Opening a cross -provincial network settlement makes the medical treatment "more convenient"!Zheng Juan, deputy director of the Municipal Medical Insurance Bureau, is a guest of livelihood online

On the afternoon of July 12, Zheng Juan, deputy director of the Qingdao Medical Insurance Bureau, was a guest of livelihood to conduct online exchanges with netizens around the theme of "the city's basic medical insurance participation insurance payment and treatment payment policy".

Qingdao has opened hospitalization, ordinary outpatient and outpatient slow special diseases across provincial network settlement

In online exchanges, the reimbursement policy for medical treatment has attracted much attention from netizens. In response to how the parents of children in Qing, other provinces and cities solve the problem of reimbursement in Youth Medical Insurance, Zheng Juan introduced that as a medical place, Qingdao has opened a hospital for hospitalization, ordinary outpatient and outpatient clinics (only 5 diseases stipulated in the state, that is, that is, that is,, that is, Hypertension, diabetes, malignant tumor outpatient treatment, uremia dialysis, and organ transplantation of anti -rejection therapy) inter -provincial network settlement. If parents are insured in other provinces and cities, they do not need to transfer their parents' hukou to Qingdao, and they do not need to transfer foreign social security into Qingdao social security. They can directly medical medical treatment on the national medical insurance service platform app. After checking the filing procedures, medical institutions that open medical expenses across the provincial networking in Qingdao can conduct medical settlement and reimbursement of instant reimbursement, and only pay the costs borne by individuals. Direct settlement of medical networks in different places and relevant regulations of Qingdao's payment and relevant regulations, and the social medical insurance fund's starting standards, payment ratio, and maximum payment limit implementation policy.

Regarding the issue of how to reimburse in Qingdao people to seek medical treatment in the field, Zheng Juan said that citizens can apply for medical treatment for different places through the "Qingdao Medical Guarantee" WeChat public account (long -term medical treatment or clinical medical treatment). In the field, medical institutions that have opened direct settlement of medical expenses in different places have been settled directly to the Internet, and they only pay the costs borne by individuals. Direct settlement of medical networks in different places to implement the scope of medical land payment scope and relevant regulations, and the social medical insurance fund's starting standards, payment ratio and maximum payment limit implementation of Qingdao City Policy. If the medical expenses of slow special diseases in the hospital and outpatient clinic are not settled for various reasons, they can hold the hospital's fee effective bill, the summary details list, discharge records or outpatient slow special disease records. Manual reimbursement of the city directory. As of now, there are 12 medical institutions that have realized the slow -dirty provinces in Qingdao.

447 Chinese medicine medical service projects have been included in the scope of medical insurance reimbursement

Does the lack of medical insurance payment affect retirement benefits? Zheng Juan said that the minimum payment life limit is a basic provision set to ensure that employers and employees participating in the performance of the minimum payment. Those who reach the minimum payment period will no longer pay employee medical insurance premiums after retirement, and enjoy the corresponding medical insurance treatment of retired employees. The current regulations of our city are: men who have been in 25 years and women for 20 years. According to the provision of our province's treatment list system, the next step will implement a unified employee medical insurance for the minimum payment period of medical insurance, and the payment period will be improved and the unified standards of the province will be transitioned by the end of 2025. At that time, if the new regulations will be implemented in accordance with the new regulations, if you fail to reach the minimum payment period at the time of retirement, the insufficient part will be paid. After the payment will be paid, you can enjoy the medical insurance treatment of retirees.

The reporter was informed that the city's medical insurance has always attached great importance to the development of traditional Chinese medicine, and has introduced a number of supporting Chinese medicine development policies. Relevant policies have been introduced within this year, such as dynamically adjusting 24 Chinese medicine superior diseases in accordance with the medical charging standards and payment policies; in some pilot hospitals to carry out the settlement of traditional Chinese medicine ward, 19 traditional Chinese medicine special diseases are included in the scope of medical insurance payment; 76 suitable new technologies such as acupuncture and massage and other traditional Chinese medicine characteristics and ear acupoint comprehensive therapy are included in the scope of the medical insurance fund payment. As of now, 447 traditional Chinese medicine medical service projects have been included in the scope of medical insurance reimbursement, accounting for 87.5%of the total number of traditional Chinese medicine projects.

Some netizens reported that there are rumors that "nucleic acid testing is not really free, and the medical insurance fund that pays costs will finally pay for it." Zheng Juan said that the city strictly follows the regulations of the state, provincial, and municipal epidemic prevention and control, and the medical insurance fund only pays the nucleic acid testing costs before the hospitalization patients, during the hospitalization and uremia dialysis, and tumor day chemotherapy. "May inspection" and normalized nucleic acid testing costs do not belong to the scope of the medical insurance fund payment. Guanhai News/Qing Daily All Media Reporter Guo Jingli

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