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新农合政策重大调整,这些情况下不给报销了

2017-07-01 13:11:16   

看病难是困扰农民的一大问题,对此国家早就出台了新农合政策、自新农合出台以来,为农民看病节省了不少钱,在很大程度上缓解了农民看病难的问题。为更好地解决这一问题,2017年国家对新农合政策做了重大调整,提高了报销比例,拓宽了报销范围,同时规范了报销条件,以下这些情况不能通过新农合报销了。

第一,未在新农合指定医院就诊的不予报销。新农合政策明确规定,必须是在指定的医院进行就诊,才可以用新农合报销,在非指定的医院里就诊,是不能报销的。另外自购药品的也不能报销。

第二,就医时自行转院的不予报销。农民在就医时,在未得到相关许可,自行转院的情况,新农合不予报销。

第三,由第三方赔偿的情况的不予报销。农民不慎遭遇工伤或车祸,等由第三方进行赔偿的情况,新农合不予报销。另外因个人违法原因造成伤害住院的,也不予报销,比如打架斗殴等造成的伤害。

第四,因自身原因整容塑身的不予报销。如果是出于自身原因,想要整容塑身,镶牙矫牙,器官移植等产生的费用,新农合不予报销。

以上就是2017年新农合政策重大调整后,不予报销的四种情况。这是为了保障农民的合法,避免虚假套取新农合补贴等,损害农民利益行为的现象,可以称得上是一项福利政策。对此大家怎么看待呢?

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