Ji'nan gate regulation outpatient co-ordination will be processed at the end of the month next week.
reporter Wang Hongni correspondents in the summer Wang Dong
handling should pay attention to the order
"at present, Ji'nan is implementing" single point "management for door regulation patients. In other words, in a medical year, in principle, the patients can only choose a designated medical institution (including a designated community health service organization with a portal system) for diagnosis and treatment. " The person in charge of the Ji'nan Social Security Bureau said.
reporter learned from the Ji'nan social security bureau that the registration of the 2016 medical annual change outpatient medical institutions of Ji'nan workers' basic medical insurance insured will begin in December 21st and end in December 31st. The insured person only needs to carry his own social security card (gage card) to the designated medical institution to deal with the "door rules" or "out-patient co-ordination", and it can continue to be hospitalized in the original medical institution without the change of demand.
the person in charge of the Ji'nan Social Security Bureau said that the change or increase of the patients in the designated special hospital should be changed to the newly selected designated special hospital. After completing the formalities, the designated hospitals should go to the new designated community health service institutions or designated hospitals.
for patients with type I disease and other type of gage at the same time, such as selecting class type I for diagnosis and treatment of class three comprehensive hospital, only need to go to the three grade comprehensive hospital to change formalities, other types of portal diseases can continue to be diagnosed and treated in the original medical institution. If the original designated medical institution is a general hospital of grade three, it is necessary to transfer the other door regulatory diseases together. If the patient needs to change the original medical institution, the change formalities should be completed at the newly added three level comprehensive hospital, and then go to the designated designated community health service institution or designated hospital for change procedures.
door regulation and gate system to select the same
according to the introduction of the general outpatient service for the first time the first sign of the staff medical insurance participants, only in the designated medical institutions first consultation, with the social insurance card and the designated medical institutions for the first time signing, after the signing of the contract can enjoy the general medical treatment treatment. However, because the fixed point can only be changed once a year, it is suggested that the insured should choose the designated medical institutions according to their own medical needs.
in addition, we should pay extra attention to the staff of the designated medical institutions with "gate rules" and "outpatient planning". "Gate rules" and "outpatient service" designated medical institutions should be selected at the same level at the same level, otherwise they can not be changed. (the medical institution for the prescribed point is a provincial three level general hospital or specialist. " The hospital is not affected by this effect. Therefore, it is suggested that we should try to set the designated medical institutions of "gate regulations" and "outpatient co-ordination" as the same.
staff members of the Ji'nan Social Security Bureau remind that in the prescribed change period, only one change registration procedure is allowed in principle. For example, for personal reasons, it is necessary to revise the registration again. The insured person needs to revoke the change registration at the original registration point. Otherwise, the registration of the new change can not be handled. Door regulations and outpatient co-ordinate patients must not be changed in a medical year once designated medical institutions are selected.
related link
gate regulation and outpatient co ordinate
it is understood that in order to reduce the problem of overburden of chronic patients in some outpatients, the policy of "outpatient prescribed disease" into overall (gate regulation) was introduced in the early years of Ji'nan, and the type of disease is from the initial 4 times, to 35 kinds of 54. A disease.
from April 1, 2014, Ji'nan formally promulgated and implemented the basic medical insurance scheme for workers in Ji'nan, abolished 12 types of disease and retained the other 23 diseases. At the same time, Ji'nan workers medical insurance began to implement outpatient co-ordination.
after the implementation of the outpatient service, there are two forms of protection in the treatment of medical insurance outpatients in Ji'nan. The main direction is to solve the problem of medical care for the "small diseases", such as common diseases, multiple diseases, and some special diseases through the door rules. Serious illness "issue of reimbursement for outpatient care.