It's about Binzhou Medical Insurance!The burden of participants is reduced again!
Author:Master Binzhou Time:2022.07.02
A few days ago, the Municipal Medical Insurance Bureau issued the "Notice on Adjusting the Basic Medical Insurance Medical Consumption Policy". From July 1, 2022, the adjustment of high -value medical consumables and medical insurance payment policies, involving the scope of the city's basic medical insurance designated points Medical institutions and all urban employees, urban and rural residents basic medical insurance insured persons.
At present, with the continuous advancement of centralized procurement of medical consumables and the continuous deepening of the reform of medical insurance payment methods, the awareness of self -controlling unreasonable charges of medical institutions has gradually increased. In order to further improve the medical insurance benefits of insured personnel in Binzhou, reduce the medical burden of insured personnel, and support the high -quality development of medical institutions, the Municipal Medical Insurance Bureau's comprehensive medical insurance fund tolerance has made this adjustment after investigation and data calculation.
After this adjustment, when the patient's participating patients use medical consumables during the hospitalization period, if the price is below 1,000 yuan (inclusive), it will be included in the scope of medical insurance overall payment; After the residents' medical insurance individuals first pay 30%, they are included in the scope of medical insurance overall payment.
Taking the ducting ducts as an example, the price of medical consumables is 42,560 yuan. According to the original policy, the insured residents must pay 50%of their own, that is, 21280 yuan, and then include reimbursement. From July 1st, the person in the insured residents first paid a proportion of self -proportion to 30%, that is, 12,768 yuan. After the policy adjustment, the individual first paid a part of 8512 yuan, which increased significantly in the scope of reimbursement, and the personal burden decreased significantly.
Source: Binzhou Medical Insurance
Edit: Zhang Li
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