Workflow
城乡居民医疗互助保险
icon
Search documents
互助医疗保险解高原群众看病之忧
Jin Rong Shi Bao· 2025-10-22 06:15
Core Insights - The implementation of the rural residents' mutual medical insurance in Tibet has significantly alleviated the financial burden of medical expenses for local families, preventing them from falling into poverty due to illness [1][5][6] - The insurance program integrates multiple layers of medical coverage, including basic insurance, major illness insurance, medical assistance, and mutual insurance, creating a comprehensive safety net for residents [1][4][5] Group 1: Impact on Families - The case of Tsering Dorji highlights how the mutual insurance allowed his family to afford a kidney transplant for his son, which would have otherwise been financially unfeasible [2][3] - The experience of Mianqiong demonstrates that her family only had to pay 6,000 yuan out of a total medical expense of 315,200 yuan for her mother's treatment, thanks to the layered insurance coverage [3][5] Group 2: Policy Implementation and Effectiveness - The mutual insurance program was launched in 2022 by China Life Insurance Company in the region, filling a gap in medical mutual insurance in Tibet [4][5] - The program has led to a significant reduction in the medical burden for residents, with 4,997 patients receiving a total of over 14.24 million yuan in claims, benefiting nearly 5,000 families [5][6] Group 3: Service Network and Technological Integration - China Life Insurance has established a four-tier service network across Tibet, ensuring that medical insurance services reach remote areas [6] - The integration of technology has streamlined the claims process, reducing the reimbursement time from 15 days to within 5 days, and achieving over 80% of claims settled instantly online [6][7] Group 4: Future Outlook - The company aims to continue enhancing the medical insurance framework in Tibet, contributing to the overall health and well-being of the population while supporting the region's socio-economic development [7]
四重保障托起高原希望,中国人保互助保险的“墨竹样本”
Quan Jing Wang· 2025-10-11 09:50
Core Points - The introduction of the rural residents' mutual medical insurance in Tibet's墨竹工卡县 has significantly improved healthcare access and financial protection for families facing high medical costs [4][5][6] - The insurance scheme has created a four-tiered protection system combining basic medical insurance, critical illness insurance, medical assistance, and mutual insurance, effectively reducing the financial burden on residents [4][5][6] Group 1: Impact on Families - The case of次仁多吉 illustrates how the mutual insurance allowed his family to afford a kidney transplant for his son, significantly reducing out-of-pocket expenses [2][3] - 面琼's family experienced a similar benefit, where their total medical expenses of 315,200 yuan were reduced to just over 6,000 yuan after multiple layers of insurance reimbursements [3][4] Group 2: Insurance Implementation and Benefits - The mutual insurance program has compensated 4,997 patients with over 14.24 million yuan, alleviating financial pressure for nearly 5,000 families [5][6] - The program has been recognized for enhancing the multi-tiered medical insurance system, contributing to rural revitalization, and improving residents' sense of well-being and happiness [4][5] Group 3: Operational Efficiency - The insurance scheme has established an integrated service system, allowing for one-stop claims processing and efficient management of multiple medical insurance programs [4][6] - The company has leveraged technology to streamline the claims process, reducing the time for claims processing from 15 days to within 5 days, enhancing service efficiency [7][8] Group 4: Broader Implications - The mutual insurance initiative is part of a broader strategy to build a comprehensive healthcare safety net in Tibet, addressing the unique challenges of remote areas with limited medical resources [6][7] - The program serves as a model for other regions in Tibet, demonstrating how to effectively integrate various layers of medical insurance to provide comprehensive coverage [5][6]