湖南城乡居民医保
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大病住院最多可报55万元 湖南启动2026年度医保参保动员
Zhong Guo Xin Wen Wang· 2025-10-11 10:11
Core Points - The core message of the news is the launch of the 2026 annual medical insurance enrollment campaign in Hunan Province, emphasizing the importance of universal coverage and enhanced benefits for residents [1][2]. Group 1: Enrollment and Payment - The personal payment standard for the 2026 annual urban and rural residents' medical insurance is set at 400 yuan per person, with a centralized payment period ending on January 31, 2026 [1]. - The Hunan tax department and medical insurance department have introduced an upgraded service for "payment and enrollment together," allowing new enrollees to complete their registration and payment simultaneously through the "Xiang Tax Social Security" app [3]. Group 2: Benefits and Coverage - The medical insurance system in Hunan provides significant financial support, with a maximum reimbursement of 550,000 yuan for major hospitalizations, while common ailments can be reimbursed over 400 yuan at primary care facilities [3]. - In 2024, the total income for Hunan residents' medical insurance is projected to be 59.6 billion yuan, with expenditures of 54.9 billion yuan, resulting in a surplus of 4.6 billion yuan [4]. - Over 180,000 residents have received reimbursements exceeding 50,000 yuan, with more than 40,000 receiving over 100,000 yuan, and around 10,000 receiving over 200,000 yuan [4]. Group 3: Policy Initiatives - The Hunan Medical Insurance Bureau has implemented measures to simplify processes, enhance benefits, optimize services, and strengthen supervision, aiming to improve the overall experience for insured residents [2]. - The policy changes include eliminating upfront payments for outpatient medications for chronic and special diseases, expanding the range of drugs available at the grassroots level, and increasing reimbursement rates for certain projects to 90% after reforms [2].