Medical insurance card how to check the balance

1, Xuzhou Medical Insurance Bureau of medical insurance unified query phone: (0516-83726006) includes: medical insurance contribution base, ratio query, medical insurance card balance query.

2, consulting needs, telephone agents according to 12393 health insurance knowledge base and health insurance system data real-time response, more complex queries can be transferred to the health insurance agent to answer; online can not be resolved on the health insurance business needs, in the form of a work order forwarded to the same level of the health insurance sector, by the health insurance sector to complete the time limit, feedback to the same level of the health insurance sector. Claimants in accordance with the 12345 hotline process standards; for health insurance business needs, in accordance with the requirements of the city 12345 hotline work, full tracking and supervision, into the "good and bad evaluation" management mechanism, timely return visits to solve the problem and service satisfaction.

"Xuzhou City, urban and rural residents health insurance approach" policy adjustment of the main content compared with the current policy, the integration of the main content of the adjustment is as follows:

1, unified citywide financing standards and methods. First, the residents of the individual contribution standard uniformly determined as 300 yuan per person per year, of which the county, Tongshan District, Jiawang District up 20 yuan, the urban areas remain unchanged. College students continue to maintain the standard of 210 yuan. Second, in accordance with the approach of the county, city, Tongshan District, Jiawang District, individual contributions are fully subsidized by the government.

2, unified city hospitalization. First, the uniform hospitalization reimbursement rate. In the original, secondary medical institutions hospitalization reimbursement rate of 90% and 80% respectively, on the basis of the new policy will be the third level of medical institutions hospitalization reimbursement rate uniformly adjusted to 70%. The second is to cooperate with the health department to do a good job of hierarchical diagnosis and treatment. Appropriately liberalize the minimum contribution standard for hospitalization in primary and secondary medical institutions and tertiary medical institutions. The minimum contribution standard for hospitalization in tertiary medical institutions has been raised from RMB 1,100 to RMB 1,500, while the minimum contribution standards for hospitalization in secondary and intermediate medical institutions remain unchanged at RMB 400 and RMB 700. Third, strengthening the precision of medical insurance to help the poor. A retrospective mechanism for enjoying the treatment of special groups has been established. New medical aid recipients, persons with disabilities who have lost their ability to work, and elderly people aged 70 and above who have gone through the procedures of enrollment and subsidized contributions will be entitled to normal medical insurance treatment (status) from the date of obtaining the corresponding qualifications. Fourthly, the city's policy on medical treatment in other places has been unified. The minimum contribution standard for hospitalization of insured persons transferred abroad has been raised from RMB 1,500 to RMB 1,800, and the reimbursement ratio is 60%. Migrant workers and other long-term residents abroad are treated the same as in the city.

3, to further optimize the handling of services. First, the counties (cities), Tongshan District, Jiawang District participants are no longer in the city for referral procedures, can be free to seek medical treatment in big cities. The second is to further extend the payment period. In 2021, the deadline for residents' medical insurance contributions was extended from the end of February to March 31st. Thirdly, the growth of medical costs will be reasonably controlled. In order to reduce the people's burden of medical care, the new policy proposes to stipulate that, except for emergency relief, the use of higher-priced drugs, diagnostic and therapeutic items, special medical supplies, and medical service facilities outside of the scope of medical insurance payment. More than 30% (including 30%) of the proportion of drugs and diagnostic and therapeutic items by the individual prepaid expenses, the designated medical institutions should fulfill the obligation to inform the insured person agreed to use.