Urumchi: The medical fee of 14 kinds of form number " Bind "

Urumchi: The medical fee of 14 kinds of form number " Bind "
Tian Mountain network reports ' Reporter Li MinYan's report) From July 1, the patient because single number is in the fixed hospital treatment of medical organization of provincial capital, probably accomplish in advance as to the supreme hospitalization cost paid by oneself " Know what's what " (used after a verb to indicate the completion of an action). On June 29, the reporter knows from municipal work and social security office in Urumchi, already send provincial capital to all fixed medical organization under the " implement some the intersection of form and the intersection of number and notice that limit close about the intersection of Urumchi and the intersection of city and basic medical insurance " office this recently. According to the regulation, the basic medical insurance of dark city will try to settle account in single number limit to some number from next month, among them 14 pieces of number including number such as acute appendicitis ' See the right table) ,This is that basic medical insurance of dark city implements some form number limits and closes the method for the first time, in the future also according to the progress of real running situation and clinical route management, expand the number range of trying to settle account in single number limit progressively. What is called single number, say popularly it is a patient that has only a single disease on one's body, there are no other complications or amalgamate disease. Generally speaking, it implements single number to be those number simple, operation regulation, common high number that take place in whom number that limit close choose mainly. According to the " notice " requirement, the hospitalization cost settling the single number limit, is declared to the relevant department alone by the fixed medical organization, settle account factually. The hospitalization cost within the single number limit, pay according to the regulation of medical insurance, exceed the above standard part of limit and is born by medical organization. That is to say, to exceeding the hospitalization cost of the limit, the medical insurance pool fund and joining sponsors to refuse to pay, born by proper motion of fixed hospital. After trying single number, patient's hospital treatment of number substantially as because implements the single number limiting, its during in hospitalling all hospitalization cost ( Do not include complication) Will bind and making. The medical insurance effects an insurance personnel to the number limited in treatment of fixed hospital, need only be according to the fixed standard while leaving hospital, based on different the hospital ranks and number, pay different paying some expenses for itself, some more ' Single the intersection of number and expenses close outside the range except the expense not taken place) Paid by Medical Benefits Funds. The reporter notices, in 14 pieces of number implemented in provincial capital, its limit of 5 pieces of form number closes the method to implement only in the tertiary fixed medical organization, close ways to implement in tertiary fixed medical organization and the second fixed medical organization at the same time in other 9 form number limits, but fixed limit standards of medical organization of different ranks are different to some extent. For example: Atherosclerosis heart disease of form is the highest one limit standard in 14 pieces of form number to preceded, this number implements the limit to settle account only in the tertiary fixed hospital, the limit standard is 45,000 yuan; And also see acute appendicitis, the standard of its limit is 3200 yuan in the tertiary fixed hospital, it is 2600 yuan in second fixed hospital.

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