation of Cross-Province Family Pooling - In 2021, the scope of personal account usage was expanded to include spouses, parents, and children, and in 2024, it was further extended to include all close relatives participating in basic medical insurance [5]. - To utilize the medical insurance wallet for transfers, users must download the National Medical Insurance Service Platform App and confirm their usage [4][10]. Group 3: Transfer Process and Limitations - The transfer process involves logging into the app, selecting the transfer option, and entering the recipient's information and transfer amount, with a minimum transfer amount of 1 yuan and a daily limit of 2000 yuan [12][15]. - Users must ensure that both the sender and recipient's regions have activated the medical insurance wallet function for successful transfers [10]. Group 4: Usage of Medical Insurance Wallet - Funds in the medical insurance wallet can be used to pay for personal medical expenses at designated medical institutions and for individual contributions to resident medical insurance [19][21]. - The article provides contact information for various provinces for inquiries related to the medical insurance wallet services [22][23].
陕西医保钱包上线
Shan Xi Ri Bao· 2025-07-04 22:55
Core Points - The article discusses the launch of the medical insurance wallet service in Shaanxi, allowing employees' personal medical insurance account funds to be transferred to family members in other provinces, enhancing convenience and accessibility [1][2] - The service aims to alleviate the medical burden on insured individuals and improve the utilization of personal account funds, which were previously underutilized [1] - The implementation of the medical insurance wallet is part of a broader initiative to promote cross-province sharing of personal medical insurance account funds [2] Summary by Sections Medical Insurance Wallet Service - The medical insurance wallet allows real-time sharing of personal account funds among close relatives, such as parents and spouses, breaking geographical limitations [1] - Users can easily transfer funds through the National Medical Insurance Service Platform APP by completing a face verification or medical insurance code password verification [1] Transaction Details - Users can transfer a maximum of 3 transactions per day, with each transaction capped at 2000 yuan, and transfers are paused from 10 PM to 6 AM [2] - Funds cannot be transferred back to personal accounts, and both sender and recipient must have the medical insurance wallet feature activated in their respective regions [2] Future Developments - The initiative is currently piloted in Xi'an, with plans to expand the service to more cities, including Baoji and Yulin, and to enhance the range of medical institutions accepting wallet payments [2] - The goal is to improve the efficiency of personal account fund usage and reduce the medical expenses for the public, thereby extending the benefits of medical insurance policies to a larger population [2]