It is understood that from March onwards, the adjusted "Liaoning Province, clinical and basic medical insurance, medical services project directory" in Shenyang, future implementation of the city's designated medical institutions across the province will be a unified health insurance directory. According to reports, the adjustment of the biggest bright spot is the original is a personal project at their own expense, "liver transplantation", included in the scope of the medical insurance fund.
Shenyang Medical Insurance will be the new "catalog" the implementation of
After the implementation of the new directory, enter the health insurance fund to pay the medical consultations and medical services by the elimination method to access management. Adjusted "the basic medical insurance in Liaoning Province and medical treatment facilities project directory" from the implemented since March.
Reporter has learned that no income "catalog" items and "catalog" in the provincial departments are not priced item price, tentatively scheduled for basic medical insurance will not cover the cost of the project (C), in the future under the health region planning, pricing, and price departments throughout the province, health insurance operation, timely addition. If the designated medical institutions should add "directory" outside of major medical equipment, take to the municipal labor and social security administrative departments for approval before they are allowed into the pool fund range. The "directory" in the "B" items and disposable medical materials, medical insurance affordable individual patient ratio, in Shenyang temporarily prepay the relevant provisions of the existing health insurance.
Future, "liver transplantation" surgery may be reimbursed
The "directory" The biggest adjustment a bright spot is that the "liver transplant" into the basic medical insurance to pay some of the clinic Directory Project (B) in the. That Medicare patients be granted by the provincial health administrative departments of hospitals to carry out organ transplants, liver (liver, kidney combined) transplants, the medical expenses except organ source pool fund shall be paid, the transplant surgery person pays 15% balance part of the press "Shenyang urban basic medical insurance provides that" the implementation. Liver transplantation settlement temporarily referring designated hospitals for medical expenses per capita standard of co-ordinating the implementation of settlement fund, pending settlement of the development standards for single disease, according to the standard single disease settlement to be settled.
Fixed price of medical institutions to conduct publicity
"Directory" adjustment, the designated medical institutions to clinics for basic medical insurance and services, the prices for publicity system. Designated medical institutions under the provincial departments set and guided float price range, and by the local prices, and health departments for the record the specific price of the medical institutions should be in its out-patient, hospital and other places were prominently publicized. Designated medical institutions to strictly implement the provincial and local basic health insurance policy, adhere to illness and treatment, reasonable inspection, proper treatment, to prevent abuse of inspection and Collecting Fees Disorderedly. The actual treatment process, such as the need to use the insured, "directory" in "B" and "C" items and disposable medical materials, should first obtain the consent of the insured person or family members and signed before use.
"Directory" in the provincial department to allow separate charges Price disposable medical materials, but the basic medical insurance will not pay the fees are: AMT, meaning Mask, hydroxyapatite implant, artificial eyes, nails warehouse, allogeneic artery valve, allograft, artificial pump, hernia repair pieces, stapling, cutting devices, absorbable screws, special suture (except for eye and vascular anastomosis), absorbable hemostatic gauze, tissue source, transplant donor; glasses, dentures, artificial eye, artificial limbs, hearing aids, etc. rehabilitative apparatus; all own health care, massage, screening and treatment equipment. The rest are in accordance with the basic medical insurance to pay part of the costs of the project (B) settlement of accounts (including ophthalmic and vascular anastomosis using special stitches). I am a professional writer from China Manufacturers, which contains a great deal of information about 2.5 benzoyl peroxide gel , best tooth whitening gel, welcome to visit!
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