Notice on Adjustment of Resident Medical Insurance Policy of Wujiang District, Suzhou City in 2019

1, Wujiang's medical insurance can be brushed in Suzhou, Suzhou's medical insurance can not be brushed in Wujiang for the time being.

2, Suzhou Human Resources and Social Security Bureau of Medical Insurance Division Director Wen Xin introduced, according to China's policy, Suzhou and Wujiang are divided into two different medical insurance co-ordination area. Suzhou health insurance is mainly divided into two major employee health insurance and household residents health insurance, the former source of financing is mainly units and individuals, the latter source is individuals and financial subsidies; Wujiang health insurance is also mainly these two major sources of financing, but according to the local situation, the specific health care policies, standards and treatment and Suzhou there are some differences. "Simply put, in Suzhou and Wujiang to see the same disease, the cost of the same item reimbursement ratio may be different." Not only that, there are also many differences in the hardware and software equipment and ports of the health insurance information systems of the two places.

3, why Wujiang district residents can hold Wujiang medical insurance card to Suzhou to see a doctor? Wen Xin explained, mainly Wujiang District, there is no Grade 3A hospital, so in order to facilitate the convenience of local residents to see a doctor, last year, began in Suzhou, several major hospitals, such as the First Affiliated Hospital of Soochow University, Suzhou Municipal Hospital, etc., set up a "Wujiang health insurance Suzhou line. On the surface, Wujiang residents in these hospitals directly swipe the card to see a doctor, in fact, the relevant information through a specially laid fiber optic transmission back to the social security departments in Wujiang, still according to the local policy standard settlement, "belongs to the stopgap measures".

4, Wenxin said, Wujiang withdraw from the city and set up a district almost two years, but Suzhou and Wujiang two places to realize the health insurance completely seamless, to achieve the health insurance policy unity, settlement standards and handling unity, information system unity, but also need a few years of buffer time. The social security department is currently working to make Wujiang's health insurance policy and Suzhou's health insurance policy convergence, in order to create conditions for the next step of integration.

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