Jilin Provincial Medical Insurance Outpatient Coordination refers to a coordinating payment method carried out by the Jilin Provincial Medical Insurance Department for the medical expenses of insured persons during outpatient treatment. This policy aims to reduce the financial burden of outpatient medical treatment on insured persons and improve the level of medical security through centralized management and use of medical insurance funds.

1. Basic contents of Jilin Province Medical Insurance Outpatient Coordination

Jilin Province Medical Insurance Outpatient Coordination mainly covers the medical expenses of insured persons when they seek medical treatment in outpatient clinics, including drug fees, diagnosis and treatment fees, and examinations. Fee et al. Through outpatient coordination, insured persons can enjoy a certain proportion of medical insurance reimbursement when seeking medical treatment, thereby reducing personal financial burdens.

2. Implementation method of Jilin Province Medical Insurance Outpatient Coordination

Jilin Province Medical Insurance Outpatient Coordination adopts centralized management and use of medical insurance funds. Through cooperation between the medical insurance department and medical institutions, Real-time settlement and reimbursement of medical expenses. Insured persons only need to show their medical insurance card when seeking medical treatment, and the medical institution can settle the expenses according to the prescribed reimbursement ratio.

3. The significance and impact of Jilin Province’s medical insurance outpatient co-ordination policy

The implementation of Jilin Province’s medical insurance outpatient co-ordination policy is important for improving the medical security level of insured persons and reducing personal financial burdens significance. At the same time, this policy will also help promote the rational utilization and optimal allocation of medical resources, and promote the fairness and accessibility of medical services.

However, Jilin Province’s medical insurance outpatient co-ordination also faces some challenges and problems during the implementation process, such as the sustainability of the medical insurance fund and the enthusiasm of medical institutions to participate. Therefore, it is necessary to further improve the policy mechanism, strengthen supervision and coordination, and ensure the smooth implementation and effective operation of outpatient coordination policies.

To sum up:

Jilin Province’s medical insurance outpatient co-ordination is an important medical security policy. Through centralized management and use of medical insurance funds, it reduces the economic cost of insured persons seeking medical treatment in outpatient clinics. burden and improve the level of medical security. However, relevant issues need to be paid attention to and resolved during the implementation process to ensure the smooth implementation and effective operation of the policy.

Legal basis:

"Social Insurance Law of the People's Republic of China"

Article 27 provides:

Participation Individuals covered by the basic medical insurance for employees who have paid cumulative contributions for the number of years specified by the state when they reach the legal retirement age will no longer pay basic medical insurance premiums after retirement and enjoy basic medical insurance benefits in accordance with the regulations of the state; those who have not reached the number of years specified by the state can pay their premiums to the state. Specify the number of years.

"Jilin Provincial Basic Medical Insurance Management Measures"

Article 10 stipulates:

The scope of outpatient overall payment includes insured persons’ medical expenses that meet the requirements of medical expenses incurred at designated medical institutions. General outpatient medical expenses, outpatient chronic disease medical expenses and outpatient special disease medical expenses stipulated in the basic medical insurance.