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郑州血友病等病种纳入居民医保门诊--亲稳网络舆情监测室
2012-09-14

  郑州市居民医保门诊规定病种又增加了3种病种,相关患者即日起至10月上旬可进行申报。

Zhengzhou city residents health clinic formulary disease to plant and increase the three kinds of diseases,Related patients from now on to 10 month can be declared.

  河南商报记者昨天获悉,依据郑州市人社局和郑州市财政局联合下发的《关于增加我市城镇居民基本医疗保险门诊规定病种有关问题的通知》,在原有恶性肿瘤、慢性肾功能不全(失代偿期)、异体器官移植3种门诊规定病种的基础上,将糖尿病患者胰岛素治疗、精神分裂症病人药物维持治疗、血友病3种疾病的特殊治疗纳入居民医保门诊规定病种医疗保障范围

The henan business reporter learned yesterday,According to the bureau of zhengzhou city people club and zhengzhou city bureau of finance allots jointly[About increasing the basic medical insurance for urban residents of the relevant questions of the outpatient formulary disease to notice],In the original malignant tumor/Chronic renal insufficiency(Decompensated period)/Allogeneic organ transplant 3 kinds of outpatient service on the basis of formulary disease,Will insulin treatment in patients with diabetes/Patients with schizophrenia drug maintenance therapy/Hemophilia 3 kind of disease of the special treatment into the residents health clinic formulary disease range of medical security.

  不过,需要注意的是,与之前恶性肿瘤等病种不同,此次纳入的血友病等病种的患者不能进行“随时申请”,而是每年集中申报两次。

but,Need to pay attention to is,And before cancer and other diseases is different,The enrolled patients with diseases such as hemophilia cannot carry out"Always apply for",But the centralized declaration for twice a year.

  相关病种看门诊时的统筹基金支付标准如下:伴严重并发症的糖尿病,基金支付范围为胰岛素治疗,支付比例为60%,每月最高支付限额为100元;精神分裂症(病史二年以上),基金支付范围为抗精神病药物治疗,支付比例为60%,每月最高支付限额为60元;血友病(包括凝血因子VIII活动减少或缺乏等3种情况),基金支付范围包括血液制品及凝血因子治疗,以及必要的检查,支付比例仍为60%,每月最高支付限额为800元。 (河南商报记者杨慧俊)

See related diseases of outpatient service as a whole fund pays standard as follows:With serious complications of diabetes,Fund pays limits for insulin therapy,Payment proportion is 60%,Monthly highest pay limitation to be 100 yuan;schizophrenia(2 years of history),Fund pays limits for antipsychotic drug therapy,Payment proportion is 60%,Monthly highest pay limitation to be 60 yuan;hemophilia(Including coagulation factor VIII activities to reduce or lack of 3 kinds of cases),Fund pays range including blood products and clotting factor treatment,And the necessary inspection,Pay scale is still 60%,Monthly highest pay limitation to be 800 yuan. (The henan business YangHuiJun reporters)


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