Jiangsu will carry out the new standard of the medical insurance next month Child neonate can offer and make a diagnosis to attend to the fee

Jiangsu will carry out the new standard of the medical insurance next month Child neonate can offer and make a diagnosis to attend to the fee
Jiangsu will carry out the new standard of the medical insurance next month Child neonate can offer and make a diagnosis to attend to the fee
Project and medical service facility range of making a diagnosis of basic medical insurance of Jiangsu Province that from next month, our province will carry out the new one in unison " and paying the standard ". Reporter know new standard in most old change, " whether child and neonate make a diagnosis expense of attending to etc. " yesterday Can submit an expense account with the medical insurance, liver, kidney, bone marrow, cornea,etc. transplant some expenses of making a diagnosis and operation project, can also pay with the basic medical insurance pool fund. Unified the name and avoided the high charge for yesterday, province labour insurance department released the notice, from July 1, carry out unified " Jiangsu Province basic medical insurance make a diagnosis event and medical service facility range and pay the standard " ' Call " medical service item payment standard " in the following text) ,And set up " standard storehouse of medical service item of the basic medical insurance of Jiangsu Province ", to including in the unified classification of medical service item that the medical insurance submits an expense account, unify codes, manage in unison, every pool area can't adjust or make separately. This mean, effect an insurance personnel go to see doctor, each medical care can only have a unified name of the whole province submit an expense account, can prevent the related departments from decomposing the project to do it in this way to a certain extent, improve and charge in a disguised form; At expenses standard and it wipe out in competence,can only in accordance with grade and Nan Su that be lived in of hospital, in Su, different to some more extent Bei Su with area. It is reported, by the end of last year, the number of people is 16,040,000 that the medical insurance of the worker of our province effects an insurance, resident effect an insurance by medical insurance personnel reach 12,340,000, that is to say revise, " the medical service item is paid the standard ", concern the whole province 28,300,000 more than medical insurance treatment of people. At present, our province still implements organ's socialized medicine and medical fee pool of the retired veteran cadre, also carry out according to this project. It is submitted partly to the relevant persons in charge of province labour insurance department and introduced now that originally not to submit an expense account, pay the standard and pay the difference of proportions according to curing the insurance, it is divided into three parts together that " the medical service item is paid the standard ", medicine save from damage submit an expense account ' Class A) , medical insurance wipe out partly ' Class B) Submit an expense account with medical insurance ' Class C) These three parts. Compared with old standard, new standard that carry out from next month, just most obvious change, some medical care that all the persons who effected an insurance paid the bill by oneself in the past, make into newspaper part of medical insurance, a part at one's own expense of persons who effect an insurance now. If " child and neonate making a diagnosis and attending to expenses " ,The person in charge of the medical insurance centre in the province explains, this is because our province includes child and neonate in resident's medical insurance range. For example, the new standard expands the ranges of serious disease, serious illness, can submit an expense account with the medical insurance again, the liver, lung are transplanted some expenses of making a diagnosis and operation project, this submit an expense account the hospitalization cost appropriately with the pool fund, can improve the patient's medical insurance treatment, relieve their pressure. As to class-B project, namely medical insurance the intersection of pool and the intersection of fund and part bury single personal the intersection of part and at one's own expense medical service item, the relevant persons in charge of province labour insurance department say, all parts should follow local reality, confirm the concrete individual pays the proportion, can't be higher than the original payment proportion in principle. This means, all parts submit an expense account the treatment can only be high but can't be low. The expenses of service item of making a diagnosis that and effect an insurance individual happen, it is within the partial payment project of funds of the pool, have been effected an insurance personnel since paying in fixed proportion first, and then paid according to the basic medical insurance regulation. Individual pays the proportion confirmed actually according to here by every pool area. Yesterday, personage this reveal accord with new standard of this year, venereal disease one this make a diagnosis some expense event produce still, also be paid by the medical insurance pool fund. Reporter Qi QingYan


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