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Can I go to the doctor under public health insurance?

The reporter learned from the Municipal Medical Insurance Bureau that starting from August, the city has established a medical insurance family insurance network, and insured persons who choose financial payment can use family insurance at designated medical institutions and designated pharmacies in the city.

**Financial funds are used to pay for out-of-pocket medical expenses.

Insured persons use their social security cards (or medical insurance cards) to go to designated medical institutions for medical treatment, or to go to designated pharmacies to dispense prescriptions. When settling, they can realize convenient and hassle-free payment of financial funds.

Among them, those insured by the employment insurance must use up their own account funds before using the family's financial funds, while those insured by the residence insurance directly use the family's financial funds.

Since July, more than 40,000 families in this city have established a family financial network, with a total of more than 110,000 family members, meeting the conditions for the financial use of balances in personal accounts over the years among family members.

On the afternoon of August 1, Ms. Zhou took her son to the Respiratory Department of Shanghai Children’s Hospital to get medication. After the visit, she went to the self-service machine to pay for the medication.

It is very convenient to swipe the medical insurance card, confirm the deduction amount, and get the receipt.

Ms. Zhou's son originally needed to pay 162.31 yuan in cash for medicines when he went to the outpatient clinic. Through the family bank account, the money was automatically deducted from the balance of Ms. Zhou's personal account over the years during settlement, and there was no need to pay cash.

"Because I rarely see a doctor, I have a relatively large balance in my personal account, which I use to pay for my children's medical treatment. Now payment is more convenient than before. The children's own expenses can be directly deducted from my personal medical insurance account. No need to

In addition, we pay in cash. When grandparents accompany children to see doctors and dispense medicines, they don’t have to worry about them not being able to use mobile phones to pay or running out of balance on their mobile phones,” Ms. Zhou said.

In order to smoothly realize family financial payment, Shanghai Children's Hospital has made corresponding system modifications to both the online and offline outpatient and emergency registration and payment systems to ensure that children will not be affected by the settlement of new medical insurance financial accounts.

It is inconvenient for family members to operate.

At the same time, the relevant functional departments of the hospital have also produced corresponding brochures to facilitate patients to understand and use family financial payment.

In addition, the hospital specially trains window service personnel to provide guidance to the families of children when they need it.

Yu Guangjun, director of Shanghai Children's Hospital, said that the use of personal accounts for family finance can improve the use efficiency of medical insurance funds and avoid excessive accumulation of funds in personal accounts. It also helps reduce cash payments and improve settlement efficiency.

The hospital will continue to provide corresponding training and service guarantees to ensure that the family members of the children can conveniently use the family financial account.

The Municipal Medical Insurance Bureau reminds that networking can still be established after August, and organizers are asked to reserve enough time to handle networking in advance to facilitate family members’ use of financial funds.

In the fourth quarter of this year, the city will also launch financial funds to pay for family financial members to participate in urban and rural residents' medical insurance.

For specific questions about the family financial use of personal accounts, you can call the medical insurance consultation service hotline 12393 for consultation.

Text: Zhou Chengyi Information: Shangguan News Editor: Gu Jiawei* Please indicate when reprinting from Pudong Release Official WeChat Pudong Release Follow us, one more friend like Xiao Bu who works in the government can tell you about the big and small things in Pudong every day, and the low-key connotation

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