March 25, the reporter learned from the Municipal Health Insurance Administration, in order to protect the basic medical needs of insured persons, to further reduce the medical burden, the city of 28 new medical services approved by the medical insurance reimbursement category. Among them, 15 items of Category A, according to the hospitalization reimbursement rate reimbursement; 5 items of Category B, the individual first self-payment of a specified percentage of the hospitalization reimbursement rate reimbursement; out-of-pocket expenses of 8 items, the health insurance will not be reimbursed.
Reporters in the "new medical services reimbursement categories and fee schedule" on the 15 Category A items include: urinary trypsinogen-2, special treatment of abdominal malignant tumors, thromboelastography test, tuberculosis infection T-cell γ-interferon release assay (TBIGRA), endoscopic pigmentation, gastrointestinal endoscopic biopsy, ultrasound microprobe through the electronic gastroscopy examination, ultrasonic colonoscopy, deep brain stimulator placement, deep brain stimulator replacement, pancreatic islet injection, trans-electronic endoscopic esophagogastroduodenal mucosal dissection (ESD), trans-electronic endoscopic colon ESD, percutaneous minimally invasive rotary excision of breast masses, hydrodynamic debridement. 5 Category B items include: automated breast volume imaging system ultrasound, radiofrequency ablation, diagnostic ultrasound equipment, heparinization and ultrasound. ablation, diagnostic ultrasound non-invasive diagnosis of liver fibrosis, regional thermal circulation perfusion therapy, cranial microdynamic system.
"To 'deep brain stimulator placement' as an example, this surgery three hospital charges 1670 yuan, before Parkinson's patients to accept this surgical treatment, surgical costs and related materials are not reimbursed. Now not only the surgical fee can be included in the medical insurance reimbursement, and surgery used in the 'deep brain stimulator (commonly known as brain pacemaker)' can also be the maximum settlement limit of 80,000 yuan according to the medical insurance into the reimbursement, which greatly reduces the burden on the patient." The relevant person in charge of the Municipal Health Insurance Bureau said, this time also new thermotherapy pipeline components and various types of surgical rotary cutting system, cutting system, knife system 2 types of materials into the scope of reimbursement of the medical insurance category B, and the development of the maximum settlement price of the medical insurance.
The reporter also learned that the city has "2017 version of the National Drug Catalog" all drugs into the city's basic medical insurance, workers' compensation insurance, maternity insurance fund to pay the scope of 36 kinds of national negotiation drugs into the city's basic medical insurance, workers' compensation insurance, maternity insurance fund to pay the scope of the 36 kinds of national negotiation drugs have been introduced to the city's basic medical insurance, workers' compensation insurance, maternity insurance fund to pay the scope of the 36 kinds of national negotiation drugs to use management. The 36 kinds of national negotiation drug use management rules, is currently selecting special drug supply institutions, to be determined by the drug supply institutions, will be in line with the policy provisions of the use of the patient cost reimbursement.
In recent years, the city has gradually improved the medical insurance treatment, has formed a basic medical insurance as the main, big disease (serious illness) insurance as a supplement, outpatient special diseases as a supplement to the multi-level medical insurance system, especially in 2017, the city integrated the basic medical insurance for urban residents and the rural new rural cooperative, breaking the long-standing medical insurance urban-rural dual structure, the city's participation in the insurance to achieve full coverage, the city's participation in the full coverage, the level of medical insurance steadily improved. The level of medical insurance protection has steadily increased.
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