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湘西州首例跨省异地就医直接结算成功

2017-09-21 13:17:32   央广网

央广网吉首9月21日消息(记者姜文婧 通讯员欧治菲)近日,湖南省湘西土家族苗族自治州城镇职工医保参保人员刘老在北京市和平里医院办理出院手续时,通过国家异地就医结算平台,完成住院医疗费用直接结算。这是湘西州第一例通过该平台实现跨省异地就医直接结算的案例,标志着湘西州跨省异地就医转出人员直接结算模式运行成功。

刘老家属介绍,刘老今年九十岁,在北京居住四十余年,以前住院时需要全额垫付高额医疗费,还需要为报销两地奔波,极大地加重了家庭负担。今年7月27日,刘老因反复“高热”两个月在北京市和平里医院住院,总费用72228.45元。为尽快解决刘老的住院直接结算问题,湘西州医保局与北京市和平里医院等单位多次协调沟通,终于在9月13日成功办理了跨省住院直接结算,统筹基金支付65210.82元,在医院结算时个人自付部分仅需要支付7017.63,所有报销金额由系统自动生成,进行结算。

据了解,异地就医联网结算,可以解除以往困扰异地就医人员垫资负担重、报销周期长、往返奔波等难题,是一项实实在在的便民之举。目前,城镇职工医保参保人只要持有已激活的社会保障卡,并到参保地申请备案后,就可在就医地进行住院医疗费用直接结算。

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