本公众号原创及转载文章、图片、视频等（包括），版权归原作/译者所有，如您对文章、图片、视频 有权利要求，可留言或通过邮箱、电话与中国医药物资协会信息宣传部联系，我们将及时回复。原创文 章除特别声明外，欢迎非商业转载，敬请注明出处。 从福州市医保局获悉，最近有参保人员反映，在省外药店买药时，一刷卡就报错，不知道是不是社保卡 出问题了。 "其实不是系统出错，也不是社保卡有问题！而是福建在11月份上线了'异地就医购药限制'功能。简单 来说，就是为了保障参保人员的医保账户安全，多了一道'授权开关'，设置一下就能正常使用。"市医 保局相关人员介绍。 启用社保卡省外购药功能无需前往线下服务大厅，通过线上渠道即可完成设置： 打开"闽政通"App，在首页点击"医保服务"，于搜索栏查找"刷卡购药设置"，进入相应页面，在"跨 省"栏开启"配置开关"； 在微信或支付宝搜索"福建医疗保障"，进入相应页面找到"刷卡购药设置"，按照提示完成授权。通过上 述设置后，参保人员去跨省药店购药，就能顺利刷卡了。 与省外异地购药"授权"后直接刷卡不同，参保人员要实现门诊慢特病跨省直接结算，需要完成三个步 骤：参保人员在参保地办理门诊慢特病病种待遇 ...

Group 1 - The article provides guidance on how to obtain personal social insurance payment certificates through various online platforms and self-service machines [2][8]. - Users can access the electronic tax bureau app, Minzhengtong app, or iXiamen app to apply for the certificate, with specific steps outlined for each platform [3][6][8]. - The process includes selecting the appropriate options, entering the payment period, and downloading the certificate once issued [5][6]. Group 2 - The article emphasizes the importance of accurate location settings, specifically selecting "Xiamen" when using the electronic tax bureau app [3]. - It details the steps for using the Minzhengtong app, including navigating to the local services and selecting the social insurance business [6]. - The iXiamen app also provides a straightforward method for accessing the personal social insurance certificate printing service [8].

Core Insights - The implementation of cross-provincial direct settlement for medical insurance is significantly improving convenience for insured individuals, allowing for quick reimbursement processes without the need for physical paperwork [1][2] - The number of medical institutions connected for cross-provincial direct settlement has reached 644,000, with over 500 million services expected during the 14th Five-Year Plan, reducing out-of-pocket expenses by over 550 billion yuan [1][2] - The expansion of direct settlement services now includes outpatient chronic diseases, with additional conditions being added in 2024, enhancing accessibility for patients requiring ongoing treatment [2] Group 1 - Cross-provincial direct settlement allows insured individuals to complete reimbursement processes in seconds, eliminating the need for physical invoices and long wait times [1] - The national medical insurance code has been adopted by over 1.236 billion people, with daily settlements exceeding 14.5 million transactions, showcasing the efficiency of the system [2] - The online handling rate for medical insurance services has increased from 55% in 2020 to 92% in 2024, indicating a significant improvement in digital service accessibility [2] Group 2 - The number of designated medical institutions for outpatient chronic disease direct settlement has grown to 74,000, reflecting a 2.62% increase from the end of 2024 [2] - The National Medical Insurance Bureau is committed to enhancing digital services to meet diverse healthcare needs, indicating ongoing improvements in the system [3]

Core Insights - The implementation of cross-provincial medical insurance direct settlement is significantly improving convenience for insured individuals, allowing for immediate reimbursement at hospitals without the need for lengthy processes [1][2] - The national medical insurance system has established a robust infrastructure, with over 12.36 billion people using the medical insurance code, facilitating an average of 14.5 million daily settlements [2][4] Group 1: Direct Settlement Benefits - Cross-provincial direct settlement applies to both long-term residents and temporary medical service users, enabling insured individuals to enjoy benefits based on the "medical location directory and insurance location policy" after online registration [2] - The service has benefited over 500 million people during the 14th Five-Year Plan period, reducing out-of-pocket expenses by over 550 billion yuan [2] Group 2: Expansion of Services - The direct settlement for outpatient chronic diseases is expanding, with new conditions added for 2024, including chronic obstructive pulmonary disease and rheumatoid arthritis, enhancing access to necessary treatments [3] - As of the first quarter of 2025, the number of designated medical institutions for outpatient chronic disease direct settlement has reached 74,000, reflecting a growth of 2.62% from the end of 2024 [3] Group 3: Technological Advancements - The National Medical Insurance Service Platform App is continuously improving its features, allowing for online registration and information queries, thus streamlining the process for insured individuals [4] - The integration of services in the Beijing-Tianjin-Hebei region allows for seamless access to medical insurance benefits without the need for additional registration procedures [4]

Core Viewpoint - The implementation of cross-provincial medical insurance direct settlement is significantly enhancing convenience for insured individuals, allowing for immediate reimbursement without the need for lengthy processes or upfront payments [1][2]. Group 1: Direct Settlement Benefits - Cross-provincial direct settlement applies to both long-term residents and temporary medical service users, enabling insured individuals to enjoy direct reimbursement based on the "medical location directory and insurance policy" after online registration [2]. - As of now, there are 644,000 cross-provincial networked medical institutions across the country, with over 500 million direct settlement services provided during the 14th Five-Year Plan period, reducing out-of-pocket expenses for the public by over 550 billion yuan [2]. Group 2: Technological Support - The efficiency of cross-provincial direct settlement is supported by a robust medical insurance information system, with over 1.236 billion people using the medical insurance code by June 2025, and an average of 14.5 million daily settlements [2]. - The online handling rate of medical insurance government services has increased from 55% in 2020 to 92% in 2024, indicating significant improvements in service accessibility [2]. Group 3: Expansion of Services - The direct settlement for outpatient chronic special diseases is expanding, with five new diseases added in 2024, including chronic obstructive pulmonary disease and rheumatoid arthritis, enhancing coverage for patients [3]. - As of the first quarter of 2025, the number of designated medical institutions for outpatient chronic special disease direct settlement reached 74,000, a 2.62% increase from the end of 2024 [3]. Group 4: Future Developments - The National Medical Insurance Service Platform App is continuously improving its features for online registration and inquiry, facilitating easier access to medical insurance services for the public [4]. - The National Medical Insurance Bureau plans to further enhance digital capabilities to provide more precise and refined services, catering to diverse medical insurance needs [4].