According to Zhang Changgeng, director of the office of free medical care, there are about17,000 retirees enjoying free medical care in our district. In the past, retirees who enjoyed free medical care continued to use the old management methods, designated hospitals for treatment, and the scope of medication was limited, which was very inconvenient for retired veteran comrades at home.
According to the new management method, retirees who enjoy free medical care can choose to go to the nearest hospital for outpatient or inpatient treatment in addition to outpatient and inpatient treatment in the unit contract hospital. If retirees live in other places all the year round, they can choose a hospital near their place of residence. On-the-job personnel have relaxed the scope of emergency treatment while basically maintaining the current methods. Now, no matter the troops, factories and mines, private hospitals, as long as they go to the designated medical institutions for emergency treatment, they all enjoy free medical care.
The scope of reimbursement has gradually expanded.
The list of basic medical insurance drugs, the list of diagnosis and treatment items and the list of medical service facilities in Beijing (hereinafter referred to as the "three lists") implemented by medical personnel who enjoy free medical expenses within the scope of medical reimbursement. The requirement of 50% personal burden of imported drugs was cancelled, the scope of drug use was expanded, and inspection and treatment items were added. Moreover, the scope of reimbursement in the future is consistent with Beijing's basic medical insurance.
For example, the original hyperthermia project of People's Hospital was not included in the reimbursement scope of our district, and this project was added after the public medical reform. In addition, employees who are hospitalized once a year, or who apply for registration of radiotherapy and chemotherapy for malignant tumors, renal dialysis and anti-rejection treatment after kidney transplantation within a natural year, and meet the medical expenses of more than 20,000 yuan within the scope of the "three catalogues", shall be borne by 60% of the publicly-funded medical care, and the units and medical institutions shall each bear 20%.
Some reimbursement rates are more favorable.
The new method also reduces the personal burden of patients with three special diseases: chronic diseases, serious diseases, hospitalization and outpatient services, and makes unified provisions on the reimbursement ratio. On-the-job employees and retirees who have received radiotherapy and chemotherapy for malignant tumors, renal dialysis and anti-rejection treatment after renal transplantation, the unit contract hospital or individual chooses the nearest hospital to issue a diagnosis certificate, and the annual outpatient medical expenses incurred in the hospital after the unit and district medical office file can be reimbursed according to the proportion of one hospitalization. In accordance with the provisions of the "three directories" of outpatient and emergency medical expenses, retirees at least 90% reimbursement; The minimum reimbursement for medical expenses of retirees in hospital is 95%.