4月22日，国务院办公厅发布《关于建立健全职工基本医疗保险门诊共济保障机制的指导意见》（以下简称《意见》）。

 

Under the guideline, immediate¹ family members, including spouses², parents and children, will also be able to use the personal medical insurance accounts of insured employees for medical bills at designated institutions.

《意见》指出，职工个人医保账户可以用于支付参保人员配偶、父母、子女在定点医疗机构就医发生的由个人负担的医疗费用。

 

Their expenses incurred³ when purchasing medical devices, medicines and medical consumables at designated pharmaceutical⁴ stores can also be covered, the guideline said.

《意见》指出，在定点零售药店购买药品、医疗器械、医用耗材发生的由个人负担的费用也可由职工个人医保账户支付。

 

The unified⁵ accounts should include all employees insured under the basic medical insurance system and enable them to reimburse⁶ at least 50 percent of the outpatient fees, the guideline noted⁷.

意见提出，普通门诊统筹覆盖职工医保全体参保人员，政策范围内支付比例从50%起步。

 

The guideline has called for efforts to take gradual steps toward reimbursing⁸ outpatient bills through unified accounts, with the medicines for chronic⁹ and common illnesses incorporated.

《意见》还提出逐步采取措施，实现在门诊发生的费用，用统筹基金支付，慢性病、常见病用药也纳入统筹支付。

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