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医保政策
发布时间: 2019-07-24

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

来源: 临安新闻网    作者:    编辑: 凌培基
 
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