荣耀小编
发表于 2022-7-1 17:32
7月1日起执行！渭南政策再调整：提高报销比例、降低住院起付线...
<div class="wx_rich_media_content" id="jsWxContainer"><h5 style='text-align: center; outline: 0px; font-weight: 400; font-size: 16px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; visibility: visible; box-sizing: border-box !important;' data-mpa-powered-by="yiban.io"><img src="https://www.yewn.cn/data/attachment/forum/202111/03/114526yn9m6tj8tnem8epn.jpg"></h5><section style='text-align: center;line-height: 2em;'><span style='font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 16px;'>今年1月1日起<br></span></section><section style='text-align: center;line-height: 2em;'><span style='font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 16px;'>渭南市医疗保障局调整了</span></section><section style='text-align: center;line-height: 2em;'><span style='font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;font-size: 16px;'><span style='color: rgb(0, 82, 255);'>城乡居民医保</span>住院待遇政策</span></section><section style='text-align: center;line-height: 2em;'><span style='font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;color: rgb(171, 25, 66);font-size: 16px;'>降低住院起付线 提高报销比例</span></section><section style='text-align: center;line-height: 2em;'><span style='font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;color: rgb(171, 25, 66);font-size: 16px;'>降低医用耗材费、大型检查费个人先行自付比例</span></section><section style='text-align: center;line-height: 2em;'><span style='background-color: rgb(255, 251, 0);font-size: 16px;'>（详情戳下图）</span><br></section><p style='margin-bottom: 0em; 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max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: center; line-height: 1.75em; visibility: visible; box-sizing: border-box !important;'><br></section><p style='outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: center; visibility: visible; line-height: 2em; box-sizing: border-box !important;'><span style='color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: normal; text-align: justify;'>为进一步提高医疗保障水平</span></p><p style='outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: center; visibility: visible; line-height: 2em; box-sizing: border-box !important;'><span style='color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: normal; text-align: justify;'>优化分级诊疗医保支付政策</span></p><p style='outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: center; visibility: visible; line-height: 2em; box-sizing: border-box !important;'><span style='color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: normal; text-align: justify;'>减轻参保患者医疗费用负担</span></p><section style='outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: center; line-height: 1.75em; visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; color: rgb(0, 82, 255); visibility: visible; box-sizing: border-box !important;'></strong></section><section style='text-align: center;line-height: 2em;'><strong><span style='font-size: 16px;color: rgb(171, 25, 66);'>自2022年7月1日起</span></strong></section><h1 style='text-align: center;line-height: 2em;'><strong><span style='font-size: 16px;color: rgb(171, 25, 66);'>渭南市城乡居民基本医疗保险待遇政策再调整</span></strong></h1><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-tools="135编辑器" data-id="99441"><section style='margin: 10px auto;'><section style='border-width: 1px;border-style: solid;border-color: rgb(159, 229, 255);padding: 5px 7px;box-sizing: border-box;'><section data-autoskip="1" style='letter-spacing: 1.5px; color: rgb(0, 0, 0); word-break: break-all; line-height: 1.75em; padding: 20px 1em; border-width: 1px; border-style: dashed; border-color: rgb(176, 234, 255); box-sizing: border-box;'><p style='text-align: center; clear: both; min-height: 1em; max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><strong>渭南市医疗保障局</strong></p><p style='text-align: center; clear: both; min-height: 1em; max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><strong>关于调整城乡居民基本医疗保险待遇支付政策的通知</strong></p><p style='text-align: justify; clear: both; min-height: 1em; max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important;'><br></p><section style='text-align: justify; clear: both; min-height: 1em; max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>各县(市、区)医疗保障局、经开区人社局、市医疗保障经办中心：</span></section><section style='text-align: justify; clear: both; min-height: 1em; max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>为进一步提高保障水平，优化分级诊疗医保支付政策，减轻参保患者医疗费用负担，贯彻落实国家医疗保障待遇清单制度，根据我市基金运行情况，现就城乡居民医保有关待遇支付政策调整如下：</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='color: rgb(0, 82, 255);'><strong><span style='font-size: 16px;'>一、调整统筹区内住院住院起付标准</span></strong></span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>将乡镇卫生院200元、一级医院300元、二级医院600元、三级医院1500元，</span><span style='background-color: rgb(255, 251, 0);font-size: 16px;'>调整为：</span><span style='background-color: rgb(255, 251, 0);font-size: 16px;'>一级及以下医院200元，二级医院500元，三级医院1000元。