Monday, June 18, 2012

Patient's clinic sees the doctor and spends 53 000 The medical insurance only gives and offers 50 yuan

Patient's clinic sees the doctor and spends 53,000 The medical insurance only gives and offers 50 yuan
Patient's clinic sees the doctor and spends 53,000 The medical insurance only gives and offers 50 yuan
Case 53,000 medical fee offer 50 will it be afternoon yesterday only, Kowloon the intersection of slope and district include the intersection of valley and the intersection of town and the intersection of valley and east street 42 No., 61 -year-old Yang Zheng forest went out of the room. It is sunny, but he has not revealed the smiling face. On the contrary, gloomy and melancholy, write on his face. "The intersection of account and these Lang one of me still oh? " Yang ZhengLin has signed long. In the morning of December 2 of last year, Yang ZhengLin and spouse went to elder son's home for meals. He liking drinking, finds out the medicated wine bottle has poured a cup to drink by oneself. Unexpectedly, the bubbles in the wine bottle are " a piece of Artemisia of jokul " (external application) . Having finished drinking after drinking, Yang ZhengLin is sent to the local hospital, is transferred to the hospital of new bridge and rescue because of alkalosis of rhizome of Chinese monkshood. Arrhythmia, acute pulmonary emphysema, heart source shock, acute left heart decline Yang ZhengLin remembers, at time when the hospital rescues in the new bridge, the hospital has made critically ill notice 5 times. Guarding the room to live for 6 days, have spent the medical fee of more than 53,000 yuan, has come back home to recuperate subsequently. When the son goes to the local hospital to submit an expense account holding his medical fee, are told and can only submit an expense account the ceiling that 50 yuan (a clinic submits an expense account every year at most) ,The reason is that his medical fee all take place in the clinic, it is the clinic expenses. All silly eyes of Yang Zhenglin whole family, the medical fee is basically borrowed from friends and family, the old folks do not have economic source, how is the heavy sugar returned in this way? Yang Zhenglin has not understood so far, participate in the cooperative medical insurance of urban and rural residents (hereafter referred to as " medical insurance in urban and rural areas " ),How is it so few to submit an expense account? At present, he keep and cut the centre to reflect to the intersection of Kowloon and the intersection of slope and the intersection of district and medicine in urban and rural areas situation through street already, wait for the centre " The special-purpose processing of the special circumstances " . Investigation know how, wipe out policy 90% citizen, suffer a loss it is not unique, the intersection of Huimin and town, district of Banan, complement the intersection of benevolence and the intersection of village and the intersection of stone and the intersection of dam and society 54 -year-old Zhang QianHua, after it costs more than 17,000 yuan to treat meninx tumour, wipe out 15.99 yuan only. The intersection of Kowloon and the intersection of slope and the intersection of district and the intersection of Kowloon and Wang, resident of town, go to the large level ground hospital to diagnose the illness after not bitten by the dogging, cost after the 20,000 over, submit an expense account 100 (two shelf clinic wipe out annual ceiling) only . Keep the statistical data which pays attention to the centre to reveal in medicine in urban and rural areas of the district of coming from the slope of Kowloon, in 2008, the number is 320,000 that the whole district will effect an insurance, the medical insurance fund is 34 million yuan; More than 10,000 people seek medical advice in the district, the medical fee of 39 million yuan emerges, the proportion, as about 68% that submit an expense account; 2342 people seek medical advice outside the district, the medical fee of 27 million yuan emerges, the proportion is only about 16% that submit an expense account. The number of people was 627,000 that the medical insurance in urban and rural areas of Banan district effected an insurance last year, the medical insurance fund was more than 57,140,000 yuan. This district in urban and rural areas medicine keep, cut Ke Qin, director of centre, say, produce medical the intersection of fee and 26,450,000 in hospital in the district last year all, wipe out 32.09% of proportion; Produce the medical fee of 15,234,000 yuan in hospital outside the district, only 8.61% of proportion that submit an expense account. "90% effected an insurance seeking medical advice has eaten submitting an expense account to lose outside the citizen district. " Kowloon the intersection of slope and the intersection of district and in urban and rural areas medicine keep, cut Lin Li the whole introduction, director of centre, it is medical insurance fund that have no money, but too few that persons who seek medical advice accord with expenses of policy of submitting an expense account outside the district. Why expenses it submits an expense account to be can so little seek medical advice, outside the district? Lead citizens to seek medical advice rationally actively except the centre of medical insurance in urban and rural areas of every district, prevent medical wasteful use of resources (wipe out 20%~40% of proportion in the district, 10%~15% outside the district) from ,Reporter, until person who seek medical advice interview, find outside the some district, to wipe out policy understand some citizen , in urban and rural areas medical insurance use medicine catalogue all district, unify basically ' If QianHua Zhang because at one's own expense medicine, at one's own expense project result in, wipe out little volume more) ,Cause citizen seek medical advice outside the district expenses wipe out little reasons. Action raise outside the district seeking medical advice, wiping out proportion effect an insurance citizen seek medical advice, wipe out proportion, maximize for let, many counties have raised the proportion of submitting an expense account, reduced to get up in one pair of lines, increase in hospital and can be wiped out the quantity of medicines this year. For example the intersection of Kowloon and the intersection of slope and wipe out proportion, bring 45%~70% up to in the district, wipe out proportion, raise to 20%~30% outside the district district; The intersection of Banan and district get up in hospital the intersection of centre and grades of hospital pairs of line lower 60 to by 100, health clinics in towns and townships get up in hospital pairs of line lower to 40 yuan by 100 yuan, expand the catalogue of basically using medicine to 1109 kinds by 482 kinds. City in urban and rural areas person in charge, centre of medical insurance, introduce, this year, our city continue, adjust, raise in urban and rural areas medical insurance effect an insurance citizen wipe out proportion, promote and sign the medical service agreement job with hospital of the first, second and third. Meanwhile, the centre is making the unified submitting an expense account and stipulating of the whole city: Because of the intersection of village and clinic, health clinics in towns and townships ' First grade) Medical organization, the project submit an expense account according to the unified catalogue of basically using medicine of medical insurance in urban and rural areas and basically making a diagnosis in the whole city; Second ( Hospital at county level) , tertiary ' Hospital of the first, second and third) Submit an expense account according to the urban worker's medical insurance policy. See the doctor, learn four the intersection of method and expenses submit an expense account more to seek medical advice, wipe out little situation generally outside the district to in urban and rural areas the intersection of medical insurance and citizen, the personage of the centre of medical insurance in urban and rural areas gives an idea for citizens. 1.Show the identity ahead of time. Tell medical organization is a patient of medical insurance in urban and rural areas at first while seeking medical advice, require hospital wipe out regulation, treat according to medical insurance ' Except special circumstances such as first aid, rescuing,etc.) . 2.Look over the list carefully. The hospital will provide the daily list every day, the situation of using medicine of the record, needing costly medicines at one's own expense wants the patient to sign and approve of, try hard to use the medicines submitting an expense account. 3.Do not stay in the clinic. While seeking medical advice, indication that accord with and in hospital, must be in hospital as soon as possible, according to the regulation of submitting an expense account of the medical insurance in urban and rural areas of every county, the expenses submit an expense account the proportion is higher in hospital, the clinic expenses are only limited to submitting an expense account on a small quantity. 4.Go back to the district in time. After in the district to seek medical advice outside the condition is relieved, should change the place of examination, get district seek medical advice in time, county in urban and rural areas the intersection of medical insurance and centre have on medical organization in the district rigid to wipe out proportion restrain from ,The medical fee will be maximized naturally to submit an expense account. Reporter and king Germany has gentle profit


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