线下缴费渠道：各乡镇（街道）"城乡居民基本医疗保险"代征点智能POS机缴费；海南农商银行网点自 动取款机ATM、存取款机（CRS）；邮储银行、工商银行、交通银行、中信银行、招商银行营业网点 柜面。记者 刘兵 本报讯 距离2026年海南省城乡居民基本医疗保险和长期护理保险集中征缴期结束（2月28日）仅剩3 天，省社保中心提醒居民抓紧确认自己或家人是否已缴费，如还未办理需抓紧时间。 缴费标准：18周岁以上缴费标准426元（含长期护理保险26元），18周岁以下缴费标准400元。 线上缴费渠道：1."海南社保医保"微信公众号。点击"海南社保医保"微信公众号，选择"微信息"-"社保 医保个人缴费"，进入"社保缴费"业务，选择"城乡医疗+长护险缴费"。 2."海南医保"小程序或App。进入"海南医保"首页，点击"居民医保及长护险缴费"进入"社保云缴费"小 程序。 ...

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。 ...

Core Viewpoint - The government of Guangxi has announced a full subsidy for personal contributions to the urban and rural basic medical insurance for eligible severely disabled individuals starting from 2027, aiming to enhance the social security system for disabled persons in the region [1][2]. Group 1: Policy Details - The subsidy applies to severely disabled individuals who hold a valid disability certificate and are residents of Guangxi, specifically those classified as level one or two [1]. - The government will provide full subsidies for the personal contribution portion of the insurance, with specific guidelines on how to apply for the subsidy based on the individual's status [1][2]. Group 2: Implementation Mechanism - Severely disabled individuals can enjoy the subsidy through an "automatic benefit" system, where local disability associations and healthcare departments coordinate to handle the subsidy without requiring individual applications [2]. - For those who register in a different location from where their disability certificate was issued, a "pay first, reimburse later" method will be used, allowing them to apply for the subsidy after payment [2]. Group 3: Impact on Disabled Individuals - This policy is expected to significantly reduce the medical insurance costs for severely disabled individuals, ensuring they have stable access to basic medical insurance benefits [2].

第二个是近亲属到医院去看病就医的时候，居民医保有报销，除了报销还得个人交一部分，这一部分也 可以用职工个人账户里的钱去交。 现在医保有一些省份已经实现了省级统筹，有一些省份还是地市级的统筹。比如一个参保人参加了北京 的职工医保，个人账户里有钱。但是父母在山东老家参加的是当地的城乡居民基本医疗保险，父母去看 病的时候除了报销之外，个人还要负担一笔钱，这笔钱我可以用在北京的职工医保个人账户去进行支 付，这就是我们说的跨省共济。 新华访谈：跨省共济可支付哪些费用？ 中国社会科学院经济研究所研究员王震：政策范围内的费用都可以支付，包括医药费，到药店去买药的 费用，只要是当地开通了对药店的医保支付系统，都可以去支付。除了医药费，近亲属参加居民医保的 个人缴费，也可以去共济。比如说我有收入，我的亲属虽然参加了居民医保，但是他们待遇低，需要个 人缴一些费用，就可以用个人账户的钱替他们交上，这叫家庭内部的小共济。 新华访谈：共济范围具体包括哪些人？ 新华访谈：什么是医保账户跨省共济？ 中国社会科学院经济研究所研究员王震：现在国家基本医保制度包括职工基本医保和城乡居民医保。职 工医保是城镇就业人员参加的，比如在单位参加的基本医 ...

兵团医疗保障局工作人员（右）向群众宣传医保缴费政策（摄于2025年9月30日）。哈丽玛赛金祥 摄 2025年12月25日，在十二师市民中心政务服务大厅医保服务窗口，工作人员（左）为前来办理医保卡业 务的群众讲解流程。 兵团日报常驻记者 冯晓玲 摄 2025年12月23日，二师医保局医保经办人员（右）在耐心地为群众讲解医保业务办理流程。 兵团日报 常驻记者 李嘉成 通讯员 陈博伟 摄 截至2025年11月，全兵团基本医疗保险基金总支出76.81亿元，其中即时结算资金为57.39亿元；跨省异 地就医329.39万人次，跨省异地就医直接结算率稳定在98%以上；资助2.99万困难群众参保，资助金额 980.85万元，医疗救助资助金额达4640.06万元……这一组组扎实的数据，勾勒出兵团医疗保障事业稳步 前行的轨迹。 为进一步做好城乡居民基本医疗保障有关工作，不断增强基本医疗保障能力，努力解除职工群众医疗后 顾之忧，兵团医疗保障局认真贯彻落实国家医保惠民政策，根据国家医疗保障局会同财政部、国家税务 总局有关文件精神，2025年陆续印发了《关于推进兵团医疗保障基金即时结算改革通知实施方案（试 行）》《基本医保基金即时结算 ...

