A number of new regulations will be implemented in Xiamen's health insurance from Jan. 1, 2023, according to the Notice on Basic Urban Employee Health Insurance Enrollment and Related Business Matters for 2023, published on the official website of the Xiamen Municipal Social Insurance Bureau. First, combination fees will be prohibited, meaning that no multiple checkups will be charged as a whole. The move is aimed at controlling medical costs and reducing the burden on patients. Secondly, Xiamen City Health Insurance will also clarify the list of designated hospitals, only in the designated hospitals to receive treatment to enjoy the health insurance treatment. This will help to regulate the development of the medical industry and improve the quality and efficiency of medical services. In addition, Xiamen Municipal Health Insurance will continue to optimize its policies, such as adjusting the outpatient limit standards, expanding the scope of health insurance payments, and strengthening support for primary health care institutions, in order to improve health insurance coverage and protect the health needs of the people. It should be noted that the implementation of the new regulations may have some impact on some medical institutions and patients. Therefore, the Xiamen health insurance department will strengthen publicity and training to ensure the smooth implementation of the new provisions.
What factors will Xiamen Municipal Health Insurance consider when evaluating whether to include a designated hospital? When evaluating whether to include a designated hospital, the Xiamen Municipal Health Insurance usually takes into account factors such as medical service capacity, medical quality, price level, and hospital management level. These factors include, but are not limited to: the hospital's medical equipment, technical level and professional expertise; the hospital's service attitude and diagnostic and treatment results; the hospital's fees and charges and the proportion of medical insurance payment.
Beginning in 2023, Xiamen's health insurance will introduce a number of new regulations to prohibit combination fees, clarify the list of designated hospitals, and optimize policies, aiming to control medical costs, improve health insurance coverage and regulate the industry. The health insurance department will strengthen publicity and training to ensure the smooth implementation of the new regulations. When choosing a hospital, patients are advised to pay attention to the hospital's designated status to avoid unnecessary expenses.
Legal basis:
Article 28 of the Law of the People's Republic of China on Social Insurance conforms to the standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, medical service facilities, as well as the medical expenses for emergency and rescue, which shall be paid from the basic medical insurance fund in accordance with state regulations.