Home » Supporting medical insurance individual account payment to realize one-stop settlement within medical insurance, Beijing Inclusive Health Insurance releases convenience measures

Supporting medical insurance individual account payment to realize one-stop settlement within medical insurance, Beijing Inclusive Health Insurance releases convenience measures

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On the occasion of the full moon of the launch, Beijing Inclusive Health Insurance launched another convenient measure. A reporter from “Economic Information Daily” learned from the mid-term press conference of Beijing Pratt & Whitney Health Insurance on August 26 that the current number of insured persons has exceeded 1.4 million. At the meeting, Beijing Puhui Health Insurance also announced three new measures: supporting medical insurance individual account payment, realizing one-stop settlement within medical insurance, and Beijing Tongjingyitong can be insured.

According to Zhang Shi, CEO of Yiduyun, the main operating platform of “Beijing Inclusive Health Insurance”, as of 0:00 on August 25, the number of participants in “Beijing Inclusive Health Insurance” exceeded 1.4 million. In terms of gender ratio, male insured persons accounted for 47.19%, while female insured persons accounted for 52.81%.From the age of insured, “post-80s” and “post-60s” become insuredMain forceIn the military, participation in insurance accounted for 41.89%.

Among the insured population of “Beijing Universal Health Insurance”, the proportion of urban employees is as high as 77.58%, and the proportion of urban and rural residents is 21.29%. With immediate effect, Beijing employee medical insurance participants can not only use the balance of their personal medical insurance account to directly pay premiums, but also use their personal account balance to insure their parents, children, spouses and other immediate family members, further lowering the insurance threshold and enhancing the people’s access Sense, happiness, security.

In terms of specific operating procedures, Beijing medical insurance participants can pass official instructionsFixed investmentInsurance platform “Beijing Pratt & Whitney Health Insurance” WeChat official account to apply for insurance online, or through Alipay, Tencent Weibao,JingdongInsured through other channels. When the order is in the payment link, you can confirm the payment by selecting the “Medical Insurance Individual Account Payment” button.

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The Beijing Municipal Medical Security Bureau recently issued the “Regarding the Basic MedicalinsuranceSupplementary Notice on the Use Scope of Personal Accounts” to further clarify the basic medical care for urban employees in this cityinsuranceThe scope of use of personal accounts.The notice pointed out that: personal accounts are used to pay for the insured persons themselves, their spouses, parents, and children to participate in the basic medical care for urban and rural residents in this city.insuranceAnd long-term care insurance personal payment, support the purchase of supplementary medical insurance in this city.

Judging from the experience of other cities, supporting personal account payment for medical insurance is conducive to increasing the participation rate of the city’s customized supplementary medical insurance. According to statistics, more than 82% of Shanghai “Huhuibao” insured persons choose to use medical insurance accounts for payment; among Guangzhou “Suisuikang” insured persons, 47.8% choose to use medical insurance personal accounts to pay.

In addition, the reporter learned from the “Beijing Inclusive Health Insurance” project team, based on the “Beijing Inclusive Health Insurance” medical insurance is closely linked to the critical illness medical insurance system, in order to better reflect the inclusive and convenient features of the product, and give the people a stronger In the process of claim settlement, claims involving medical expenses covered by medical insurance will be synchronized to the insurance company as the basis for the settlement of claims, further simplifying claims Process to achieve one-stop settlement.

The relevant person in charge of the Beijing Municipal Medical Security Bureau stated that the opening of the personal account payment function of Beijing Puhui Health Insurance products and the launch of the one-stop settlement function of medical insurance internal expenses have increased the product payment channels and realized the mutual benefit of medical insurance individual account families, which is effective at the same time. Information sharing has been promoted, allowing more information to run and the people less running errands, which further reflects Beijing’s first-class standard of inclusive commercial health insurance.

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In addition, for non-medical insurance liabilities, the insured pays attention to the WeChat official account of “Beijing Inclusive Health Insurance” after discharge from the hospital, and submits the claim materials online. The insurance company completes the rapid payment after receiving the online materials for verification; and for special drugs. , Participants hold prescriptions issued by prescribed hospitals, pick up medicines at designated special medicine service outlets, and only need to pay the part that the insured person should bear to get the medicines quickly and enjoy special medicine services without advance payment.

(Source: Economic Information Daily)

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