Rural children can be reimbursed for treatment of congenital heart disease, leukemia, etc. 90%
Author: Bai Pengfei
today is a good day for rural children with major diseases. Journalists have been informed of the big disease guarantee in rural children. For those who have first nature heart disease, leukemia, and simple sex For rural families with cleft lip, only 10% of the cost of treatment can be treated by designated medical institutions. According to the preliminary survey, in Ji'nan rural children aged 0 to 14, there were 321 children with congenital heart disease, 41 children with leukemia, and 94 children with simple cleft lip.
the cost limit of treatment is
according to the provisions of the medical security cost limit of rural children and large diseases issued by the Ji'nan Municipal Health Bureau, the treatment of the major diseases of rural children is limited.
children's congenital heart disease: 1, atrial septal defect: 20 thousand yuan; 2, ventricular septal defect: 20 thousand yuan over 3 years of age, 25 thousand yuan 1-3 years old, 35 thousand yuan under 1 years of age; 3, congenital patent ductus arteriosus: 15 thousand yuan, neonates, 3 months, and congenital pulmonary arteries Valve stenosis: 25 thousand yuan; 5, tetralogy of Fallot: 30 thousand yuan over 3 years old, 32 thousand yuan at 1-3 years old, and 40 thousand yuan under 1 years old.
children's leukemia is divided into the following: Children's acute lymphoblastic leukemia: (Note: blood and blood products at the expense of oneself) 1, the whole course of diagnosis and treatment in the standard group is 80 thousand yuan. The first stage (pre chemotherapy examination, induced remission treatment) was 35 thousand yuan, and the second stage (consolidation therapy, HDMTX extramedullary leukemia) was 25 thousand yuan, and the third stage (reinduction therapy, maintenance treatment and maintenance therapy) was 20 thousand yuan. 2. The total cost of diagnosis and treatment in the middle risk group was 150 thousand yuan. The first stage (pre chemotherapy examination, induced remission treatment) was 45 thousand yuan, and the second stage (consolidation therapy, HDMTX extramedullary leukemia) was 45 thousand yuan, and the third stage (reinduction therapy, maintenance treatment and maintenance therapy) was 60 thousand yuan.
acute promyelocytic leukemia in children: (Note: blood and blood products at their own expense) the whole process of diagnosis and treatment costs 80 thousand yuan. The first stage (pre chemotherapy examination, induced remission treatment) was 30 thousand yuan, and the second stage (consolidation therapy, central nervous leukemia prevention and treatment) was 25 thousand yuan, and the third stage (after remission maintenance treatment) was 25 thousand yuan. Note: the above two kinds of leukemia schemes are carried out according to the clinical path formulated by the Ministry of health. There are many cases of complications, such as amalgamative disease and non remission or recurrence. The path is reimbursed according to the new NCMS, and the variation part is reimbursed according to the proportion of the new NCMS.
simple cleft lip in children: 4500 yuan.
90%
to improve the protection of children's major diseases in rural areas. It will improve the level of congenital heart disease, leukemia and simple cleft lip of rural children, determine the hospital for treatment at fixed points, determine the cost limit, the medical expenses in the quota are 70%, and the civil administration department is used in the civil affairs department. 20% for serious illness relief, only 10% for farmers. Relevant departments will explore one-stop service for reimbursement of new NCMS reimbursement and medical assistance, and timely and designated medical institutions should not delay their settlement fees. When the children are discharged from hospital, the designated medical institutions should carry out the immediate checkout of the hospital and pay 90% of the medical expenses in advance, and settle the expenses with the new rural cooperative medical office of the counties (cities and districts) before the first 10 days of each quarter.
must ensure the medical quality
according to the relevant person in charge of the Ji'nan Municipal Health Bureau, each designated medical institution should strictly master the children's screening, diagnosis, admission, referral and discharge standards, according to the unified clinical path standard set up by the Ministry of health, and establish difficult, severe case consultation and discussion. System to ensure medical quality and medical safety. "These fixed-point medical institutions are determined by strict procedures, but are not life-long. It is a dynamic management, and we will be strictly regulated in accordance with the contents of the promise. We must carry out the charging standard of the price departments, make reasonable treatment, reasonably charge, carry out the immediate report, and really do the good things well.
health care designated hospital for congenital heart disease: Qilu children's Hospital of Qilu, Ji'nan Center Hospital, Fourth People's Hospital of Ji'nan City,
hospital for acute leukemia: Qilu children's Hospital of Shandong University, central Ji'nan Hospital of Ji'nan, Ji'nan Fourth People's Hospital
treatment Fixed-point Hospital for late leukemia: 10 hospitals,