What is the meaning of the Shanghai social security **** relief ah

Medicare issues relate to thousands of families. Recently, the news that "Shanghai started to set up the medical insurance family **** Jinji network" has attracted wide attention from readers. So, what is the medical insurance family ****? Why this policy? Specifically how to operate?...... For readers more concerned about the ten questions, we have made a comb in the form of questions and answers.

01

Q: What is the use of personal account family ****?

A: According to the relevant provisions of the state and the city, "the individual account can be used to pay the spouse of the insured person, parents, children in the designated medical institutions or designated retail pharmacies in line with the provisions of the scope of the costs borne by the individual. Explore individual accounts for spouses, parents, children to participate in urban and rural residents in the basic medical insurance personal contributions", that is, the employee health insurance individual accounts of the balance of funds over the years, from the employee's own use, to expand to spouses, parents and children, and other members of the family **** relief use.

Employee health insurance participants of the individual account fund balance, can be "with the Office of Citizen Cloud" App, with the Office of the Office of WeChat program, with the Office of Alipay small program self-service query "medical insurance gold", the cell phone interface will display the "account balance of the year". The mobile phone interface will display "current year account balance" and "previous years account balance". You can also go to the medical insurance service window to inquire.

02

Q: What is the significance of the implementation of individual account family **** relief?

A: The system of social insurance is based on mutual ****. If the health insurance fund for each patient to reimburse outpatient or inpatient medical expenses is a "big ****Ji", to achieve the "all for one, all for me" goal, then the individual account funds family ****Ji is a "little ****Ji", the individual account funds family ****Ji is a "little ****Ji". The family ****ji of individual account funds is a "small ****ji", which will build a new protection mechanism of "I am for my family, and my family is for me". The use of individual account balance funds among family members can improve the efficiency of individual account protection, reduce the pressure of family cash payments, and enhance the family's ability to resist the risk of disease. Many people use their own personal account funds to buy "Hu Huibao" for their family members, which is a specific practice of family ****ji this "small ****ji".

03

Q: What is the difference in the use of personal accounts before and after the family ****?

A: At the beginning of a health insurance year on July 1 each year, the funds credited to the individual account of health insurance, that is, the current year's account funds; in the following year, June 30, the end of the year after the liquidation, according to the provisions of the funds carried over to the individual account of health insurance, that is, the balance of funds of the previous year.

Before the family ****Ji, health insurance individual account balance funds can be used for the insured employee to pay outpatient emergency, hospitalization (including emergency observation), outpatient major illnesses, family hospital beds, etc., personal out-of-pocket medical expenses, as well as in the designated retail pharmacy to buy drugs, etc., but also can be used to buy commercial health insurance for their own or their spouses, parents, and children and other members of the family exclusive products such as The "HUHAIWEIHAI".

After the use of family ****ji, the use of personal account rules have "two changes", one is the use of objects from my family members to expand to the agreement, regardless of the job insurance personnel or urban and rural residents of medical insurance personnel can be used in accordance with the provisions of, for example, urban and rural residents of medical insurance personnel can use their own medical card card, use family members of the card. Individual account funds in the medical insurance designated pharmacies to buy drugs, etc.; Second, the scope of use has also been expanded, can be used for urban and rural residents in the medical insurance and other insurance contributions.

04

Q: family **** Jinji after does not mean that personal social security card (or medical card) can be used for family members?

A: No, it does not. After the family **** Ji, the insured still have to use their own social security card (or medical card) to see a doctor, according to the provisions of the enjoyment of their own medical insurance benefits. "Two unchanged": that is, the rules of the card for medical treatment remain unchanged, is still holding my social security card (or medical card) reimbursement costs; my medical insurance treatment and *** Jinji before remain unchanged, to participate in the employee health insurance is still enjoying the corresponding treatment of the employee health insurance myself, to participate in the urban and rural residents of the medical insurance is still enjoying the corresponding treatment of the urban and rural residents of the medical insurance myself.

05

Q: Through what channels to form a family ****ji network?

A: The organizer can through the "with the Office of the Citizen Cloud" App, with the Office of the Office of the WeChat small program, or with the Office of the Alipay small program, search for "health insurance personal account family ****Ji", enter the "health insurance personal account", "family ****Ji", "family ****Ji", "family ****Ji", "family ****Ji", "family ****Ji", "family ****Ji". Family ****Ji" service, the formation of family ****Ji network.

