The new health insurance policy has made significant improvements in outpatient reimbursement. Since January 1, 2024, insured residents can enjoy more independent and convenient settlement services when they have outpatient medical treatment in primary designated medical institutions in the Yanshi area, such as town health centers, community health centers and village health offices. This means that insured residents can choose medical institutions according to their needs and make settlement and reimbursement directly when seeking medical treatment at these primary medical institutions. In addition, the annual payment limit for outpatient visits has also been raised, from 260 yuan to 280 yuan, which will help reduce the financial burden of insured residents during outpatient visits.
Medicare payment records can be viewed in the following ways:
1, online query: you can log on to the official website of the social security bureau in your location, find the query service section, and follow the prompts to enter the health insurance account number/individual number, password, and the verification code and other information to query.
2, telephone inquiry: you can call the social security phone 12333, according to the voice prompts for medical insurance card personal account inquiry.
3, counter query: you can bring the medical insurance card, ID card and other materials to the local medical insurance service agencies, these will be handed over to the counter service staff, the staff will help query the payment details.
4, social security center query: directly with my ID card or social security card, to the local social security bureau service hall query can be, or in the service hall of the self-service machine query, print personal account health insurance contribution list.
In summary, the new regulations on health insurance reimbursement in 2024 have been adjusted and optimized in terms of outpatient reimbursement, reimbursement rate, newborn enrollment, and health insurance fund management.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 23
Employees shall participate in basic medical insurance for employees, and the employer and the employee shall pay the basic medical insurance premiums together in accordance with the state regulations***. Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.