Recently, there has been a resurgence of rumors about "retirees receiving a one-time differential subsidy for medical insurance".

The reporter's investigation found that the statement of "medical insurance one-time differential subsidy" does not match the facts.

  Rumors say: "There is a sum of money in the medical insurance card of the retired elderly at home. Don't forget to collect it. If it expires, it will be cleared. The medical insurance account will be supplemented with a sum of money, called 'medical insurance one-time difference subsidy'. Every April , the country will give back to the retired elderly in one lump sum. Taking Shanghai as an example, the uniform fee is 1,690 yuan for those under the age of 70, and 1,890 yuan for those over the age of 70. The retired elderly in other cities across the country can also receive this money, and the specific amount varies from place to place , You can call the social security number 12333 for inquiries."

  Is this really the case?

The reporter dialed the Shanghai medical security service hotline 12393 to find out the situation.

The staff said: "We don't have the term 'medical insurance one-time differential subsidy'. In terms of medical insurance, if they are retirees, the only funds they involve are the fixed funds given at the beginning of each medical insurance year. account."

  "In Shanghai, retirees under the age of 74 are 1,680 yuan/year, and retirees over 75 are 1,890 yuan/year. At the beginning of the year, that is, in July of that year, the fixed funds will be directly transferred to the medical insurance accounts of retirees.

Regarding the online rumor that "retirees under the age of 70 enjoy a medical insurance subsidy of 1,690 yuan, and retirees over the age of 70 enjoy a medical insurance subsidy of 1,890 yuan", it may be a misunderstanding, and the annual fixed fund for medical insurance is misunderstood as a differential subsidy.

As for the statement of not receiving toilets in April, the staff member said that there is no such thing as "clearing".

For the node of "April", the staff speculated that it may be related to the time when the funds in the medical insurance account were injected.

Before the 2020 medical insurance year, the medical insurance account funds were injected in April every year, but now it has been changed to July.

  The reporter also consulted Beijing, Zhejiang and other places.

The staff of the Beijing Human Resources and Social Security Consulting Service Hotline made it clear: "There is no 'one-time differential subsidy for medical insurance' in Beijing." A staff member of the information center of a county-level medical security bureau in Zhejiang Province also told reporters that there is no "one-time differential subsidy for medical insurance" locally. "The argument.

At present, Zhejiang Province is implementing provincial-level overall planning. Its medical insurance system has been unified in the whole province, and relevant policies are also issued by the provincial medical insurance.

In addition, the Jinan Municipal Medical Insurance Bureau also previously stated on the Jinan Internet Joint Rumor Refutation Platform that the statement of "one-time medical insurance differential subsidy" is not true, reminding the general public not to believe or spread rumors, to be vigilant, to enhance personal awareness of prevention, and to protect themselves Information and property safety, do not believe in Internet rumors, let alone disclose important personal information to strangers.

  In response to the online video, an industry insider who has been engaged in medical insurance management for more than 30 years said that at present, the funds that individuals receive from medical insurance are only three expenses.

The first is the funds transferred from the medical insurance to the personal account; the second is the medical expenses reimbursed by the medical insurance (manual settlement expenses between individuals and medical institutions); the third is the expenses reimbursed by the serious illness insurance where the employee critical illness insurance system is implemented.

According to the source, the national employee medical insurance implements the system of "social pooling fund" + "personal account".

The policy clearly stipulates that the social pooling fund is used to reimburse patients in proportion or in accordance with a fixed amount, and its nature belongs to "mutual aid and mutual aid" funds.

Among them, personal account medical insurance is transferred to the funds of employees and retirees on a monthly basis, and is used by patients to pay for medical expenses borne by patients.

Personal accounts are owned by individuals, and long-term accumulation is implemented.

If employees and retirees die unfortunately, the remaining funds in their personal accounts will be inherited by their children, and there is no such operation as "direct clearing".

(Source of this article: Author of Economic Daily: China Economic Net reporter Guo Wenpei)