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Reprint:Medical insurance personal account assistance extended to close relatives
Release time:2024-12-27 08:24:00      Clicks:654

In 2021, the State Office issued documents to expand the scope of use of employees' personal medical insurance accounts from employees themselves to their spouses, parents and children who participate in basic medical insurance; In July this year, the State Office again issued a document to further expand the scope of mutual relatives of employees' medical insurance personal accounts from "spouses, parents, children" to their "close relatives" who participate in basic medical insurance.

As of December 9, all provinces have extended the scope of employee medical insurance to close relatives

Following October this year, all provinces have realized the mutual assistance of employees' medical insurance individual accounts within the province, and as of December 9, all provinces have expanded the scope of mutual assistance from "spouses, parents, children" to "spouses, parents, children, brothers and sisters, grandparents, maternal grandparents, grandchildren, grandchildren and grandchildren." The insured can bind their close relatives through online channels to realize the mutual assistance of employees' medical insurance personal accounts.

2. From January to November 2024, 325 million employee medical insurance personal accounts will be shared, an increase of 42 million over January to October; The amount of mutual assistance reached 44.453 billion yuan, an increase of 7.545 billion yuan over the January-October period.

From the perspective of mutual assistance region, the same coordination area (usually the same city) has 300 million mutual assistance, and the amount of mutual assistance is 39.317 billion yuan; Across the province, 25.3601 million people shared aid across the coordination areas, and the amount of mutual aid was 5.136 billion yuan.

From the perspective of mutual assistance, 34.308 billion yuan will be used to cover the personal medical expenses incurred in designated medical institutions, 2.072 billion yuan will be used to cover the personal expenses incurred in designated retail pharmacies, and 7.48 billion yuan will be used to participate in the basic medical insurance for residents.

After entering the centralized payment period for residents' medical insurance in September, the individual payment amount of employees' medical insurance accounts for participating in residents' basic medical insurance in September, October and November reached 1.228 billion yuan, 2.751 billion yuan and 3.021 billion yuan respectively. Among them, from January to November, the amount of mutual insurance for residents in Hebei Province reached 830 million yuan, Henan Province 766 million yuan, Zhejiang Province 486 million yuan, Shandong Province 479 million yuan and Hunan Province 477 million yuan, ranking among the top five in the country; In addition, in Guizhou, Shaanxi, Shanxi and other provinces with a population of less than 50 million, the amount of mutual assistance for residents to participate in the insurance has also exceeded 300 million yuan.

Appendix: Mutual assistance of individual employee medical insurance accounts in each province from January to November 2024


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