哪些情况不纳入基本医疗保险基金支付范围《zhonghuarenmingongheguoshehuibaoxianfa》guidingyixiaqingkuangbunarujibenyiliaobaoxianjijinzhifufanwei:
1、yingconggongshangbaoxian、shengyubaoxianjijinzhongbaoxiaode;
2、yingdangyoudisanrenfudande;
3、yingdangyougonggongweishengfudande;
4、zaijingwaijiuyide;
5、qitaweifan《shehuibaoxianfa》heguojia、shengshiyiliaobaoxianxiangguanguidingde
住院医保相关政策
yi、zhuyuanguanli
1、yibaobingrenzhuyuanshibixutigongshebaoka(huoshiminkahuoshenfenzheng)、zhenglibengongyiyuanheshihuanzheshenfen。
欧宝app2、yibaobingrenzhuyuanshibixuyaofuheweishengburuchuyuanbiaozhun,fuhechuyuantiaojianerjujuechuyuande,jixuzhiliuqijianfashengdeyiliaofeiyongyougerenzijifudan。
3、buyunxuguamingzhuyuan,fenjiezhuyuancishu,buyunxumaomingdingti。
4、yixiayiliaofeibulieruyibaozhifufanwei:
zaizhejiangshengshehuibaoxianxingzhengbumenguidingdejibenyiliaobaoxianyaopinmulu、yiliaofuwuxiangmufanweiyiwaide;zaijingwaijiuyide;yingdangyoudisanrenfudande;yingconggongshangbaoxianjijinzhongzhifude;yingyougonggongweishengfudande;qitaweifanjibenyiliaobaoxianguidingde。
5、canbaorenyuandezhuyuanyiliaofeijiesuancaiyongchuyuanjiesuanzhi,kuanianduzhuyuandeyibaofeiyongdejiesuanyichuyuanriqiweizhun。
6、jibenyiliaobaoxiandejiesuanniandu:
daxueshengyibaoweimeinian9yue1rizhicinian8yue31ri,qitacanbaorenyuanweimeinian1yue1rizhi12yue31ri。
er、yaopinjizhenliaoxiangmuguanli
1、yibaodefenlei
欧宝appjialei:
quanbunarujibenyiliaobaoxianzhifufanwei,binganyibaozhengceguidingjiesuan。
欧宝appyilei:
gerenxianziliyidingbilidefeiyonghou,zainarujibenyiliaobaoxianzhifufanwei,binganyibaozhengceguidingjiesuan。
binglei:
bunarujibenyiliaobaoxianzhifufanwei, suoyoufeiyongxuyaoquanbuzifei。
2、zhuyuanqijianyixiafeiyongyingyougerenchengdan
gerenyingchengdandefeiyongbaokuozifei、zili、zifusanbufen。
欧宝appzifei:
shizhibushuyujibenyiliaobaoxiankaizhifanweidefeiyong。(binglei)
欧宝appzili:
shizhishuyujibenyiliaobaoxianyiliaofuwuxiangmuheyaopinmuluneideyileixiangmuheyaopindeng,xuxianyougerenzhifuyidingbilihuoedudefeiyong。
zifu:
shizhimenzhen、zhuyuanqifubiaozhunyishangyingyougerenanbilichengdandefeiyong。
3、xialieyaopinhezhenliaoxiangmuyouzhenzhiyishengtichu,jingyiyuanyibaobanxiangsheng、shiyibaozhongxindianzibeianhoufangkeshiyong。
yaopin:
xiongxiantai。
zhenliaoxiangmu;《fuwujiageshouce》zhongxiangmubianmawei“3402”kaitoudekangfuzhenliaoxiangmu。
4、zhuyuanguochengzhongshiyongyicixingyiyongcailiao(hanzhiruxingcailiao)deguiding
欧宝appzaiyigezhiliaoguochengzhong,shiyongfuhejibenyiliaozhifufanwei,danjiazai200yuanyishangdeyicixingyiyongcailiao(hanzhiruxingcailiao),gerenanguidingziliyidingbili(guochan3%,hezi10%,jinkou15%)hou,zaianjibenyiliaobaoxianguidingzhifu,leijizuigaoxianewei4wanyuan;bufenyiyongcailiaozuigaoxianewei3wanhuo2wanyuan。(ruqiboqi、zhijia、rengonggugutoudengdanxiangleijizuigaoxianewei3wanyuan,jizhuineigudingcailiaodanxiangleijizuigaoxianewei2wanyuan)
5、chuyuandaiyaobuchaoguo1geyueliang。
san、chuangweifei
