Rural children's serious disease medical insurance of pilot project of Fujian The maximum number can wipe out 90%

Rural children's serious disease medical insurance of pilot project of Fujian The maximum number can wipe out 90%
Rural children's serious disease medical insurance of pilot project of Fujian The maximum number can wipe out 90%
The intersection of staff reporter and Wei Zhang it is reported yesterday, the department of public health of the province, province Bureau of Civil Affairs jointly issue " improves rural child's leukemia and congenital heart disease and ensures the horizontal pilot work implementing scheme in Fujian Province ", succour the intersection of countryside and 0~14 year old the leukemia, congenital heart disease preferably ' Hereafter referred to as first worry) Infant. These two pieces of number " Pay according to number " ,Leukemia quota is 80,000 yuan, first 25,000 yuan of worry, individual only pays ten percent the most low. Choose Fuzhou Fuqing market, Pu field Xianyou county, pilot project of Jian'ou of Nan Ping first this year. The department of public health of the province says, will expand children's serious disease medical insurance coverage rate after the pilot project. [6 kinds of serious disease of pilot number ] can enjoy the medical insurance of serious disease according to the scheme, pilot number is children's acute leukemia and congenital heart disease. Diagnose the disease, children acute lymphocyte leukemia by name specifically, children are acute young grains of cell leukemia for a long time, the intersection of children and inborn atrial septal defect, the intersection of children and inborn ventricular septal defect, the intersection of children and inborn the intersection of artery and conduit close, the intersection of children and inborn the intersection of lung and the intersection of artery and petals of 6 pieces of number such as being narrow. Because of complication, etc. the condition appears to become more serious in the course to make a diagnosis, does not accord with the scheme of making a diagnosis of standardization, or other factors such as patient's death, accident cause the standardization to treat unable continuation and carry on, withdraw from pilot scheme this after the provincial expert panel discusses to confirm, fixed hospital should notify patient to be personal situation handling organizationing jointly while being agricultural while being new in time. [The reporter of quota of 80,000 yuan of leukemia of expense standard ] knows, the pilot project includes in the scheme of adopting standardization and making a diagnosis of serious disease of children that succours, pay according to number, leukemia quota is 80,000 yuan, first worry quota of 25,000 yuan. Specifically: 1. Children spend ten thousand yuan to endanger the group, group's whole treatment total fee 8 of standard in acute lymphocyte leukemia. The high ill children who endanger the group and amalgamate other diseases Figo, use it according to shutting the original and fixed compensation scheme to carry out newly and agriculturally. 2.Acute young 80,000 yuan of therapeutic all-inclusive cost of whole journey for grains of cell leukemia for a long time for children. 3.Children's inborn atrial septal defect, children inborn ventricular septal defect, children inborn artery conduit close and children artery petal narrow to make a diagnosis all-inclusive cost of 25,000 yuan in inborn lung. [Pilot crowd ] rural serious disease children under the age of 14 are according to the scheme, the pilot crowd is 0~14 years old (including 14 years old) Join and shut to children in the countryside. In 2010, in market, Pu field Xianyou county, pilot project of the market of Jian'ou of Nan Ping in Fuqing of Fuzhou in advance. Scheme require pilot area should ill inborn the intersection of energies and dirty disease regard county this as in vain other children outside the local pilot range The grave and enormous number that can't be diagnosed, according to shutting the policies and regulations currently and newly and agriculturally, rotate and treat outside after being examined and approved, compensate according to the compensation proportion of the medical organization at county level. Our province will choose service ability to be strong according to qualifications, make a diagnosis and give treatment in the tertiary first rate hospital with good condition, with competent technology as treating and curing the hospital by fixed position. [Compensation standard ] can submit an expense account for 90% of the pilot project initial stages at most, it is agricultural to shut fund that pay children leukemia and expenses of congenital heart disease by at county level to share institute while being agricultural while being new pool fund and person who set up city shut great disease in hospital great the intersection of volume and medical treatment while being agricultural while being new The expenses supplement the compensation fund to bear together. Shutting funds to pay newly and agriculturally according to the proportion of the quota standard 70%, individual pays 30% of the quota standard for itself. As to the rural medical rescue target, shut funds to pay newly and agriculturally according to the proportion of the quota standard 70%, the fund of medical rescue is paid 20% of a standard of quota, individual pays 10% of the quota standard for itself. First worry that this means, rural medical rescue children are expected to use the simple children of 2500 yuan treatment. [Apply for the procedure ] (1) The qualification is applied for. In pilot area being at county level to sift, check, at the foundation that hospital diagnose, participate in patient equal to site to be (at county level) to join by fixed position Handle the organization and file an application newly and agriculturally jointly, the rural medical rescue target should file an application with civil affairs department at county level at the same time. The county handles organization and civil affairs department and should finish verifying newly and agriculturally in 5 days from the day of applying jointly. (2) Sign the agreement. Patient carry join and equal to the card ' Card) , ID card( Household register) , " children's leukemia, congenital heart disease are applied for, changed the place of examination singly " to treat and cure the hospital by fixed position. Treat and cure the hospital and examine the relevant material by fixed position, confirm the patient accords with the great disease of the pilot project and treats and cures the condition. As to the eligible patient, the fixed medical organization accepts for medical treatment and is admitted to hospital. (3) Prepay the expenses. Patient's notice by being admitted to hospital goes through formalities of admitted to hospitalling, according to paying 30% standard (medical rescue target is according to 10% of the quota standard) by norm Whether or assign once one that pay individuals and should pay once is in hospital the expenses.


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