2023 the latest favorable policy

Mancheng District 2023 urban and rural residents began to pay for health insurance, in order to facilitate the insured residents to grasp the new changes in health insurance policy, explained as follows: 1. Continue to implement the preferential policy of continuous payment.

Urban and rural residents to pay the basic medical insurance years and the integrated fund payment ratio linked to the continuous payment of every three years, the integrated fund payment ratio can be increased by 1%, up to 3%.

2. The three catalogs of medical insurance are expanding year by year.

The drug reimbursement directory implements the national unified directory, the reimbursement varieties reached more than 2,860, and the diagnostic and treatment item directory and service item directory have been expanded. Over the past three years, dozens of imported drugs, "sky-high drugs" (such as raltitrexed, olaparib, patulizumab, rucolitinib, trastuzumab, etc.) and medical consumables used by patients with cancer, rare and major diseases, etc., have been successively included in the reimbursement catalog of the medical insurance, and through the national centralized banded purchasing of medicines and medical consumables, more than 300 medicines and consumables have been included in the reimbursement catalog of the medical insurance. (including imported drugs, "sky-high drugs") prices by an average of more than 65%, some "sky-high drugs", imported drugs and medical consumables by more than 90%, such as coronary stents from 13,000 yuan to an average price of 700 yuan, POLARVIS by 135 yuan to 27 yuan, cancer imported drugs generally from 135 yuan to 27 yuan, and cancer imported drugs generally by 13,000 yuan to 27 yuan. 27 yuan, cancer imported drugs generally from the original tens of thousands of dollars per month down to the current 1,000-5,000 yuan / month.

3. The treatment of hospitalization in different places has been further improved.

One is the lowering of the starting line, without distinguishing between inside and outside of the province, according to the level of hospitals to implement a unified starting line, a 300 yuan, second 600 yuan, three 2000 yuan, the original Baoding outside of the city, regardless of the level of the starting line is 2500 yuan. The second is the reimbursement rate increase, provincial medical implementation of the policy of no different places, according to the standard implementation of the city of Baoding, a level of 90%, 75% of the second level, the third level of 55%. Outside the province, the first and second level of fixed points than the province reduced by 10%, respectively, 80%, 65%, three hospitals and Hebei Province, the same, reimbursement of 55%. Third, the implementation of the Beijing-Tianjin-Hebei regional integration policy, Beijing, Tianjin, second-level and above designated hospital hospital hospitalization starting line, reimbursement rate to implement the provincial standards, reimbursement directory implementation of the Beijing Municipality, Tianjin directory, the actual reimbursement of direct settlement of medical treatment in Beijing, on average, 10% higher than the provincial manual reimbursement. Fourth, continue to implement the student children hospitalization reimbursement rate increased by 10% policy.

4. Optimize outpatient coordination reimbursement.

One is to increase the annual cap limit from 100 yuan to 200 yuan per person. The second is to expand the scope of application, from the past in the area of the village two-level fixed, expanded to the area of all fixed and outpatient co-ordination of fixed pharmacies, the province of the second level and above the hospital. Third, reduce the starting line for college students, from 100 yuan to 50 yuan.

5. Improve the treatment of outpatient slow special diseases.

One is to reduce the outpatient chronic disease starting line, from 800 yuan to 500 yuan. The second is to increase the reimbursement rate, from 60% to 70%. The third is to expand the scope of application, from the past is limited to designated hospitals, expanded to outpatient chronic disease designated pharmacies in the region. Fourth, optimize the declaration process, from the past monthly declaration, to online at any time to declare, review and appraisal. fifth, outpatient special diseases continue to implement the hospitalization reimbursement policy .

6. The record of foreign medical treatment is more convenient.

No different places in the province, no need to record, out of the province, online self-service medical record can be (Hebei intelligent health insurance, national health insurance platform can be realized online self-service record).

