蔡甸融媒 发表于 2023-2-23 19:44:10

医保新政实施,“家门口”看病开药报销多还方便

<section style="margin-bottom: 0px;"><section powered-by="xiumi.us"><p style="text-align: center;"></p><p><br/></p></section></section><section style="margin-bottom: 0px;"><section powered-by="xiumi.us"><p style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"><span style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; font-size: 17px; letter-spacing: 1px; text-align: justify; text-indent: 34px; background-color: rgb(255, 255, 255);">2月22日,武汉市洪山区梨园街东湖社区卫生服务站,在护士长陈慧的指导下,67岁居民杨先生在便民门诊开到了降压药、降脂药等日常用药,“现在门诊可以报销,而且免挂号费、免诊查费,费用降低了,在家门口看病也方便”。</span></span></p><p style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"><span style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; font-size: 17px; letter-spacing: 1px; text-align: justify; text-indent: 34px; background-color: rgb(255, 255, 255);"><br/></span></span></p><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;">杨先生患高血压多年,8年前又查出高血脂,此后突发脑梗塞,经过救治,恢复得比较理想,但每天都要吃4种药物来维持血压、血脂,预防脑梗复发。在门诊开具这些药物,去年仅药费就要花去7435.45元钱。</span></section><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"><br/></span></section><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;">近期,职工基本医保门诊共济保障机制落地实施,2月起,武汉职工在全市门诊统筹定点医疗机构看门诊,医保目录内的费用能用医保报销了。像杨先生这样的退休人员,报销比例可达60%以上。在全市门诊统筹一级医疗机构,更是可以报销84%。</span></section><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"><br/></span></section><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;">“现在普通门诊费用能报销了,对于我这样的慢性病患者来说,切实享受到了实惠。”杨先生跟记者算了笔账,改革前,他的个人医保账户每年划入2540元,去年7000多元的医保甲类药品,不仅刷完了医保卡上的年度划账,自己还掏了4895.45元。现在,按退休人员门诊统筹政策,除去500元门槛费,在社区卫生服务站可以按84%的报销比例,可以报销至上限4000元。“虽然个人账户当年少划入了1544元,但享受的待遇却增加了2456元。”他说。</span></section><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"><br/></span></section><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;">“随着政策的不断调整,居民在社区医疗机构享受到的健康服务也在持续提升。”东湖社区卫生服务站陈淑芬书记介绍,该社区卫生服务站目前已与华中科技大学同济医学院附属梨园医院、湖北省中医院这三家三甲大医院组建了医疗联合体,大医院的专家定期到社区卫生服务站坐诊、指导诊疗,将专家服务送到居民家门口;社区卫生服务站的检查、检验后台也与三甲大医院“云”相连;同时,医联体内上下转诊渠道非常通畅。如居民出现不适,到东湖社区卫生服务站来做检查,血生化检验、B超检查等均可由梨园医院专家完成;长程心电图、动态血压等检查指标则直接发送到中南医院心内科,由三甲医院专家24小时在线实时监测;如果确认病情复杂、需要做手术,可通过绿色通道转诊至上级医院住院,术后再转回社区卫生服务站来接受康复治疗,既省心,又大大节省费用,“对杨先生这样的慢性病患者和老年居民来说,他们可以在‘家门口’以一级医院的医疗费用,享受到三甲大医院的专家服务”。</span></section><section style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"><br/></span></section><p style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;">“早几年,遇到大病小病,总想着去大医院。现在,社区医院的水平提高了,特别是门诊费用医保可以报销了,而且免挂号费和诊查费,有啥头疼脑热,我肯定首先到社区来看病,报销多还方便。”杨先生说。</span></p><p style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"><br/></span></p><p style="font-family: Open Sans, Arial, Hiragino Sans GB, STHeiti, WenQuanYi Micro Hei, Microsoft YaHei UI, 微软雅黑, SimSun, sans-serif; white-space: normal; background-color: rgb(255, 255, 255); font-size: 18px; text-indent: 2em; margin-top: 0px; margin-bottom: 0px; line-height: 2em; text-align: justify;"><span style="letter-spacing: 1px;font-size: 17px;"></span></p><section style="overflow-wrap: break-word; max-width: 100%; color: rgb(67, 74, 84); font-family: -apple-system-font, Helvetica, PingFang SC, Hiragino Sans GB, Arial, Microsoft YaHei; white-space: normal; background-color: rgb(255, 255, 255); box-sizing: border-box; margin-bottom: 0px;"><section powered-by="xiumi.us" style="overflow-wrap: break-word; max-width: 100%; margin-top: 0.5em; margin-bottom: 0.5em; box-sizing: border-box;"><section style="overflow-wrap: break-word; max-width: 100%; height: 1px; background-color: rgb(160, 160, 160); box-sizing: border-box; line-height: 0;"><br style="overflow-wrap: break-word;"/></section></section></section><p style="overflow-wrap: break-word; margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(67, 74, 84); font-family: -apple-system-font, Helvetica, PingFang SC, Hiragino Sans GB, Arial, Microsoft YaHei; font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255);"><span style="overflow-wrap: break-word; color: rgb(136, 136, 136); letter-spacing: 0.544px; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;">来</span><span style="overflow-wrap: break-word; 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color: rgb(136, 136, 136); letter-spacing: 0.544px;">编辑:方丹 熊霞 |&nbsp;</span><span style="overflow-wrap: break-word; letter-spacing: 0.544px; color: rgb(136, 136, 136);">责编:方军</span></p><p style="margin: 0cm 0cm 0.0001pt; padding: 0px; color: rgb(67, 74, 84); font-size: 14px; white-space: normal; background-color: rgb(255, 255, 255); max-width: 100%; min-height: 1em; font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.544px; line-height: 19.2pt; overflow-wrap: break-word !important; box-sizing: border-box !important;"><span style="color: rgb(136, 136, 136); max-width: 100%; overflow-wrap: break-word !important; box-sizing: border-box !important;"><span style="overflow-wrap: break-word; letter-spacing: 0.544px; max-width: 100%; line-height: 19.2pt;"><span style="overflow-wrap: break-word; font-weight: 700; letter-spacing: 0.544px;"><span style="overflow-wrap: break-word !important; 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