</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><br></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='color: rgb(0, 82, 255);'><strong><span style='font-size: 16px;'>二、调整统筹区外住院起付线标准</span></strong></span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>将一级及以下医院500元、二级医院1000元、三级医院2500元、三特医院3500元，</span><span style='font-size: 16px;background-color: rgb(255, 251, 0);'>调整为:一级及以下医院500元,二级医院800元,三级医院1800元,三特医院2500元。</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><br></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><strong><span style='font-size: 16px;color: rgb(0, 82, 255);'>三、调整统筹区内住院支付比例</span></strong></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>将三级医院住院基金支付比例</span><span style='font-size: 16px;background-color: rgb(255, 251, 0);'>由60%调整为65%</span><span style='font-size: 16px;'>。</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><br></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='color: rgb(0, 82, 255);'><strong><span style='font-size: 16px;'>四、调整落实分级诊疗制度医保住院支付比例</span></strong></span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>(一)取消统筹区外就医基金支付比例降低5%的规定。</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>(二)对符合分级诊疗、双向转诊规定的患者，在统筹区外就诊的,执行与统筹区内同级医院相同基金支付比例。</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>(三)对不符合分级诊疗、双向转诊规定的患者，在统筹区内就诊的，统筹基金支付比例由降低20%，调整为降低10%；转统筹区外就诊的，统筹基金支付比例由降低30%，调整为降低20%。</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><br></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><strong><span style='font-size: 16px;color: rgb(0, 82, 255);'>五、调整部分慢特病基金最高支付限额</span></strong></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>将慢性肾功能衰竭腹膜、血液透析的年度基金最高支付限额由50000元调整为60000元。</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><br></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;'>六、执行时间</span></section><section style='max-width: 100%; color: rgb(51, 51, 51); font-size: 17px; text-align: justify; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; line-height: 2em; box-sizing: border-box !important;'><span style='font-size: 16px;background-color: rgb(255, 251, 0);'>自2022年7月1日起执行。</span></section></section></section></section></section></section></section><section><span class="wxart_image" wx-style='display:inline-block;text-align: center;color: rgb(51, 51, 51);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;'></span><br></section><p style='text-align: center;margin-bottom: 0em;'><span class="wxart_image" wx-style='display:inline-block;margin: 0px;padding: 0px;max-width: 100%;height: auto !important;overflow-wrap: break-word !important;vertical-align: bottom;color: rgb(51, 51, 51);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: 17px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;letter-spacing: normal;orphans: 2;text-align: center;text-indent: 0px;text-transform: none;white-space: normal;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-style: initial;text-decoration-color: initial;'></span></p><p style='text-align: center;'><span style='color: rgb(171, 25, 66);'><strong>扩散</strong></span></p><p style='text-align: center;'><span style='color: rgb(171, 25, 66);'><strong>相互告知</strong></span></p><p style='text-align: center;'><span style='font-size: 10px;'>（来源：临渭医保等）</span><br></p><p style='text-align: center;'><img src="https://www.yewn.cn/data/attachment/forum/202206/30/100923omggtoorrscmqcfz.jpg"></p></div><p></p>
wnghj766824
发表于 2022-7-1 17:38
减轻患者的负担{:qqemoji72:}
小心翼翼
发表于 2022-7-1 17:59
好消息，惠民
阿仙vfe
发表于 2022-7-1 18:04
一个月或者一年内同一病种住院的是不是只收一次起付线费用？谁能解释
阳光快乐123
发表于 2022-7-1 18:16
好消息，给赞
~Angel~
发表于 2022-7-1 18:49
没有解决实质问题
~Angel~
发表于 2022-7-1 18:49
把转院要求也取消了
平安一生1977
发表于 2022-7-1 18:55
人民医保为人民，点赞
=会会会
发表于 2022-7-1 18:56
是不是年底收费又要涨了
旭日阳刚
发表于 2022-7-1 19:06
好消息、多来些惠民政策，老百姓不容易。