不受起付线限制，不受新农合报销药品目录限制，不受基本诊疗项目目录限制，家庭困难还能享受民政部门15%的医疗救助基金——从2013年3月1日起，河南省参加新农合的农民，如果不幸患上包括乳腺癌、胃癌在内的20种重大疾病，就能享受到上述大病救助政策的帮助。

From start to pay limit line,From the new agriculture close to submit an expense account limit catalog of medicines,From basic medical project directory limit,Family difficulties can enjoy civil affairs departments 15% of medical assistance fund - from on March 1, 2013,Henan province to participate in the new agriculture, farmers,If unfortunately have including breast cancer/Gastric cancer, and kind of serious illness,Can enjoy the serious illness aid policy to help.

明年3月1日起河南参合农民遇20种大病可获救助 March 1, farmers in henan ginseng add up to twenty kinds of serious illness for rescue

　　12月27日上午，河南省卫生厅在郑州召开2013年新农合统筹补偿政策新闻通气会，河南省卫生厅副厅长秦省通报了这一消息。

In the morning of December 27th,Henan provincial health bureau held in zhengzhou in 2013 new farming together as a whole TongQiHui news compensation policy,Henan provincial health bureau deputy director qin province reported the news.

　　据大河网记者了解，这项救助政策将于2013年3月1日起实行，列入救助的20种重大疾病，有18种是2013年新增加的，儿童先心病(手术治疗)和白血病的大病救助工作此前已经开展。

According to the big river network reporter understanding,The aid policy will be in on March 1, 2013 a,Included in the salvage twenty kinds of serious illness,Eighteen is a 2013 additional,Children congenital heart disease(Surgical treatment)And leukemia illness rescue work had already carry out.

　　据河南省卫生厅农村卫生处处长王耀平介绍，之前对先心病和白血病两种重大疾病的救助，仅限于儿童，2013年实施的这20种重大疾病救助，救助对象为所有参合农民。

According to the provincial health bureau of henan province rural health marshal WangYaoPing is introduced,For congenital heart disease before and leukemia two major disease of the rescue,Confined to children,In 2013 the implementation of the twenty kinds of major disease salvage,Rescue object for all ginseng add up to farmers.

无起付线 不受报销药品目录限制 最高报95% Without the pay line from drug reimbursement list to limit the highest 95%

　　除了取消对救助对象的年龄限制外，这项政策也不受新农合起付线、报销药品目录和基本诊疗项目目录的限制。

In addition to cancel the age limit for rescue object outside,This policy is not affected by the new agriculture closed the pay line/Submit an expense account catalog of medicines and basic medical project directory restrictions.

　　王耀平举例说，以乳腺癌为例，救助政策设计了患者到省、市、县三级医院就诊的救助标准，在县级医院，政策规定最高限额7000元，新农合可以报销80%，如果患者家庭困难，还能享受民政部门15%的医疗救助基金，实际报销比例达95%，患者只需自付5%也即350元。

WangYaoPing for example,With breast cancer as an example,Aid policy design the patient to the province/city/County level 3 hospital salvage standard,In the hospital,Policy sets the highest limited to RMB 7000 yuan,New farmers joint can submit an expense account 80%,If the family difficulties,Departments of civil affairs can enjoy 15% of medical relief fund,The actual reimbursement ratio reaches 95%,Patients need to pay 5% since that 350 yuan.

　　“政策设计的指导思想之一，是鼓励患者就医分流，利于各级医疗资源的合理利用。”王耀平说，除部分特殊病种外，其他救助病种，都设计了省、市、县三级医院的最高限额，“越到基层医院，费用越低，报销比例越高”。

"The guiding ideology of policy design,Is to encourage patients go to a doctor shunt,For the rational utilization of medical resources at all levels."WangYaoPing said,In addition to the part of the special disease,Other salvage disease,Is designed with province/city/County level 3 hospital ceiling,"The basic-level hospitals to,Cost is lower,The higher the reimbursement ratio".

　　为了防止医院在治疗过程中“乱治”、“重复治”来圈钱，大病救助政策规定，医院花钱超出了最高限额，超出部分还按限额内的报销比例行，但这部分报销的费用，要由医院来出，其余部分患者自付。

In order to prevent the hospital during the course of treatment"Disorderly to"/"Repeat to"To ring money,A serious illness aid policies,The hospital money beyond the ceiling,Beyond part is according to the limit of the reimbursement ratio in line,But this part of the cost of reimbursement,The hospital to out,The rest of the patients from the pay.

与按病种付费重合的5种病按新政策执行 And press disease to pay coincidence of 5 kinds of disease according to the new policy implementation

　　自2011年5月1日起，河南省在30家试点医院开展了新农合住院患者按病种付费工作，按病种付费治疗病种达到62个。

Since on May 1st, 2011,Henan province in 30 pilot hospitals in the new agriculture close hospitalized patients with press disease to pay work,Press disease to treat disease to pay up to 62.

　　河南省卫生厅农村卫生处工作人员石灏受访时说，此次大病救助政策规定的20种大病中，已有乳腺癌、肺癌、食管癌、胃癌、直肠癌等5种大病纳入了此前的按病种付费，在2013年3月1日大病救助政策实施后，这5种病将按照大病救助政策来执行。

Health department of henan province rural health department staff of ShiHao said,The serious illness assistance policy regulation and kind of a serious illness,For breast cancer/Lung cancer/Esophageal cancer/Gastric cancer/Colorectal cancer, and five kind of serious illness in the previous press disease to pay,On March 1, 2013 a serious illness assistance policy was implemented,The five kinds of disease will be in accordance with the aid of a serious illness to the implementation of the policy.

大病患者3种情况医药费将不报销 Patients with a serious illness three cases medical expenses will not submit an expense account

　　此次大病救助的对象，首先得是新农合参合农民，其次患者所患病种及主要治疗方法符合大病保障的范围，最后还得在新农合大病救助医院按规定的临床路径或诊疗方案治疗。

The serious illness rescue object,First of all have to be new farming $ginseng add up to farmers,Secondly in patients with sick species and the main treatment method accord with the scope of the security of a serious illness,Finally still have to in the new agriculture close a serious illness assistance in accordance with the provisions of the hospital clinical pathway or medical treatment plan.

　　石灏介绍，在这种情况下，有三种情况，不在大病救助报销范围。一是患者不在大病救助医院接受治疗，或者治疗方法不在规定之列，那么只能按现行补偿方案进行补偿，不能列入重大疾病保障范围，其次是一年内大病患者同一种病只能享受一次大病救助，再次住院将按统筹地区现行补偿方案进行补偿，再者就是大病患者自动出院、自行转院或因出现严重并发症等原因退出临床路径的，不能享受大病救助政策，只能按统筹地区现行补偿方案予以补偿。 (记者 尚国傲)

ShiHao introduced,In this case,There are three kinds of situation,Is not a serious illness assistance to submit an expense account range.A patient is not a serious illness salvage hospital,Or treatment is not among the provisions,So can only according to the current compensation scheme for compensation,Not included in the scope of protection major disease,The second is a serious illness years in patients with the same kind of disease can enjoy a serious illness salvage,To the hospital as a whole the area will be made according to the current compensation scheme for compensation,Moreover is a serious illness patients to be automatic discharge/To a hospital or due to any reason such as serious complications from the clinical pathway,Can't enjoy a serious illness assistance policy,Only by as a whole area current compensation scheme shall be compensated for. (Reporter is proud nation)