@渭南人,医保跨省异地就医直接结算,最新通知来了!
<div class="wx_rich_media_content" id="jsWxContainer"><h1 style="margin-bottom: 14px; outline: 0px; font-weight: 400; line-height: 1.4;"><font face="微软雅黑" style="" size="3">国家医保局会同财政部今天共同印发了《关于进一步做好基本医疗保险跨省异地就医直接结算工作的通知》。<span style="caret-color: rgba(0, 0, 0, 0);"></span></font></h1><section style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><section style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><section data-role="paragraph" style="margin-bottom: 0em; outline: 0px; max-width: 100%; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;"><p style="color: rgb(34, 34, 34); margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><font face="微软雅黑" style="" size="3">《通知》要求,各地医保部门要及时调整与本通知不相符的政策措施,确保2022年12月底前同国家政策相衔接;同步按要求调整信息系统,保障跨省异地就医直接结算工作平稳过渡。《基本医疗保险跨省异地就医直接结算经办规程》将于2023年1月1日起正式实施。</font></span></p><p style="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; margin-bottom: 0em; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: center; visibility: visible; box-sizing: border-box !important;"><span class="wxart_image" wx-style="display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;vertical-align: bottom;height: auto !important;visibility: visible !important;width: 596px !important;"></span></p><section style="color: rgb(34, 34, 34); text-align: center; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;"><strong style="outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: normal; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; color: rgb(136, 136, 136); font-family: system-ui, -apple-system, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; font-weight: 400; letter-spacing: 0.544px; visibility: visible; box-sizing: border-box !important;">△资料图</span></span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; 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;"></span></section><section style="color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; outline: 0px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.544px; text-align: justify; font-size: 16px; caret-color: rgb(51, 51, 51); text-size-adjust: inherit; visibility: visible;"><section style="margin-top: 10px; margin-bottom: 16px; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left; visibility: visible;"><section style="padding-left: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; width: auto; vertical-align: top; min-width: 10%; height: auto; border-left: 3px solid rgb(15, 76, 129); border-bottom-left-radius: 0px; line-height: 0; visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 25px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-1px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(15, 76, 129); text-align: justify; font-size: 18px; line-height: 1.5; visibility: visible;"><p style="outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;">参保人员如何跨省异地就医直接结算?</strong></p></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px) rotateX(180deg); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 24px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section></section></section></section><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">一是</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">先备案</span></strong><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">。</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">参保人员跨省异地就医前,可通过</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">国家医保服务平台APP、国家异地就医备案小程序、国务院客户端小程序或参保地经办机构窗口</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">等线上线下途径办理异地就医备案手续。</span></p><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">二是</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">选定</span></strong><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">点。</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">参保人员完成异地就医备案后,</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">在备案地开通的所有跨省联网定点医疗机构均可享受住院费用跨省直接结算服务</span></strong><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">;</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">门诊就医时,需先了解参保地异地就医管理规定,如果参保地要求参保人员选择一定数量或在指定级别的跨省联网定点医药机构就医购药的,按照参保地规定执行。</span></p><section style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">三是</span><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">持码卡就医</span></strong><strong style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;">。</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">参保人员在入院登记、出院结算和门诊结算时均需出示医保电子凭证或社会保障卡等有效凭证。</span><span style="outline: 0px; max-width: 100%; font-size: 16px; visibility: visible; box-sizing: border-box !important;">跨省联网定点医药机构对符合就医地规定门(急)诊、住院患者,提供合理、规范的诊治及医疗费用的直接结算服务。</span></section><section style="color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; outline: 0px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.544px; text-align: justify; font-size: 16px; caret-color: rgb(51, 51, 51); text-size-adjust: inherit; visibility: visible;"><section style="margin-top: 10px; margin-bottom: 16px; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left; visibility: visible;"><section style="padding-left: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; width: auto; vertical-align: top; min-width: 10%; height: auto; border-left: 3px solid rgb(15, 76, 129); border-bottom-left-radius: 0px; line-height: 0; visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 25px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-1px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(15, 76, 129); text-align: justify; font-size: 18px; line-height: 1.5; visibility: visible;"><p style="outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;">哪些人可以申请异地就医备案?</strong></p></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px) rotateX(180deg); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 24px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section></section></section></section><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">此次《通知》根据基本医保参保人员异地就医行为发生的原因将异地就医备案人员分为</span><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">跨省异地长期居住人员</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">和</span><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">跨省临时外出就医人员</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">两类,并进一步细分为6种人员。