The organizer and the members of the family ****ji can maintain and manage the family ****ji network at any time through the "With the application of the Citizen Cloud" App, with the application of the WeChat applet, or with the application of the Alipay applet. There is no limit to the number of maintenance and management operations and time.

The organizer can maintain the family ****ji network, when the member information changes, you should modify the member information in a timely manner; the risk of loss of family ****ji funds caused by failure to maintain or change in a timely manner is borne by the organizer. The organizer can view the information of the members in the network, choose or change the way of ****, withdraw the network and other operations.

The ***** members can view the information of the family ***** network organizer and themselves, and if they do not need the family *****, they can also choose to actively withdraw from the current family ***** network. The system does not support the ability of a member of a family to view information about other members of the network.

06

Q: What are the requirements for organizing a Family**** Network?

A: The organizer of the family ****ji network, should be the city's employee health insurance participants, account funds have a balance in previous years, and employee health insurance account can be used normally. ***The members of the network should be the spouse, parents and children of the organizer, who is responsible for the authenticity of the family relationship. At the same time, the members of the ****help should also be the city's employees' medical insurance or urban and rural residents' medical insurance participants. Participants in the city's citizens community medical assistance to help people in need of program can also be a member of the *** relief, in accordance with the provisions of the use of family *** relief funds.

After the formation of the family *** relief network, the full personal account of the organizer of the balance of funds over the years as a family *** relief funds, by the *** relief members *** with the use of the funds, until they are exhausted. When the family ****support funds are exhausted, the family ****support network will continue. A person who joins a family ****support network as a ****support member can only be a user of the ****support funds, not a contributor. Only the organizer can give the balance of his/her account from previous years to the members of the ****support network. Each participant can only join a family ****ji network at the same time, if you need to change the family ****ji network, you can withdraw and then join a new family ****ji network.

If the elderly need to set up a family ****ji network, can not be processed through the online channel, you can go to the nearest health insurance service window, the service window staff to assist in the process.

07

Q: What are the ways to use the family **** relief funds?

A: The way to use the family ****ji funds include ****ji payment and ****ji contribution. Family **** Jinji network as a contributor to the formation of the network after the success of the independent choice of **** Jinji funds, you can choose one of the two, you can also choose both, the choice is confirmed **** Jinji members can use.

****Care payment means that the family ****Care funds are used to pay for out-of-pocket medical expenses in accordance with the order of settlement of the ****Care members' medical insurance. ***Ji members of the designated medical institutions incurred in self-payment of medical expenses, if the occupational insurance personnel, you must first use their personal account balance of funds over the years to pay, after the use of their own balance of funds over the years, you can use the family in accordance with the provisions of the ***Ji funds to pay; urban and rural residents in the medical insurance personnel, because of their own personal account, you can directly use the family ***Ji funds to pay.

****Contribution refers to the use of family ****Consolidation funds by ****Consolidation members to pay for basic medical insurance for urban and rural residents in the city, as well as the purchase of exclusive commercial health insurance products in the city.

The family ****ji funds belong to the individual account fund of the employee health insurance, and the expenses incurred by the ****ji payment are not included in the scope of the city's employee health insurance policies, residents' major illness insurance, medical assistance and other reductions.

08

Q: Who owns the family **** relief funds? Is it included in the daily supervision of medical insurance?

A: The family ****济资金归家庭***济网组建人所有，属于职工医保个人账户基金，结转、继承、转移、监管等按本市职工本基医疗保险有关规定执行。 The members of the ****ji members in violation of the provisions of the use of family ****ji funds, shall bear the corresponding legal responsibility.

09

Q: Can the designated retail pharmacies use the ***** funds?

A: Yes. ***JI members can use ***JI funds to buy medicines in designated retail pharmacies, etc. They can also use family ***JI funds to buy new coronavirus antigen test reagents and medical protective masks. According to the unified rules, the expenses paid by the family ****ji funds in the designated retail pharmacies will not be counted as part of the outpatient and emergency care deductibles for employees' health insurance for the organizers and members of the ****ji, or the starting line of outpatient and emergency care for urban and rural residents' health insurance.

10

Q: How is the specific time schedule?

A: Considering the use of personal account funds family ****ji need to family ****ji network set up to realize, will be set in July as a network period, set aside a month to facilitate the city's employees to set up family ****ji network. Special reminder, after August can still set up the network, but consider the convenience of the ****Ji members can be normal use of family ****Ji funds to pay for medical treatment, reduce the waiting time for the window of the medical institutions queuing, please set aside enough time to set up the network in advance and choose ****Ji method.