Medical insurance cancels the threshold fee , and military families are exempted and exempted more

Mondo Social Updated on 2024-03-01

The "threshold fee" of medical insurance is standardized as "the overall payment standard", which is also often called the "starting line". The spouses, parents and parents-in-law of military personnel who enjoy the preferential treatment of military medical institutions usually enjoy the reduction and exemption of the part borne by the individual after the medical insurance reimbursement and meet the "minimum payment line" standard when they seek medical treatment in military hospitals. A few days ago, Junhu released an article on the "Release of the List of 142 Hospitals of the People's Liberation Army and the Armed Police Force in the Country", mentioning that a certain military sister-in-law did not have a "starting line" when she was treated in a military hospital in Nanjing. According to reports, after the settlement of medical insurance, the part borne by the individual directly enjoyed the preferential reduction, and the earlier medical treatment in Nanjing Military Hospital needs to reach the minimum payment line, and then enjoy the preferential reduction. Could it be that the military's medical policy has changed again? In fact, it is not a change in the military's medical policy, but a new change in the local medical insurance policy, that is, the abolition of the "minimum payment line". Take Nanjing, for example. Two years ago, Nanjing medical insurance reimbursement, the standard of in-service employees is 1,200 yuan, when seeing a doctor in a military hospital, after the medical insurance settlement, the personal cost must reach 1,200 yuan "starting line" in order to enjoy the 100% reduction and exemption of military insurance.

Nanjing outpatient co-ordination treatment

From 2023 onwards, Nanjing's new medical insurance policy will be introduced, canceling the original outpatient co-ordination and outpatient chronic disease payment standards for employee medical insurance, and the new outpatient co-ordination policy does not set the minimum payment standard. The local government has launched the policy of canceling the "minimum payment line", and for military families, it is more preferential to seek medical treatment in military hospitals. However, the good policy of canceling the "minimum payment line" for medical insurance is not a unified national medical insurance policy. It is understood that at present, only some provinces or cities have implemented this policy. For example, Guangdong, Hunan, Guizhou, Qinghai, Yan'an, Shaanxi and other places have clear regulations on the overall reimbursement of general outpatient services for employees and no starting payment line in terms of medical insurance outpatient co-ordination. For the family members of military personnel who enjoy the reduction and exemption, if there is no "starting line" in the location of the military hospital where they are treated, when settling the medical expenses, after enjoying the medical insurance reimbursement, the part borne by the individual can directly enjoy the reduction and exemption. Military dependents who seek medical treatment in military hospitals** are entitled to different proportions of exemption and exemption according to the type of benefit. Spouses of military personnel holding social security cards can enjoy outpatient reduction and exemption = (medical insurance co-ordinated unreimbursed amount + personal advance burden amount) 100% reduction; Hospitalization reduction = unreimbursed amount of medical insurance * 100% reduction ratio. Military parents and parents-in-law with social security cards can enjoy outpatient reduction and exemption for medical treatment in military medical institutions = (medical insurance co-ordinated unreimbursed amount + personal advance burden amount) 20%; Hospitalization reduction = unreimbursed amount of medical insurance * 50% reduction ratio.

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