</span></p><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; color: rgb(0, 122, 170); font-size: 16px; box-sizing: border-box !important;">跨省异地长期居住人员</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">包括异地安置退休人员、异地长期居住人员、常驻异地工作人员</span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">等长期在参保省外工作、居住、生活的人员。</span></p><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">跨省临时外出就医人员</span></strong><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">包括异地转诊就医人员,因工作、旅游等原因异地急诊抢救人员</span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">以及</span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">其他跨省临时外出就医人员。</span></p><p style="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; margin-bottom: 0em; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: center; box-sizing: border-box !important;"><span class="wxart_image" wx-style="display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;vertical-align: bottom;height: auto !important;visibility: visible !important;width: 596px !important;"></span></p><section style="color: rgb(34, 34, 34); text-align: center; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; line-height: 1.6em; box-sizing: border-box !important;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; color: rgb(136, 136, 136); font-family: system-ui, -apple-system, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; font-weight: 400; letter-spacing: 0.544px; box-sizing: border-box !important;">△资料图</span></span></strong></section><section style="color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; outline: 0px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.544px; text-align: justify; font-size: 16px; caret-color: rgb(51, 51, 51); text-size-adjust: inherit; visibility: visible;"><section style="margin-top: 10px; margin-bottom: 16px; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left; visibility: visible;"><section style="padding-left: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; width: auto; vertical-align: top; min-width: 10%; height: auto; border-left: 3px solid rgb(15, 76, 129); border-bottom-left-radius: 0px; line-height: 0; visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 25px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-1px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(15, 76, 129); text-align: justify; font-size: 18px; line-height: 1.5; visibility: visible;"><p style="outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;">跨省异地就医直接结算基金支付政策是什么?</strong></p></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px) rotateX(180deg); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 24px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section></section></section></section><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">跨省异地就医直接结算的住院、普通门诊和门诊慢特病医疗费用,原则上</span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">执行就医地规定的支付范围及有关规定</span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">(基本医疗保险药品、医疗服务项目和医用耗材等支付范围),</span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">执行参保地规定的基本医疗保险基金起付标准、支付比例、最高支付限额、门诊慢特病病种范围等有关政策。</span><span style="outline: 0px; max-width: 100%; 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: 16px; box-sizing: border-box !important;">简单地讲就是</span><strong style="outline: 0px; max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">就医地目录、</span></strong><span style="outline: 0px; max-width: 100%; color: rgb(0, 122, 170); box-sizing: border-box !important;"><strong style="outline: 0px; max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">参保地政</span></strong></span><strong style="outline: 0px; max-width: 100%; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">策</span></strong><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; 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: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">。</span></strong></p><section style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">例如:河北省廊坊市某退休职工,2022年7月1日在北京跨省异地就医直接结算门诊慢特病费用。费用总额64.29元,基金支付48.89元。此笔费用共两个药,按照就医地目录支付范围具体为:甲类药品阿卡波糖片32.52元,全部符合基金支付范围;乙类药品瑞格列奈片31.77元,其中28.59元符合基金支付范围,3.18元为乙类先行自付。<strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;">按照就医地支付范围,符合基本医保基金支付范围内费用共计61.11(32.52+28.59)元,乙类先行自</strong><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;">付金额3.18元,按照参保地的支付比例80%,基金支付48.89(61.11*80%)元。</strong></span></section><section style="color: rgb(34, 34, 34); text-align: center; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; line-height: 1.6em; box-sizing: border-box !important;"></section><section style="color: rgb(34, 34, 34); text-align: center; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; line-height: 1.6em; box-sizing: border-box !important;"><strong style="letter-spacing: 0.544px; outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; color: rgb(136, 136, 136); font-family: system-ui, -apple-system, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; font-weight: 400; letter-spacing: 0.544px; box-sizing: border-box !important;">△资料图</span></span></strong></section><section style="color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; outline: 0px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.544px; text-align: justify; font-size: 16px; caret-color: rgb(51, 51, 51); text-size-adjust: inherit; visibility: visible;"><section style="margin-top: 10px; margin-bottom: 16px; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left; visibility: visible;"><section style="padding-left: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; width: auto; vertical-align: top; min-width: 10%; height: auto; border-left: 3px solid rgb(15, 76, 129); border-bottom-left-radius: 0px; line-height: 0; visibility: visible;"><section powered-by="xiumi.us" style="text-align: center; outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 25px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-1px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(15, 76, 129); text-align: justify; font-size: 18px; line-height: 1.5; visibility: visible;"><p style="outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;">跨省长期居住人员备案后,</strong></p><p style="outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;">回到原参保地医保还能再使用吗?