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就医大变化 江西省公立医院综合改革政策问答

2017-09-07 19:36:46   中国青年网

为方便单纯取药及慢性病定期检查等不需要另外提供新诊疗方案的患者就医,医院积极设立便民门诊,便民门诊统一为3元/次,由个人支付。

记者:全面推开公立医院改革后,老百姓在医保报销流程上会不会有变化?

答:此次调整的医疗服务项目,按规定纳入医保报销范围。南昌市及已开通异地结算的设区市参保人员在定点医疗机构就诊时,就医报销流程不会发生变化。其他患者,报销流程按照其参保地政策执行。

记者:在保障贫困患者看病就医方面有哪些举措?

答:对白内障、唇腭裂、儿童白血病、儿童先天性心脏病、尿毒症、重性精神病、乳腺癌、宫颈癌、儿童重度耳聋、艾滋病机会性感染等10种大病实行免费救治。

为贫困人口建立“四条保障线”,实施“两免四提制度”:即免个人参保费(个人缴费部分,由财政全额补助),免县级、乡级医疗机构住院补偿起付线(在一级、二级定点医疗机构住院不设起付线,由大病保险按照一级医疗机构100元、二级医疗机构400元的标准进行支付);提高15种重大疾病保障水平,提高门诊慢病报销待遇,提高大病保险报销比例,提高医疗救助保障水平;实行县域内先诊疗后付费制度和“一站式”结算制度,实施重大疾病医疗补充保险制度,强化健康扶贫兜底保障。

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