承办检察官在初步审查后认为，首先要查明：贺某两次拿姐姐身份证给妻子办住院及报销的行为之间是 否存在合理关联？冒用身份是否必然等同于诈骗？ 此外，案发后，贺某和妻子并未逃避调查，县医疗保障局发现冒名情况后，二人第一时间退还了报销款 项；公安机关立案后，二人也积极配合调查、说明情况。这种主动退还、承担责任的行为，也与常见诈 骗案中犯罪嫌疑人隐匿踪迹、拒不退赃的行为模式有明显区别。 鉴于案件定性存在疑问，中阳县检察院将审查焦点放在诈骗罪的核心构成要件——"非法占有目的"，并 以此为导向，引导公安机关有针对性地侦查。 2021年，贺某为妻子办理住院时，不慎错拿了姐姐贺某乙的身份证。数月后，贺某的妻子因同一疾病再 次住院，为保持病历连贯，他再次使用了这张不属于妻子的证件。 4年后，这条"冒用他人身份报销医保"的线索，进入公安机关视野。案件侦查过程中，山西省中阳县检 察院应邀依法介入，承办检察官通过深挖行为动机、厘清主观意图，引导公安机关补充侦查，最终改变 了案件走向。 2025年4月7日，中阳县医疗保障局在开展医保基金管理突出问题专项整治过程中，发现贺某涉嫌冒用他 人身份信息报销医疗费用的线索，遂将该线索移送县公安局。 ...

Core Insights - The province has prioritized public health in its strategic development, investing a total of 107 billion yuan during the "14th Five-Year Plan" period to enhance the multi-tiered medical security system [1] Group 1: Financial Support for Medical Insurance - The per capita financial subsidy for urban and rural residents' basic medical insurance has increased from 550 yuan at the end of the "13th Five-Year Plan" to 700 yuan by 2025, accounting for 64% of the total per capita funding [1] - Over 80 million people in the province have benefited from these subsidies [1] Group 2: Support for Major Illness Insurance and Assistance - Various assistance policies have been implemented to support low-income individuals, including subsidies for participating in resident medical insurance, preferential payments for major illness insurance, and outpatient and inpatient cost assistance [1] - The province has established a long-term mechanism for basic medical insurance participation and implemented direct settlement for cross-province medical services, covering hospitalization, outpatient services, and pharmacies [1] Group 3: Future Financial Allocations - The province has pre-allocated 11.829 billion yuan for the year 2026 for urban and rural residents' basic medical insurance, medical assistance, and the construction of medical security service capabilities, accelerating the implementation of these policies [1]

Group 1 - The total income of the basic medical insurance fund (including maternity insurance) in China from January to November 2025 is 26,320.68 billion yuan, while the total expenditure is 21,100.46 billion yuan, indicating a stable overall operation of the fund [1][2] - The income from the employee basic medical insurance fund (including maternity insurance) is 16,643.79 billion yuan, and the income from the urban and rural residents' basic medical insurance fund is 9,676.89 billion yuan [1][2] - The expenditure from the employee basic medical insurance fund (including maternity insurance) is 12,033.33 billion yuan, which includes 1,218.97 billion yuan for maternity insurance benefits; the expenditure from the urban and rural residents' basic medical insurance fund is 9,067.14 billion yuan [1][2]

Core Insights - The central government has invested over 3 trillion yuan since 2018 to enhance health insurance coverage for residents, ensuring better security for vulnerable groups and more convenient medical services [1] - By 2025, the total number of residents benefiting from health insurance is expected to exceed 18 billion person-times, with significant financial support from the government [1] Group 1: Financial Support for Health Insurance - From 2018 to 2025, the central government has allocated a total of 2.87 trillion yuan for urban and rural residents' basic medical insurance subsidies, benefiting participants in the insurance scheme [1] - By 2025, the average total funding for urban and rural residents' basic medical insurance is projected to be 1,100 yuan per person, with government subsidies accounting for over 60% of this amount [1] Group 2: Medical Assistance and Coverage - The central government has provided 237.5 billion yuan for urban and rural medical assistance from 2018 to 2025, supporting 79.16 million people in participating in basic medical insurance in 2024 [1] - The reimbursement rate for rural low-income populations and those who have escaped poverty remains stable at over 90%, with insurance participation rates exceeding 99% [1] Group 3: Improvement in Medical Service Levels - From 2019 to 2025, the central government has allocated 27.6 billion yuan for enhancing medical service capabilities, leading to the establishment of a unified national health insurance information platform [2] - Over 1.2 billion people have benefited from the convenient medical insurance code, and the number of cross-province direct settlement cases has increased by 110 times [2] - The number of designated medical institutions for cross-province hospitalization has grown from 27,600 to 80,000 [2]

2025.12. 18 本文字数：2178，阅读时长大约4分钟 作者 | 第一财经 吴斯旻 "投资于人"是"十五五"期间激活经济发展内生动能和改善民生的一条逻辑主线。 在此背景下，未来五年，政府对医疗健康领域的投入有望持续加大，其中，针对供方补助，将回应公 立医院维持公益性运营的关切；针对需方补助，将回应老龄少子化、医疗科技发展下减轻群众看病就 医自费负担的期待，重点投向提升医保待遇、增加生育支持等方面。 18日，国家卫健委主任雷海潮在《人民日报》上发表"加快建设健康中国（学习贯彻党的二十届四中 全会精神）"的署名文章。为准确把握"十五五"规划建议中加快建设健康中国的总体要求，雷海潮在 前述文章中提出，需要牢牢把握投资于物和投资于人紧密结合的工作思路。 《中共中央关于制定国民经济和社会发展第十五个五年规划的建议》（下称"'十五五'规划建议"）提 出"合理提高公共服务支出占财政支出比重""加强人力资源开发和人的全面发展投资"，同时，加快 建设健康中国，以公益性为导向深化公立医院改革，健全覆盖全人群、全生命周期的人口服务体系。 "从现在到2035年建成健康中国还有10年时间。要抓住卫生健康服务发展不平衡不充分的主 ...