laitimes

National Health Insurance Administration: Some key groups can not have a waiting period for medical insurance benefits

author:China Medical Insurance Magazine
National Health Insurance Administration: Some key groups can not have a waiting period for medical insurance benefits

According to the news of the National Health Insurance Administration, for newborns, rural low-income people who have stopped insurance for personal reasons and other difficult people, and key groups such as soldiers who have just retired from active duty and other key groups who participate in insurance and pay during the non-centralized payment period, there is generally no waiting period for treatment.

National Health Insurance Administration: Some key groups can not have a waiting period for medical insurance benefits

In addition to these personnel, for the transfer of the continuation of the employee medical insurance personnel, before the transfer of the interruption of payment within 3 months (inclusive), there is no waiting period for the treatment after the payment, the month of payment can be in the transfer of the place according to the provisions of the treatment;

At present, the medical insurance for urban and rural residents covers all urban and rural residents except for those who should be insured by the basic medical insurance for employees in accordance with the law, and the annual fixed amount of financing is carried out, and the premiums for the following year are generally collected and paid in a centralized manner from September to December each year. In some areas, the payment period will be extended appropriately.

If the insured residents participate in the insurance during the centralized payment period, the insured residents shall enjoy the resident medical insurance treatment from January 1 of the following year, and shall not be subject to the restriction of the waiting period for the treatment;

National Health Insurance Administration: Some key groups can not have a waiting period for medical insurance benefits

According to reports, the waiting period for medical insurance treatment refers to a period of time during which the insured person cannot enjoy medical insurance treatment before meeting certain conditions under certain conditions.

As a policy tool to prevent the moral hazard of "temporary insurance participation in illness and non-insurance participation in illness", the waiting period for treatment enjoyment has been applied in the practice of medical insurance systems at home and abroad. The National Health Insurance Administration said that under the objective reality that residents still need to be repeatedly mobilized to participate in the insurance under the objective reality that the residents' medical insurance is voluntary, it is still necessary to restrict the insurance payment of various groups of people through policy incentives such as reasonable setting of treatment and waiting periods.

The relevant person in charge of the National Medical Insurance Bureau said that the next step will be to guide all localities to continue to do a good job in the work of residents' medical insurance, consolidate the coverage of basic medical insurance, and at the same time strengthen the management of insurance work, standardize the insurance process, and better protect the medical insurance rights and interests of urban and rural residents.

Source | Xinhua

Edit | Fu Meiru: What to do

Hot Article

• Continuous interviews, the National Health Insurance Bureau cracked down on pharmaceutical companies to "force prices with shortages"

• The National Health Insurance Administration issued a document: Drug prices will enter the "era of inter-provincial fairness"

• Promote the reform of medical insurance payment methods, which the National Health Insurance Administration has done

Read on