When will the "Employee Medical Insurance Personal Account Reimbursable for the Whole Family" land? Multiple times the schedule is out!

People's Daily health client Mao Yuanyuan

On December 15, Cai Ruozhen, director of the Treatment and Security Department of the Tianjin Municipal Medical Security Bureau, mentioned in "Public Servants Enter the Live Broadcast Room" that in April 2021, the State Council issued the "Guiding Opinions on Establishing and Improving the Outpatient Mutual Assistance Guarantee Mechanism for Basic Medical Insurance for Employees", requiring the reform of the personal accounts of employees' medical insurance, appropriately expanding the scope of use, and allowing family members to use personal accounts for each other. At present, Tianjin has formulated supporting implementation policies, which will be issued in the near future and are expected to be implemented next year!

The reporter inquired into the "Opinions" and learned that it clearly mentioned that the provincial people's governments should issue implementation measures before the end of December 2021, and can set a transition period of about 3 years to gradually achieve the reform goals.

What is the current situation in various places? In response to this issue of public concern, the People's Daily health client has sorted out.

Beijing: In early August, the use of personal accounts for the whole family was implemented

In August, the Beijing Municipal Medical Insurance Bureau issued the Supplementary Notice of the Beijing Municipal Medical Security Bureau on the Scope of Use of Individual Accounts for Basic Medical Insurance for Urban Employees, which mentioned that personal accounts can be used to pay for the personally borne medical expenses incurred by the insured persons themselves, their spouses, parents and children in designated medical institutions, as well as the expenses borne by individuals incurred in the purchase of drugs, medical devices and medical consumables in designated retail pharmacies; and personal accounts cannot be used for public health expenses. Other expenses such as physical fitness or health care consumption that are not covered by basic medical insurance. The Notice came into effect on 11 August 2021.

The personal account is used to pay the individual contributions of the insured persons and their spouses, parents and children participating in the basic medical insurance and long-term care insurance of urban and rural residents in this city, and to support the purchase of supplementary medical insurance in this city; personal accounts must not be used for public health expenses, sports and fitness or health care consumption and other expenses that are not covered by basic medical insurance.

Tianjin: The employee medical insurance personal account will be available to the whole family next year

Tianjin has preliminarily clarified that personal accounts can be used for mutual assistance between family members, and can be used for personal expenses incurred by themselves and their families (spouses, parents, children) in designated medical institutions for medical treatment or purchase of drugs, medical devices and medical consumables at designated retail pharmacies, as well as personal contributions to participate in the city's resident medical insurance, long-term care insurance, etc.

Fujian: Personal accounts are set aside more than 2,000 yuan to set up a family mutual assistance account

In April 2020, the Fujian Provincial Medical Insurance Bureau and the Department of Finance jointly formulated and issued the "Fujian Provincial Basic Medical Insurance Family Mutual Aid Account Use Management Measures (Trial)". The "Measures" make it clear that part of the funds (more than 2,000 yuan) can be set up from the personal accounts of insured employees to set up a family mutual assistance account for the comprehensive health protection between themselves and their minor children, spouses and other immediate family members.

The Masonic Account can be used to pay outpatient and hospitalization expenses, vaccination of Class II vaccines, purchase of drugs at designated retail pharmacies, physical examinations, payment of premiums for participation in basic medical insurance for urban and rural residents, and other expenses that meet the scope of payment in individual accounts. The family mutual assistance account information platform is planned and constructed by the provincial level. Family freemasonry accounts are used throughout the province, and freemasonry can be changed or cancelled.

Shandong: The "one-card pass" in the province has been officially opened for operation

On July 28, 2021, the Information Office of the Shandong Provincial Government held a press conference to announce the official opening and operation of the "one card pass" in the province, which can not only be used in the city, but also in any other area of the province; both the purchase fee can be paid in the medical insurance designated pharmacy, and the medical insurance pooling fund is not reimbursed or the outpatient fee and hospitalization fee that need to be paid by the individual after the medical insurance pooling fund is reimbursed; moreover, the personal account of the medical insurance in Shandong Province has realized family assistance. Insured employees can not only use the funds in their personal account to pay for their own medical expenses, but also can be used to pay for the relevant medical expenses of their spouses, children, parents and spouses' parents.

Guizhou: In 2022, we will begin to explore personal account family solidarity

According to the Implementation Opinions on Establishing and Improving the Outpatient Mutual Assistance Guarantee Mechanism for Employees' Basic Medical Insurance (Draft for Comment) issued by the Guizhou Provincial Medical Insurance Bureau, in the collection of medical insurance for urban and rural residents in 2022, the exploration of personal accounts for spouses, parents and children participating in the basic medical insurance of urban and rural residents has begun to be explored, and the scope of the above relatives is limited to the insured persons in this province.

The scope of spouses, parents and children shall be implemented in accordance with the Provisions of the Civil Code of the People's Republic of China and other laws. Personal accounts may not be used for expenses such as public health expenses, sports and fitness or health care consumption that are not covered by basic medical insurance. Complete and improve the management measures for the use of personal accounts, and do a good job of revenue and expenditure information statistics.

Jiangxi: Personal accounts are gradually shared by the whole family

On August 24, the Jiangxi Provincial Medical Security Bureau and the Jiangxi Provincial Department of Finance issued the Notice on Expanding the Scope of Use of Individual Accounts for Basic Medical Insurance for Employees (trial implementation), which gradually realizes that the personal accounts can be used for the medical expenses borne by the spouses, parents and children of insured persons in designated medical institutions, as well as the personally borne expenses incurred in the purchase of drugs (quasi-brand numbers, Chinese medicine tablets), medical devices (food and drug supervision and drug supervision), medical consumables and disinfection supplies (Wei Consumption) at designated retail pharmacies.