Guangzhou Foshan medical insurance comprehensive Hu tong

The comprehensive interoperability of medical insurance in Foshan, Guangzhou is still being explored, and the medical insurance in the two cities can be interoperable in the future. In fact, it is interoperable now, but there are not many hospitals that can communicate with each other.

At present, the general outpatient service of Foshan basic medical insurance participants can only enjoy medical insurance reimbursement at designated medical institutions in the insured area; The general outpatient service of the insured residents cannot be enjoyed across regions; If the employee's insured place is not in the same district of this city as the actual work place or permanent residence or household registration place, the permanent residence or actual work place or household registration place can be selected as the general outpatient service place in the next natural year from 10 to 12 every year.

1, our medical insurance system consists of employee medical insurance and urban and rural medical insurance, in which employee medical insurance is the main part and urban and rural medical insurance is the auxiliary part, forming a universal medical insurance system covering the security needs of different groups. At present, it has covered more than 1 100 million groups, and the security and reimbursement efforts have been continuously improved. Generally speaking, employees' social security includes five basic insurances, among which medical insurance is one of the most critical guarantees, and it is also an important guarantee tool to solve the large medical loss expenses of ordinary families, avoid families returning to poverty due to illness, and realize financial stability and life stability through medical insurance. Residents' medical insurance is a kind of medical insurance that can be paid by non-employees alone and combined with financial subsidies to solve the problems of low-income and non-professional groups.

2. Secondly, the current social security and medical insurance is still a municipal overall planning model. Medical expenses and resources are different in different regions, and the protection of medical insurance is also different. There are also many restrictions on reimbursement and settlement of medical insurance in different places.

3. In the future, social security will move from municipal-level overall planning to provincial-level overall planning, and finally to the national overall planning model, and medical insurance will gradually realize the national overall planning model. However, this process is long, and it is necessary to gradually balance the economic development in different regions to avoid excessive concentration of medical resources in the north, Guangzhou and Shenzhen, while medical costs are rising, and medical resources in the third and fourth lines and rural areas are insufficient. The interconnection of insurance information can be said to be the beginning of the electronic and online development of medical insurance. Using internet technology to realize national overall planning, online information sharing and interconnection of medical insurance. Further improve the medical insurance guarantee and use efficiency.