Beijing medical insurance starting line standard

Beijing's medical insurance starting line standard depends on the regulations of different years, and the current starting line standard is 400 yuan.

The medical insurance starting line refers to a certain amount of money to be borne by the insured person before he or she is reimbursed by the medical insurance. In Beijing, the standard of the starting line for medical insurance depends on the regulations of different years, and has been adjusted with the passage of time. The current threshold is 400 RMB, which means that each insured person needs to pay 400 RMB of medical expenses before receiving reimbursement from health insurance. The medical insurance starting line aims to reduce the burden on the medical insurance fund, and at the same time better encourage residents to use medical resources rationally and avoid abuse and waste. In practice, Beijing has also set up preferential policies for the starting line of medical insurance for special groups, such as reducing or waiving the starting line for groups in difficulty, to ensure that they receive better medical protection.

How is the standard for the starting line of Beijing's medical insurance adjusted? The adjustment of the starting line standard of Beijing Municipal Health Insurance is organized and implemented by the Beijing Municipal Health Insurance Bureau. Generally speaking, the adjustment is made on January 1 every year, and the specific standard is based on the regulations of the state or the Beijing municipal government. When adjusting, the Bureau will also take into full consideration the income and expenditure of the medical insurance fund, the income level of urban and rural residents, and the price of medical services.

The starting line of medical insurance is an important part of the medical insurance system, which can effectively curb the unreasonable growth of medical expenses and guarantee the sustainability of the medical insurance fund. For the majority of insured people, it is necessary to understand the relevant policies and standards of the starting line, and rationally use medical resources according to their own needs, to protect their own and their families' health.

Legal basis:

The People's Republic of China*** and the State Social Insurance Law

Article 28 The medical expenses that conform to the basic medical insurance drug catalog, diagnostic and treatment hood key items, medical service facility standards, as well as those of the emergency and rescue, shall be paid from the basic medical insurance fund in accordance with the state regulations.

Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administrative organization and the medical institutions and drug business units. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance by insured persons.