New rules for medical insurance reimbursement in 2024

The new rules of medical insurance reimbursement 2024 are as follows:

The new medical insurance policy has significantly improved outpatient reimbursement. From June 5438+1 October1day, 2024, insured residents can enjoy more independent and convenient settlement services when they seek medical treatment in township hospitals, community health service centers, village clinics and other grassroots designated medical institutions in Yanshi area. This means that when insured residents seek medical treatment in these primary medical institutions, they can choose medical institutions according to their own needs and directly settle the reimbursement. In addition, the annual payment limit for outpatient medical treatment has also been increased, from 260 yuan to 280 yuan, which is conducive to reducing the economic burden of outpatient medical treatment for insured residents.

Medical insurance payment records are as follows:

1. Online inquiry: You can log in to official website and the local social security bureau, find the inquiry service column, and enter the medical insurance account number/personal number, password, verification code and other information according to the prompts for inquiry.

2. Telephone inquiry: You can call the social security number 12333 and follow the voice prompts to inquire about the personal account of the medical insurance card.

3. Counter inquiry: You can bring your medical insurance card, ID card and other materials to the local medical insurance agency and give them to the counter service personnel, who will help you inquire about the payment details.

4. Social Security Center Inquiry: You can directly go to the service hall of the social security bureau with your ID card or social security card, or inquire and print the personal account medical insurance payment list on the self-service machine in the service hall.

To sum up, the new rules of medical insurance reimbursement in 2024 have been adjusted and optimized in outpatient reimbursement, reimbursement ratio, newborn insurance, medical insurance fund management and so on.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 23

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.