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社评“69Χ69”-梳理天下新闻

刷完医保还69Χ69能刷商保付?支付宝商保码来了

来源: 科技真探社
2024-12-14 16:05:26

最佳回答

“69Χ69”刷完医保还69Χ69能刷商保付?支付宝商保码来了

  为了69Χ69提升看病报销服务体验,169Χ692月13日,支付宝宣布推出商保码,实现医保、商保一站支付。患者住院缴费刷完医保后,如需补充,可直接使用商保码申请垫付住院费用,后续再向保司发起报销理赔。目前,用户上支付宝搜“商保码”可开通该服务,并按照提示申请就医额度。据悉,商保码首期已覆盖泰康在线、众安在线旗下的主流百万医疗险,为超过1000万用户提供服务,后续将覆盖更多保险机构及险种。

支付宝商保码

  今年5月发布的《中国商业医疗险发展研究蓝皮书》显示,30.7%的人认为报销流程繁琐,大部分百万医疗险医疗费用都是用户先自费、后报销,这对住院患者来说是不小的负担。商保码合作保司的工作人员向记者举例,某患者持有一款免赔额为5000元的商业健康险产品,后因生病需要住院,刷完医保码后还须支付15000元。这时,患者就可以按照提示申请额度,并通过商保码支付10000元,该费用无需自己支付。在支付后的一周内,患者不用跑去线下,直接线上上传理赔申请材料,即可根据保司实际理赔额多退少补。

  此外,在商保码的界面,用户还可以查询个人名下在合作保司的保单,一站式管理个人保险资产。支付宝医疗健康事业部数字医保业务部总经理张宇表示:“支付宝将与保险公司等合作伙伴继续深化合作,优化产品服务体验,商保码支付也将逐步覆盖更多保司和险种”。据介绍,目前商保码支付已覆盖泰康在线、众安在线旗下的主流百万医疗险,支持患者在全国超1万家二级以上公立医疗机构住院时使用。

  近年来,我国着力健全基本医疗保险、大病保险、医疗救助三重梯次减负的基本医疗保障制度。国家医保局也曾多次释放医保、商保数据互通的“积极信号”,近日国家医保局印发的《医保带来的发展新增量》中提到,正在积极谋划探索推进医保数据赋能商业保险公司、医保基金与商业保险同步结算及其他有关支持政策。业内人士认为,在国家医保局的政策支持和相关平台的积极探索下,或将真正实现“数据多跑路、群众少跑腿”,大幅优化商保服务体验,进一步推动商业健康保险与基本医保的有效衔接,提高商保支付在全国医疗卫生总费用支出中的占比。

  公开数据显示,全国医保码用户已超11.2亿人,其中,通过支付宝激活使用的用户已超6亿,已经是国家医保局官方第一大第三方激活和医保支付渠道。2019年以来,支付宝平台已69Χ69首发医保亲情账户、医保家庭共济、医保移动支付等多项医保服务,积极响应探索医疗保障在多场景下的创新应用。

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