What is the telephone number of Shuozhou Medical Insurance Bureau?

The Medical Insurance Bureau has opened a hotline for the insured to inquire about information. Shuozhou Medical Insurance Center has a unified telephone number (0349) 12333, which can inquire about the designated hospitals, medical insurance handling, medical insurance payment and medical insurance transfer.

With the continuous development of China's social security system, an important reference standard for many people when choosing a job is whether to buy social security at the right time. Social security has become an important indicator to protect the rights and interests of residents. Pay social security on time, you can get social insurance benefits such as pension in the future, so it is also very important to pay social security. According to the new regulations issued by 202 1 medical insurance, six expenses cannot be reimbursed. Let's have a look.

New policy of medical insurance reimbursement 202 1

1. Incorporate more outpatient expenses into medical insurance reimbursement; On April 7th, an executive meeting was held in the State Council. The meeting decided to gradually include some outpatient expenses of chronic diseases, special diseases, frequently-occurring diseases and common diseases that are harmful to health and have a heavy cost burden into the payment scope of the overall fund. Within the scope of the policy, the payment ratio starts from 50% and is appropriately tilted towards retirees. In the future, with the strengthening of the fund's affordability, the level of protection will be gradually improved.

Therefore, bringing more outpatient expenses into medical insurance reimbursement will help to reduce the medical burden of the insured.

2, the unit payment is no longer included in the personal account; The meeting decided to improve the personal account calculation and payment methods. Individual contributions of on-the-job employees are still included in my personal account, and all unit contributions are included in the overall fund; Individual accounts of retirees are allocated by the overall fund according to the quota, and the amount is gradually adjusted to about 2% of the average basic pension level in the year when the reform was implemented in the overall planning area.

3. Personal accounts can be used by family members; The meeting decided to broaden the scope of personal accounts, allow family members to seek medical treatment in designated medical institutions and purchase medicines, medical devices and medical consumables in designated retail pharmacies, and explore individual contributions for family members to participate in the basic medical insurance for urban and rural residents. This means that the amount of money entering personal accounts has decreased, but the scope of use of personal accounts has expanded.

4. Strengthen the supervision and management of medical insurance fund; The meeting decided to strengthen the supervision and management of medical insurance funds, improve the audit and internal control system, severely investigate and deal with illegal acts such as false hospitalization and fraudulent insurance, and improve the payment mechanism suitable for outpatient economic security.

From 202 1, the "six expenses" of medical insurance will not be reimbursed.

1, work-related injury medical expenses; If you are injured at work, the medical expenses should be borne by the relevant units, which are no longer within the scope of medical insurance reimbursement and should be paid by work-related injury insurance.

2. Public health expenses; Many people don't understand public health expenses. These expenses are mainly borne by local township hospitals or community hospitals, such as free physical examination undertaken by some hospitals, and the expenses are not covered by medical insurance reimbursement.

3. Need a third party to bear the medical expenses; If accidents occur in daily life, such expenses shall be borne by a third party, such as car accidents and accidental injuries, and shall be borne by the perpetrators themselves. Such expenses are not covered by medical insurance reimbursement.

4. Overseas medical expenses; Many people like to travel abroad, but the expenses incurred in foreign medical institutions cannot be reimbursed. After all, there are fixed medical institutions to use medical insurance, and such expenses are not incurred here, so they cannot be reimbursed.

5. Related expenses caused by health care; Now everyone is getting better and better. If expenses are incurred, medical insurance will not be reimbursed. After all, such expenses are caused by individuals and have nothing to do with medical insurance, and will not be reimbursed.

6, not included in the medical insurance drug list costs; Although most of the expenses can be reimbursed by medical insurance now, if the drugs used are not listed in the medical insurance drug list, the expenses incurred by medical insurance cannot be reimbursed. However, with the continuous strengthening of the country's economic strength, medical insurance will continue to increase the types of drugs from the overall situation, which is convenient to reduce the burden on the people.

In one of the six cases, the medical insurance cannot be reimbursed, and these expenses are not within the scope of medical insurance reimbursement, and they must be borne by themselves or by a third party.