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央广网9月20日秭归消息(记者凌姝 通讯员张龙 蒋支芹)自6月28日实行健康扶贫对象基本医疗保险、大病保险、民政医疗救助、健康扶贫专项救助 “一站式”结算后,秭归又推出了县外“一站式”服务。
以前健康扶贫对象在县外医疗机构住院治疗后,因信息平台无法对接,不能开展“一站式”结算服务,需要患者自费结算后回县人社部门报销新农合费用,再到人寿保险公司报销大病保险费用,再回到所在乡镇民政办办理大病救助手续,最后回到县财政部门办理健康扶贫专项救助,群众办事极不方便,费时费力,有时一次还不一定能成功办理相关手续。秭归县经过调研后,相关部门共同研究确定,在县内患者实施“一站式”结算基础上,对县外住院患者报销相关费用实施“一站式”服务:患者只需要在县人社局医保服务窗口提交相关资料,就可回家等待办理结果;人社部门通过信息平台,一次性计算好新农合、大病保险、医疗救助、健康扶贫专项救助报销费用,人寿保险公司、民政局、财政局网上确认,报销费用直接到达患者一本通账户。通过“一站式”服务,不仅方便了群众办事,而且为群众节约了时间,节约了一大笔交通费用,得到了群众一致好评。
据了解,除了结算更加便捷外,秭归在财政收入十分微薄的情况下,大幅度提高健康扶贫对象看病就医报销比例。6月28日至8月31日全县定点医疗机构已先后办理健康扶贫对象“一站式”结算3556人次,经新农合报销、大病保险、民政救助、健康扶贫补助后,合规费用补偿比例高达98%以上,真正为贫困群众带来方便和实惠。
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