Medical insurance reproduces the new reform, medical insurance cross-provincial direct settlement of medical treatment, what are the benefits to the insured?

Medicare is a new reform, medical insurance across the province direct settlement, what are the benefits to the insured?

Medicare is a payroll benefit that is not accessible to all ordinary people, but the level of medical care is affected by the different cities, the difference is still relatively large, like some of the rural areas, counties, hospitals are particularly few, or in the people who work in other places, across the region, get sick, the direct settlement of the medical insurance is a problem.

So, in recent years, China has been speeding up to deal with this problem, July 26, the National Health Insurance Bureau, the Ministry of Finance issued "on further improving the work of basic medical insurance across the province direct settlement of medical treatment," health insurance and then appeared in a new reform, this time mainly to decipher the inconvenience of filing a medical record in a different place and other blocking points, difficult problems. The hospitalization treatment, general outpatient and hospital outpatient slow special disease spending across the region direct settlement and other policies are unified, that way after the implementation, for the insured in the end what are the benefits? I think these 5 advantages are becoming more and more obvious.

01 enjoy the big city health insurance treatment

"Notice" requires that, in the settlement, under normal circumstances in accordance with "the document catalog of the place of consultation, the current policy of the place of participation" fund payment of the current policy. Metropolis medicines are available, the consultation, you can see and treat a large number of items, some in the poor socio-economic development, small local cities can not see the disease, can be in the big city to get better medical treatment.

The total population of big cities is large, according to the survey, by 2020, the population of first-tier cities each scored about 20 million yuan, the highest population of Shanghai has been 2487.09 tens of thousands of people, in order to be able to pressure so much population to seek medical treatment, this type of metropolis on the standards of medical technology to be higher, and the scope of the basic medical insurance will be greater, in order to meet the majority of the people's requirements.

02Transferred to the hospital as soon as possible after the use of health insurance settlement

Some people in the local hospital can not get better treatment, or have their own reasons, must be transferred to the province, the problem is that the transfer of the long time to file a transfer of hospitals, hospitals outside of the cumbersome procedures, the cycle time has become longer, some of the patients with serious illnesses can not afford to wait, especially retired elderly people, the elderly population, the delay of one day more, the difficulty of his treatment coefficient increased by one point, unlikely to be due to the health insurance settlement. One point, it is unlikely that due to health insurance settlement problems delayed transfer, but can not be timely filing, you need to delay the time to use the health insurance settlement, you can only spend more savings.

Thus, the reform, for the record, the implementation of a unified validity period, within this period, can be in the place of consultation several times to enjoy direct settlement services. After a unified set of validity period, do not have to handle the process several times, simplifying the inconvenience of patients or their families.

03 treatment can be enjoyed in both directions

Part of the people have a doubt, that is, after the settlement of health insurance across the provinces, the local reuse, whether it can not be accrued to enjoy the benefits of local health insurance? This concern can learn to put down, the "Notice" of the insured person stipulates that in the filing place and the insured place can enjoy the two-way medical insurance treatment, in the field medical treatment, return to the hometown, still can continue to enjoy the local medical insurance treatment, complete the medical insurance card service.

04 Expanding the scope of settlement services

Medicare direct settlement will be inpatient treatment, hospital outpatient and slow special disease unified completion of direct settlement across the region, including the overall participants, choose to go to general outpatient clinics in the clinic, non-institutionalized chronic diseases and must be hospitalized, the scope of the staff of the health insurance settlement services is greater, this service is not limited to the general medical settlement in the hospital, rescue, out-of-hospital inspection, non-institutionalized chronic diseases and must be hospitalized. This service is not limited to the general medical settlement in the hospital, rescue, out-of-hospital testing, non-third-party obligation trauma and other medical expenses can also be included in the direct settlement, will make great efforts to alleviate the pressure of medical treatment for the people.

05 record settlement and "regret medicine"

Although the record settlement is really convenient, but the basis is still the first to record, part of the people in a hurry to get medical treatment or transfer to the hospital, it is likely that medical treatment did not have time to record, you may not be able to use the health insurance settlement in vain, spend more savings, health insurance funds can not be taken out, the equivalent of consumption. For this kind of situation, the document gives a handy coping strategy, allows the insured person to make up for the record of the foreign medical treatment before the discharge settlement, and enjoys the direct settlement service across the region.

Representing that, at that time did not do a good job of filing also do not have to worry about, and other people like to be able to reclaim after enjoying the health insurance treatment, but it is best to be like everyone else first filing, due to the "Notice" for the settlement of funds for the settlement of the different regions, or "first prepayment, after the settlement," the filing of the early, you can get the money earlier, and then after the hospital and then If you are not able to get the money, you can get the money earlier, and then you can get the money again after discharge. The above is the whole content, I hope to help you. For medical insurance cross-provincial direct settlement, how do you think?