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医保乱象:部分药店变“超市” 医保卡变购物卡

2016-08-12 04:21:28   新文化报

这不是超市……而是一家药店

新闻背景:7月21日至7月26日,为加强医疗保险定点医疗机构、定点零售药店监督管理,切实规范“两定单位”医保服务行为,防范和查处医疗保险基金欺诈骗取及其他违规行为,保障医疗保险基金安全,长春市人社局组成专门执法监督管理队伍,在长春市范围内开展了医保“两定”单位专项大检查活动。

检查活动累计检查定点医院、社区卫生服务站、门诊部共57家,定点零售药店51家,对违反医疗保险规章制度的行为,共对78家违规医保“两定”单位进行了处理,并予以了曝光,其中取消医疗保险定点服务资格7家,停网整顿50家,处以违规费用二倍罚款16家,责令整改、退回违规费用1家,责令整改4家。

近日,长春市人社局对长春市范围内开展的医保“两定”单位专项大检查活动效果显著,对违规购物、套现、骗补等违反医疗保险规章制度的行为,给予了极大的威慑。

那么,在长春市的医保“两定”单位是否仍存在违反医疗保险规章制度的行为呢?昨日,在接到读者反馈后,新文化记者对未被曝光的一些药店进行了暗访,调查发现,仍有少数药店存在着为非医疗保险基金支付范围内的经营项目提供刷医疗保险卡业务的行为。

市民反馈:药店成了“超市”

“我们家附近的几家药店可以用医保卡购买东西,能买些米、面、油等生活必需品,好多居民都不用去超市了!”近日,长春市民李女士给本报打来电话,举报部分药店可以违规购物。

李女士住在长春市越野路附近,经常能见到同一小区的居民拎着大米白面、豆油、卫生纸等生活必需品,从药店里走出来。她刚开始还不理解这是咋回事儿,直到邻居们告诉她,这些日常生活用品是他们用医保卡刷出来的。

“医保卡还能买这些东西?”李女士问这些居民。

“你才知道啊!医保卡里的钱用不了,放着也是放着,而且还取不出来。用这些钱买东西,我们感觉很划算……”居民说。

李女士表示,据她了解,医保卡是百姓的“救命卡”,里面的钱具有“专款专用”的性质,不仅有职工个人缴纳的费用,而且还有政府和单位统筹划拨的费用,一旦个人患上重大疾病,医保卡的用处可大着呢。“医保卡是用来看病买药的,如果现在就把它当成购物卡而将里面的钱花没,我感觉,等用到这些钱的时候,吃亏的还是我们自己!”

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