Hubei Optimized Foreign Medical Clearance makes the masses more "medical" in a foreign country

Hubei Daily News (Reporter Longhua, Correspondent Huang Shan) Recently, the Provincial Medical Security Bureau issued the "Notice on Further Improve the Solid Settlement of Direct Settlement of Different Turbs" (hereinafter referred to as "Notice"). Medical record management, clarifying different places for medical settlement policies, expanding the coverage of medical institutions for medical institutions, and accelerating the reconstruction of information systems to optimize related policies, further improve the convenience of direct settlement of medical treatment in different places, and ensure that the province's insured persons enjoy more efficiently more efficiently Different place for medical settlement services.

Basic medical insurance insured persons in different places include: remote resettlement retirees filing, long -term residents filing in different places, filing of resident staff in different places, filing of remote referring personnel, and other temporary medical staff filing. Provincial, city, county, township (street), village (community) level five.

In order to further expand the registration channels for medical treatment in different places, insured personnel can apply for medical treatment for different places in the township (street) government service centers and village (community) convenience service centers in the county areas of the insurance prefecture. Different places apply for small procedures for medical filing, the State Council client applets, Hubei Office APP, and Hubei Provincial Political Service Network to apply for the procedures for medical treatment for different places.

The "Notice" regulates the management of medical treatment in different places. Receive personnel, long -term residents in different places, long -term residents, and residents in different places have been filed for long -term validity; referral personnel and other temporary medical staff will have a validity period of 6 months. Allows to reissue the direct settlement service of different places after medical treatment, and the qualified insured personnel arranged for the referral for medical treatment reasonably.

In terms of medical settlement in different places, the "Notice" clarifies the reimbursement policy for medical staff for different places. During the direct settlement of medical treatment in different places, in principle, the scope of payment and relevant regulations stipulated in the medical place will be implemented, and the starting standards, payment ratio, maximum payment limit, and scope of slow special diseases of outpatient diseases specified in basic medical insurance funds stipulated in the insurance place are implemented. policy. In principle, the payment ratio of the referral personnel decreases by no more than 10 percentage points compared with the local medical treatment. In principle, the other temporary medical staff paying ratio decreases by no more than 20 percentage points than the local medical treatment.

At the same time, the insured participants enjoy medical insurance treatment in both directions and the bidirectional of the insured place, and support the outpatient clinic for slow and special costs. Insured personnel who need to return to the insurance place for medical treatment within the validity period of the medical treatment in a different place. There is no need to revoke the filing, and the medical insurance settlement service can be enjoyed at the place of insurance. The medical insurance treatment is consistent with the local medical treatment.

In addition, the coverage of pharmaceutical institutions for medical treatment is expanded. The cities (states) level 2 and above medical institutions and counties (cities, districts) people's hospitals, traditional Chinese medicine hospitals, and maternal and child health care hospitals are all included in the scope of designated medical institutions for medical treatment in different places; all the designated medical institutions of slow special diseases in each overall planning area are included in different places. Settlement scope.

In order to further settle the direct settlement service for medical treatment, the "Notice" requires to further strengthen the in -depth docking of the Hubei Provincial Medical Security Information Platform and the Hubei Provincial Government Service Integrated Platform, upgrade the information system Problem response quality and efficiency.

The Provincial Medical Insurance Bureau will urge all cities and states to implement the relevant policies in place by the end of October.

The Hubei Daily client, paying attention to the major events of Hubei and the world, not only pushing the authoritative policies for users, fresh hot information, and practical convenience information, but also launched a series of features such as reading newspapers, newspapers, learning, online interactives.

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