jibenyiliaobaoxianchuangweifeizhifuwei40yuan/ri,chaochubufenzifei。
si、zhuyuanyibaojiesuanzhengce
(yi)hangzhoushiyibaozhengce
1、chengzhenzhigongyibaozhengce
欧宝appzaiyigejiesuanniandunei,chengdanyigezhuyuanqifubiaozhun,sanjiyiliaojigouwei800yuan,qifubiaozhunyishangbufenyiliaofei,gerenzifubiliruxia:
renyuanleibie | qifubiaozhun | 800zhi4wan(han) | 4wanzhi36wan(han) | 36wanyishang |
zaizhi | 800 | 18% | 12% | 10% |
tuixiu | 14% | 8% |
2、chengxiangjuminyibaozhengce
chengdanyigezhuyuanqifubiaozhun,sanjiyiliaojigouwei800yuan。qifubiaozhunyishangbufengerenzifubiliruxia:
renyuanleibie | qifubiaozhun | 800zhi25wan(han) | 25wanyishang(han) |
chengxiangjumin | 800 | 30% | 30% |
daxuesheng | 20% |
欧宝appfanfuhehangzhoushijibenyiliaobaoxiancanbaotiaojiandexinshenger,zaichushengzhiriqi3geyueneibanlichengxiangjuminyibaocanbaodengjishouxubinganguidingbiaozhunjiaonabaoxianfeide,ziqichushengzhiriqixiangshouxiangguandeyibaodaiyu。
(er)shengjiyibaozhengce
欧宝appzaiyigejiesuanniandunei,canbaorenyuanfashengdefuheyibaozhifufanweidezhuyuanyiliaofeianyixiaguidingjiesuan:
chengdanyigezhuyuanqifubiaozhun,sanjiyiliaojigouwei800yuan,qifubiaozhunyixiazifuyiliaofeiyong,xianyougerenzhanghulinianzijinzhifu,gerenzhanghulinianzijinbuzuzhifude,yougerenchengdan;qifubiaozhunyishangbufenyiliaofei,gerenzifubiliruxia:
renyuanleibie | qifubiaozhun | 800zhi4wan(han) | 4wanyishang |
zaizhi | 800 | 18% | 12% |
tuixiu | 12% | 6% |
欧宝appzhu:
jianguoqiancanjiageminggongzuodelaogongren,gerenzhifubilizaituixiurenyuanjichushangjianbanzhixing。
wu、quansheng“yikatong”(yidijiuyi“yikatong” )
(yi)hanyi:
zhicanbaorenyuanzaiquanshengfanweineideyibaodingdianyiliaojigou,zhixuchibenrendeshebaoka、zhenglibenjiukeyishuakajiuyi,jikeyianzhaodangdiyibaozhengcewanchengshishijiesuan,wuxuxiangerenquanedianfu,huidangdibaoxiao。
(er)jiesuanzhengce
1、wenjianyiju:
quanshengcanbaorenyuanjunyiju《zhejiangshengjibenyiliaobaoxian、gongshangbaoxianheshengyubaoxianyaopinmulu》2010ban,《zhejiangshengyiliaofuwujiageshouce》2018xiugaiban,《zhejiangshengjibenyiliaobaoxianyiliaofuwuxiangmumulu》2005nianbandengdexiangguanguiding,quedingfuhejibenyiliaobaoxianzhifufanweideyiliaofeiyong。
2、gerenyinggaichengdandeyiliaofeiyongdeguiding:
canbaorenyuanyidijiuyigerenyinggaichengdandeyiliaofeiyong,junanzhaodangditongchoudiqudeyibaobaoxiaozhengcezhifu。
欧宝applejiexiangxiyibaozhengcedetujing
ruguoninxiangxiangxilejieyibaozhengce,qingbodazixundianhuajishangwangchaxun:
linanqurenminyiyuanyibaobanzixundianhua:
58622578
hangzhoushiyiliaobaozhangzhongxinlinanfenjuzixundianhua:
63723408 63727046
hangzhoushiyiliaobaozhangguanlifuwuzhongxinwww.hangzhou.gov.cn
欧宝appzhejiangshengyiliaobaoxianfuwuzhongxindizhi:
hangzhoushitiyuchanglu538haojinzhudasha dianhua:
欧宝appshengwaijishengneiwaidichengzhenzhigongyibaoyuxinxingnongcunhezuoyiliaobaoxiaozhengcehebuchangliucheng:
qingzixungecanbaodiyibaojingbanjigou