7. Electronic health insurance vouchers a card to do a comprehensive promotion.

Through the Hebei wisdom health insurance, WeChat city services, online banking and other paths, complete the health insurance electronic voucher activation, no need to carry a social security card entity card, you can realize the domestic full process of medical settlement. Elderly people and children without smartphones can be affectionately bound through the national health insurance platform APP.

8. Beneficial physical examination is more intimate.

In order to incentivize the majority of residents to participate in the insurance, jointly with the second-class designated hospitals in the region to implement preferential physical examination. The preferential medical examination is limited to December 10, 2022 in the city of Manchuria to complete the 2023 urban and rural residents health insurance premiums, each person is limited to use once a year. Personnel information and payment date is based on the tax system declaration record.

First, the price is preferential, after fine selection, 15 preferential physical examination program market price of 1,043 yuan, the implementation of the preferential price of 180 yuan (1.7% discount, only for the cost of reagents and equipment wear and tear). The second is the practicality of the project, 15 physical examination projects are outpatient medical examination, pre-admission inspection routine must be examined, the second level of medical institutions above the results of mutual recognition. Thirdly, the independent selectivity is strong, 15 medical checkups according to the scope of application is divided into four packages, the insured residents can according to the actual needs of any combination of packages. Warm tips: you must choose the package check (the price is a lot of savings than a single item), can not use the health insurance card settlement, or can not be preferential.

9. New participants in the information registration and payment of operating procedures:

attention to WeChat public number "Hebei tax" → enter the public number → business → social security payment → personal social security payment → enter the newborn (new participants) ID card number and verification code and then query (if there is a prompt that does not query to the natural person registration information), click OK → select the newborn (new participants) ID card number and verification code and then query (if there is a prompt that does not query to the natural person registration information), click OK → choose the natural person registration information ), click OK → select the urban and rural residents medical participation query (including registration) → select to go to the insurance → select and enter the participation zone, name, ethnicity, participation status, cell phone number, verification code (verification code sent to the phone), detailed address of the household, detailed address of the residence and other information, and finally save → to confirm the information → to confirm the submission of the information → to prompt the success of participation in the registration → to return to the payment page and then enter the newborn ( The new enrollee's ID number and verification code can be used to make normal payments.

10. Public service self-service application for the suspension of urban and rural residents health insurance process:

Web search "Hebei Provincial Bureau of Medical Protection" → click on the "people's service" → click on the "personal network hall Find "Registration" and click on it → Click on "Personal Web Hall Registration" → After successful registration according to the prompts, find "Medical Insurance Business Processing" → Click on "Suspension of Urban and Rural Residents' Participation in Insurance". "Suspension of urban and rural residents to participate in the insurance", according to the prompts to fill in the information and submit to save.

11. Medical insurance electronic certificate activation process:

WeChat attention "Mancheng District Medical Security Bureau", click on "public **** service", click on "medical insurance electronic certificate activation "

To activate the interface, select the activation method ~ National Health Insurance APP, or WeChat, or Alipay, or various banks, etc., and fill in the relevant information according to the prompts.

WeChat Activation:Click on Me→Services→City Services→Social Security→Medicare E-Voucher→Activation.

Alipay activation: Home→Citizen Center→Medicare→Activate→Set password.

Elderly people over 55 years old who use a senior citizen cell phone can find a village medical computer to activate it. Elderly people and children without smartphones can also use the family member binding function to activate and use on their behalf.

Family members binding health insurance e-voucher activation process: Through the national health insurance service platform APP, you can use a smartphone to bind multiple family members' health insurance e-vouchers. After a family member has activated his/her own e-voucher, he/she clicks on My in the bottom menu bar of the National Health Insurance Service Platform APP, finds +Add My Family Member, fills in the information of the bound person, generates a letter of commitment, uploads a photo of his/her own page in the account book and a photo of the bound family member page in the account book, and family members over 18 years of age need face recognition authentication, and then he/she can bind his/her family members' accounts.