Reporter Zhao Qinghua Intern Cao Yuhan.
Recently, in order to answer the medical insurance-related questions that Jinan citizens are concerned about, the Jinan Municipal Medical Insurance Bureau launched an online live broadcast to answer online questions from netizens, and sorted out the following questions to answer questions for citizens. The details are as follows:
After retirement, the medical insurance payment period is not enough, can I make up the payment at one time?
A: Yes. If the insured person does not reach the minimum payment period (30 years for men and 25 years for women) when going through the retirement procedures in Jinan, he or she can make up the basic medical insurance premiums for the difference in the month at one time according to 60% of the average monthly salary of the previous year when going through the retirement procedures, and enjoy the basic medical insurance treatment of employees from the next month after payment. If it is not possible to make a one-time supplementary payment, it can continue to pay according to the flexible employment personnel and enjoy the medical insurance treatment of in-service employees.
Can flexible workers pay for health insurance separately?
A: Yes. You only need to use the "Jinan Medical Insurance" WeChat or Alipay applet to register for flexible employment, or you can go to the convenience service agency of the street (town) where the hukou (residence permit) is located with your ID card and the original household registration book (residence permit) to go through the registration procedures, and log in to the "Shandong Tax and Social Security Payment" WeChat and Alipay applet online self-service payment on a monthly basis.
What is the upper limit of outpatient reimbursement for the "two diseases" treatment of resident medical insurance?
Answer: Diabetic and hypertensive patients who do not meet the identification standards for outpatient chronic diseases can enjoy the "two diseases" treatment in the city's second-level and below designated medical institutions, without qualification application and review, and 70% of antihypertensive drugs and hypoglycemic drugs within the scope of medical insurance reimbursement can be reimbursed, and there is no minimum payment standard. No more than 300 yuan a year for a single disease (no more than 600 yuan for diabetic patients using insulin).
When can the outpatient chronic disease designation be changed?
Answer: There is no centralized change period for outpatient chronic disease in Jinan, and the insured can change the outpatient chronic disease designation once at any time within the year, and only need to go to the newly selected designated medical institution to change the registration, and enjoy the treatment immediately after the change.
Can I still be reimbursed for the off-site filing after I am hospitalized in Tianjin?
A: Yes. It is necessary to make up for the record of medical treatment in other places before discharge, so that you can directly settle online and enjoy medical insurance treatment when you are discharged. If you cannot settle directly online, you can go through the reimbursement procedures at all levels of medical insurance agencies in Jinan with valid bills of hospital charges, expense lists, discharge records (diagnosis certificates) and other manual reimbursement materials after returning to Jinan.