Chinanews.com, Jinan, July 28 (Zhao Xiao) Shandong Medical Insurance Card's "All-in-One Card" function was officially launched on the 28th, and designated medical institutions and pharmacies (namely medical insurance designated medical institutions) in the province have all opened the "All-In-One Card" function.
Shandong became the first province in China to achieve full coverage of the "One Card Card" in the province with medical insurance cards.
On the same day, a special press conference was held in the Eastern District of Shandong Provincial Hospital to introduce the situation of the "uni-card operation" in the Shandong medical insurance card province.
It is understood that this is the first time that the Information Office of the Shandong Provincial Government has held a press conference on the news site and organized on-site interviews by reporters.
"Shandong has always implemented a hierarchical management system for medical insurance funds like other provinces. The funds in individual medical insurance accounts for employees can only be used in the city, and cannot be used across cities and provinces. This has become a pain point and difficult problem that the people are eager to solve." Shandong Medical Zhang Ningbo, director of the Security Bureau, said that for this reason, the province has included the realization of the “one-card service” of the medical insurance card in the province as one of the 43 key livelihood projects of “I do practical things for the masses”, and has worked hard to promote cross-provincial access and online settlement of medical treatment in different places.
Zhang Ningbo said that the "all-in-one card" in Shandong's medical insurance card province has opened up regional restrictions on the use of funds in the personal medical insurance accounts of employees.
In the area of swiping the card, the medical insurance card can be used not only in this city, but also in any other area in the province; in terms of the scope of payment, the purchase fee can be paid at the designated pharmacy of the medical insurance, or at the designated medical institution of the medical insurance The medical insurance pooled funds are not reimbursed or the outpatient and hospital fees that need to be paid by the individual after the medical insurance pooled funds are reimbursed; in terms of the scope of users, Shandong medical insurance personal accounts have achieved family mutual aid, and the insured employees can not only use them to pay for their own related expenses. Medical expenses can also be used to pay for the relevant medical expenses of their spouses, children, parents, and parents of the spouse.
Citizens use medical insurance cards in the eastern district of Shandong Provincial Hospital.
Photo courtesy of Shandong Provincial Government Information Office
While comprehensively promoting the full coverage of the "One Card Card" in the province, Shandong is also accelerating the promotion of online settlement for medical treatment in different places.
At present, the remote hospitalization settlement in Shandong Province has achieved full coverage of townships, and has achieved cross-provincial hospitalization settlement with more than 55,000 designated medical institutions in various provinces (autonomous regions and municipalities) across the country, the largest number in the country; the provinces are directly connected to Jinan, Qingdao, and Zibo. , Dongying, Binzhou, and Weifang have opened cross-provincial network settlement for general outpatient clinics. The four cities of Tai’an, Yantai, Jining and Heze have applied for national network testing, and other cities are accelerating the progress.
Zhang Ningbo said that at present, Shandong is advancing the filing and medical insurance policy reforms for medical treatment, referral, etc. within the province and across provinces, and plans to relocate retirees, permanent workers in different places, and long-term residents in different places. Long-term residents living in different places", the implementation of one-time filing and long-term effective, enjoy the same medical insurance policy as the insured place for medical treatment; unified adjustments and integration of temporary outings for emergency medical treatment, referrals for medical conditions, medical outings, etc., such as business trips, family visits, tourism, etc. Simplify to "temporary medical personnel", and uniformly reduce the first out-of-pocket ratio of 10%-30% for medical treatment in each city to no more than 10%.
The reporter learned at the scene that in the next step, Shandong will accelerate the upgrading and transformation of the remote payment platform for medical insurance personal accounts and cross-provincial testing on the basis of the opening and operation of the "all-in-one card" in the province, and realize the cross-provincial access of medical insurance cards by the end of September this year. By the end of August, all 16 cities and provinces in the province will open general outpatient clinics and inter-provincial network settlement. By the end of November, the goal of having at least one designated medical institution in each county will be achieved one year earlier than the national requirement.
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