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【砥砺奋进的五年·人权篇】医疗保险全覆盖助力井冈山市率先脱贫摘帽

2017-09-19 16:17:11   国际在线

张余梅所说交通费、饭费、住宿费等合并算为护理费补偿。目前在全国范围内井冈山是第一个实施这种健康扶贫补助措施的。据井冈山市医疗保险事业管理局局长刘家余介绍,当地政府在制定健康扶贫措施的时候,充分结合走访,了解贫困户的实际困难。2016年,多渠道健康扶贫措施全面铺开,“我们要了解老百姓的想法,才能制定相应的政策。比如说意外伤害,劳动中意外伤害的一般是一个家庭的主要劳动力,我们针对这种情况就给予意外伤害保险补偿;贫困参保人员因意外伤害住院可预赔高达80%的费用先行治疗。这个全国只有我们井冈山有。”

井冈山这种医疗保险的全覆盖解除了患病贫困人口的后顾之忧。46岁的彭远华是井冈山厦坪镇口前山村村民,家里有五口人,彭远华是家里的主要劳动力,三个孩子还在上学。2014年他被确诊为肝癌,当年便接受了切除手术。从此,彭远华不能再从事重体力劳动,家里的重担都落在了妻子一个人的身上。在井冈山健康扶贫项目中,彭远华被纳入了“蓝卡户”。

据彭远华介绍,今年以来,因病就医共产生医药费用55519.2元,通过基本医保和商业保险共计报销了68329.25元,解决了他的医药开支和非医疗开支。彭远华说,现在不用再为医药费发愁了,可以安心养病,“要是没有这些报销,我根本去都不去医院了,因为没钱了。我现在什么都不做了,就在家里种种花,扫扫地,再有时间的话就去找村里的邻居聊下天,要不就去田里转转。”

尽管2017年初井冈山市已经脱贫摘帽,但对过去贫困户的精准健康扶贫措施还将持续到2020年,确保不会出现因病返贫的现象发生。井冈山市医疗保险事业管理局局长刘家余说,“脱贫不脱政策,继续让他们享受,把健康扶贫措施持续到2020年巩固脱贫成果。”

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