</strong></p></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px) rotateX(180deg); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 24px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section></section></section></section><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">为满足跨省长期居住人员因探亲等原因回参保地就医报销的实际需求,《通知》明确规定:</span><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">允许跨省长期居住人员在备案地和参保地双向享受待遇。</span></strong></p><section style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">跨省异地长期居住人员备案有效期内,确需回参保地就医的,</span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">可以在参保地享受医保结算服务,并且原则上不低于参保地跨省转诊转院待遇水平。</span><span style="outline: 0px; max-width: 100%; text-align: center; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; box-sizing: border-box !important;"></span></section><section style="color: rgb(34, 34, 34); font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; outline: 0px; max-width: 100%; box-sizing: border-box; letter-spacing: 0.544px; text-align: justify; font-size: 16px; caret-color: rgb(51, 51, 51); text-size-adjust: inherit; visibility: visible;"><section style="margin-top: 10px; margin-bottom: 16px; outline: 0px; max-width: 100%; box-sizing: border-box; text-align: left; visibility: visible;"><section style="padding-left: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; width: auto; vertical-align: top; min-width: 10%; height: auto; border-left: 3px solid rgb(15, 76, 129); border-bottom-left-radius: 0px; line-height: 0; visibility: visible;"><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 25px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-1px, 0px, 0px); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(15, 76, 129); text-align: justify; font-size: 18px; line-height: 1.5; visibility: visible;"><p style="outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;">如果外出突然需要看急诊,</strong></p><p style="outline: 0px; max-width: 100%; box-sizing: border-box; clear: both; min-height: 1em; visibility: visible;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box; visibility: visible;">来不及“备案”怎么办?</strong></p></section></section><section powered-by="xiumi.us" style="outline: 0px; max-width: 100%; box-sizing: border-box; transform: translate3d(-13px, 0px, 0px) rotateX(180deg); visibility: visible;"><section style="outline: 0px; max-width: 100%; box-sizing: border-box; display: inline-block; vertical-align: top; overflow: hidden; height: 10px; width: 24px; line-height: 0; border-style: solid solid none; border-width: 3px 3px 2px; border-radius: 0px; border-color: rgb(15, 76, 129); visibility: visible;"><br style="outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;"></section></section></section></section></section><p style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">《通知》规定,</span><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">将急诊抢救费用纳入跨省异地就医直接结算范围,并且异地急诊人员视同已备案</span></strong><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;">,无需额外提交备案材料。</span></strong></p><section style="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; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.6em; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">考虑到急诊抢救病人的现实情况,医保经办机构将按照定点联网医疗机构的急诊标识来认定是否属于急诊抢救病人,</span><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;"><strong style="outline: 0px; max-width: 100%; box-sizing: border-box !important;">按照参保地的有关待遇标准,实现跨省异地就医直接结算,</strong></span><span style="outline: 0px; max-width: 100%; font-size: 16px; box-sizing: border-box !important;">更加方便急诊抢救患者就医。</span></section><section style="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; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; text-align: center; box-sizing: border-box !important;"><span class="wxart_image" wx-style="display:inline-block;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;border-width: 1px;border-style: solid;border-color: rgb(238, 237, 235);vertical-align: bottom;box-sizing: border-box !important;overflow-wrap: break-word !important;background-color: rgb(238, 237, 235) !important;background-size: 22px !important;background-position: center center !important;background-repeat: no-repeat !important;height: 447.5px !important;visibility: visible !important;width: 596px !important;"></span></section><section style="color: rgb(34, 34, 34); text-align: center; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; margin-bottom: 16px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; box-sizing: border-box !important;"><strong style="outline: 0px; max-width: 100%; color: rgb(51, 51, 51); font-family: mp-quote, -apple-system-font, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: normal; text-align: justify; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; font-size: 16px; color: rgb(0, 122, 170); box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; color: rgb(136, 136, 136); font-family: system-ui, -apple-system, system-ui, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 14px; font-weight: 400; letter-spacing: 0.544px; box-sizing: border-box !important;">△资料图</span></span></strong></section><p style="clear: both; min-height: 1em; letter-spacing: 0.544px; outline: 0px; max-width: 100%; text-align: center; visibility: visible; box-sizing: border-box !important;"><span style="outline: 0px; max-width: 100%; letter-spacing: 0.544px; widows: 1; visibility: visible; box-sizing: border-box !important;"><font face="微软雅黑" style="" size="1" color="#696969">(来源:渭南日报)</font><br></span></p><p style="color: rgb(34, 34, 34); font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; clear: both; min-height: 1em; letter-spacing: 0.544px; outline: 0px; max-width: 100%; text-align: center; font-weight: 700; font-size: 16px; visibility: visible; box-sizing: border-box !important;"><img src="https://www.yewn.cn/data/attachment/forum/202207/26/095030w5l7nypkpf7jknth.jpg"></p></section></section></section></section></section></div> 方便群众!转发了!让更多人知道 谢谢提醒发布了。 这个不是早就有了! 方便群众!转发了!让更多人知道 这个真的是个好消息呀 好消息 方便群众生活 谢谢提醒发布!转发分享! 方便群众办事……
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