The officers in Shenyang call the medical insurance " Pay fully " Not equal to submitting an expense account fully

The officers in Shenyang call the medical insurance " Pay fully " Not equal to submitting an expense account fully
The officers in Shenyang call the medical insurance " Pay fully " Not equal to submitting an expense account fully
Citizens raise questions on the issue that the basic medicine submit an expense account, the relevant department answers -- From open column language February 26, the community health Center (station) run in the whole municipal government in Shenyang All allocate and use the national basic medicine with the health clinics in towns and townships, and sell a difference rate. Over these days, this newspaper receives the hot line consultation of a lot of relevant problems. From today, will ask the relevant department head in Shenyang to understand on the question of focus which readers pays close attention to in Chinese businessman's morning paper, let common people really understand how to enjoy the relevant treatment. How the basic medicine wipes out and concerns common people's vital interests. A few days ago, citizens Mr. Zhang called, the doubt of submitting an expense account that how should express to class-A medicine, a lot of readers have puzzlement the same as him too. At this point, the staff reporter interviewed municipal human resources and relevant person in charge of medical insurance of social security office in Shenyang on March 1. Citizen's doubt submits an expense account in proportion for Fu He fully, let a lot of readers not feel very clear. "The country says the basic medicines and all enters class-A medicines of medical insurance, the medical insurance is paid fully, do not presume separately individual pays the proportion for itself. Why submit an expense account according to the percentage in our Shenyang? " Citizens Mr. Zhang inquires whether the policy of Shenyang does not correspond to state policies. The authority responds according to media that before this, it is expressed that the medical business administration association of China will be longer than MingDe, this kind " whether basic medicine take, implement, submit an expense account fully " Understanding incorrect. The present file just says basic medicine once " All include in submitting an expense account " Range,but what medicines be reached specifically how much be different in proportion newspaper,this it no single concept will be buried all by country. Concrete management that the related catalogue issues after the detail of submitting an expense account also needs seeing. Explain to citizens' doubt, municipal human resources and relevant personnel of medical insurance place of social security office in Shenyang explain here, " class-A medicines are paid fully, can't presume separately individual pays the standard for itself " that the national regulation mentions ,It is as to class-B medicines should presume first certain individual pay the proportion for itself. Remind citizens to include basic medicine in the medical insurance in range of submitting an expense account this time, worker's medical insurance, in fact policies and regulations of resident's medical insurance submit an expense account the range, settlement procedure do not melt more changeably, have just raised the proportion of submitting an expense account partly. The medical insurance department will adjust the management information system, effect an insurance the fixed medical organization of basic unit that personnel are implementing the basic medicine system seeks medical advice, it should be by some hospitalization costs which individual afforded to only need to pay according to the regulation, the others are settled with fixed medical organization by Medical Benefits Funds. Give an example with the present policies of Shenyang: For instance: The retired personnel who participate in worker's medical insurance are in hospital in the community health Center, use 100 yuan medicine. First, if it is class-B medicines, need to pay 8% (some class-B medicines need to pay 15% for itself in advance) for itself first ,Only 8 yuan. Subsequently, remaining 92 the intersection of medicine and the intersection of fund and class-A medicines,etc. and expenses together, wipe out proportion, 97% calculate the intersection of need and amount of money that individual pays for itself according to where one stays the intersection of medical insurance and fund of hospital. Only class-B medicine needs individuals to pay the amount of money for itself =100 point * 8% yuan (pay for itself in advance) + 92 point * 3% yuan (individual pay the proportion for itself) =10.76 yuan; Second, if it is class-A medicines, only need individuals to pay 3 yuan for itself. Only class-A medicine needs individuals to pay the amount of money for itself =100 point * 3% yuan (individual pay the proportion for itself) =3 yuan does not use the class-A medicine " Presume separately individual pays the proportion for itself " . This means, does not need to prepay 8 yuan like class-B medicine, medicine fund of all 100 yuan can be calculated directly according to the payment proportions of the hospitals where one stays of the regulation, do not presume separately individual pays the proportion for itself. (Chinese businessman morning paper reporter Jiang Hong)


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