25 Chinese medicine appropriate technology into Ji'nan's basic medical insurance exemption proportion
mass network
reporter today from the Ji'nan social insurance bureau to understand, since July 1st, fracture manipulation, and other 25 items The proportion of personal conceit is zero when medical appropriate technology is incorporated into basic medical insurance. In addition, some diseases, drug reimbursement ratios and transfer policies in residents' basic medical insurance have also been adjusted accordingly.
reporter learned that the Ji'nan municipal human resources and Social Security Bureau and the Municipal Finance Bureau have recently jointly issued the "notice on the adjustment of some basic medical insurance policies" (hereinafter referred to as "the notice"). According to the "notice", since July 1st, 25 suitable techniques of traditional Chinese medicine, such as fracture manipulation and rehabilitation, were included in the basic medical insurance (including basic medical insurance of workers and basic medical insurance of the residents).
the dialysis treatment of renal failure in the basic medical insurance outpatient of residents, the proportion of residents' basic medical insurance funds will no longer distinguish between the payment grade and the medical institution level, which is 80%, and the proportion of reimbursement for township hospitals is still 90%.
the reporter also understands that the insured persons who enjoy the treatment of the medical insurance in the basic medical insurance outpatient service of the residents can be transferred to the other designated medical institutions of the city at the higher level or at the same level after the medical insurance agencies of the affiliated county (city) district have been put on record for the consent of the designated medical institutions of the medical insurance of the selected outpatients. Treatment. However, it is necessary to pay attention to the treatment cost of the referral first by the insured person to pay, and to return to the designated medical institutions after the end of treatment to settle the settlement, and the proportion of the fund payment is carried out in accordance with the standard to the designated medical institution.
the notice also adjusted the proportion of some of the drugs in the category B of the residents' basic medical insurance. Among them, the proportion of the drugs in the original NCMS catalogue was adjusted from 40% to 20% in the original NCMS catalogue, and the self negative proportion was adjusted from 55% to 40%. In addition, the basic medical insurance fund for the temporary inclusion of the 26 Central Plains new agricultural cooperation catalogue of drugs, the proportion of individual residents' basic medical insurance has been adjusted from 55% to 40%.