Yangtze River Daily, Wuhan, April 26 (Reporter Hu Qiongzhi, correspondent Sun Jianbin) On April 26, the reporter learned from the Wuhan Municipal Medical Insurance Bureau that according to the unified arrangement of the province, now, the insured of the employee medical insurance can use the funds in the personal account of the medical insurance to help the members of the family to pay the medical insurance expenses of urban and rural residents. Insured persons who have previously paid the 2024 urban and rural residents' medical insurance in Wuhan can apply for the family mutual aid members to use the funds from the employees' medical insurance personal accounts to pay their residents' medical insurance insurance expenses.
The scope of use of personal accounts for employees' medical insurance has been further expanded
Employee medical insurance family mutual aid means that the insured person who participates in the employee medical insurance can use the funds in the personal account of the medical insurance to pay for the compliance expenses incurred by the family mutual aid member when he or she is hospitalized, outpatient or drug purchase in a pharmacy after successfully binding the insured parents, spouses and children to their own family mutual aid members after successfully binding them to their own family mutual aid members.
Now, using the provincial medical insurance information system, the province can realize that the personal medical insurance account of employees in the cross-overall planning area can pay the medical premiums of family mutual aid members. Specifically, there are two scenarios:
-- Insured employees in Wuhan can bind their parents, spouses, and children who participate in the medical insurance for urban and rural residents in any city or prefecture in Wuhan as family mutual aid objects, and can apply to pay urban and rural residents' medical insurance premiums for family mutual aid objects.
-- If the parents, spouses and children of the insured persons participating in the medical insurance for urban and rural residents in Wuhan are insured persons of the medical insurance for employees in Hubei Province, they can also be bound to the family mutual aid object and apply to pay for the expenses of participating in the medical insurance for urban and rural residents in Wuhan.
To use the medical insurance account to pay for mutual aid, you need to meet three conditions at the same time
According to reports, according to the regulations, the personal account of the employee's medical insurance pays for the medical insurance of urban and rural residents for the members of the family mutual aid, and three conditions need to be met at the same time:
Employee medical insurance participants and urban and rural residents must complete the binding of family mutual aid members (can be bound through the "Hubei Medical Security" WeChat and Alipay mini programs), and the insurance fees of the insured who participate in the urban and rural residents' medical insurance must be paid first;
Employee medical insurance is in normal insurance status;
The balance of the employee's personal medical insurance account is sufficient to cover the expenses applied for refund (i.e., the expenses of the family mutual aid members participating in the medical insurance for urban and rural residents).
If the city has paid the 2024 resident medical premium, it can be handled online and offline
Insured persons who have paid the 2024 urban and rural residents' medical insurance in Wuhan, if their parents, spouses, and children are employees of the medical insurance in Hubei Province, can now apply for the use of the funds in the personal account of the employee medical insurance by the family mutual aid members to pay their residents' medical insurance insurance expenses through online and offline methods.
Online: Employee medical insurance participants can enter the "Hubei Medical Security" applet through WeChat or Alipay, click on "Personal Account Payment for Urban and Rural Residents' Medical Insurance Payment Application" in the "Personal Account Mutual Aid" module to enter the business handling interface, select the urban and rural residents medical insurance insured, the system will automatically display the "refund amount", enter the bank account information, and click "Submit" to complete the application. After the application is approved, the 2024 resident medical premiums paid by the family mutual aid members will be automatically refunded to the designated bank account. Subsequently, you can also check the progress of the application through the "Inquiry on the Progress of Medical Insurance Payment for Urban and Rural Residents in Personal Account".
Offline: You can go to the medical insurance agency in our city to handle it.
Flow chart of the personal account of employee medical insurance for the payment of resident medical insurance premiums for family mutual aid members
(Take the "Hubei Medical Security" WeChat mini-program as an example)
Source: Yangtze River Daily