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为享医保报销政策 常州一男子硬拖半年险截肢--亲稳网络舆情监控室
2013-02-07

  中新网南京2月7日电(王琦)医保按照规定,如果没有交满6个月就不能享受报销的政策。今天,记者从南京应天医院了解到,常州的一位朱先生为了能够享受到医保报销待遇,把自己的病硬生生地拖了半年,结果差点被截肢。

Beijing, nanjing, feb. 7(boyer)Medical insurance in accordance with the regulations,If there is no pay full 6 months cannot enjoy reimbursement policy.today,Reporters from nanjing should day hospital to know,Changzhou a Mr. Zhu in order to be able to enjoy medical insurance reimbursement of treatment,His disease forcefully drag for half a year,Results almost been amputated.

  在应天医院的病床上,刚刚手术完的朱建强右脚肿的厉害,5公分长的大裂口几乎把脚分成两半。朱建强懊恼地说:“那天穿着旅游鞋,下雨了,水进了鞋里面,回来之后发现了小水泡,过了两天水泡瘪掉了,瘪掉之后伤口一直没好。脚开始溃烂是从去年六月份。”

In the days of a hospital bed,Just after the operation of the ZhuJianJiang right foot is swollen badly,5 cm long big fissure his feet almost in half.ZhuJianJiang sweat to say:"That day wearing sneakers,rain,Water into the shoes inside,Come back later found vesicles,Two days blister flat out,Flat out after the wound hasn't been good.Foot began to decay from June last year."

  因为患有多年的糖尿病,这次脚底小水泡很快发展成严重的细菌感染,但是只要及时治疗就能痊愈,可朱建强却苦等了六个月才走进医院。问起原因,朱建强说:“医保说要交满六个月,早住院没有用,医保不满六个月不享受住院。我的医保是去年六月份开始交的,但是从七月份才开始算,交270.5元,整整交了六个月。”

Because suffer from diabetes for many years,The sole vesicles quickly developed into a serious bacterial infection,But as long as timely treatment can heal,Can ZhuJianJiang is bitter, etc for six months before going into the hospital.Asked reason,ZhuJianJiang said:"Medical insurance to pay full six months,Early use in hospital,Medical insurance dissatisfaction six months do not enjoy in hospital.My health is in June last year began to pay,But from July began to calculate,Pay $270.5,Full pay for six months."

  原来朱建强过去一直在常州一家国营企业工作,2000年单位倒闭,医疗保险也断交了。朱建强表示,如果当时住院,最少也要自费5000多元,于是他想到了补交医保寻求报销。可医生告诉他,医保生效至少也等上半年,就这样朱建强苦等半年后才来到了医院,而此时,脚部细菌感染已经达到了需要截肢的地步。

The original ZhuJianJiang used in changzhou a state-owned enterprise,2000 units go bankrupt,Medical insurance and the established.ZhuJianJiang said,If at that time in hospital,Or at least 5000 yuan at one's own expenses,So he thought of the medical insurance pay for reimbursement.But the doctor told him,At least in the first half of the health care effect, etc,So ZhuJianJiang bitterness etc. After six months came to the hospital,the,Foot bacterial infection has reached the point where need amputation.

  南京应天医院骨科主任医师曾晓峰说:“由于糖尿病病史已经很长了,发生了感染而且进展非常快,骨头已经和周围的软组织完全剥离了,骨头变成光秃秃的,没有血液循环了。”幸运的是经过医生一个多小时的清创引流手术,朱建强的脚保住了。但此时,朱先生的手术花费将达到两万多元,除去医保报销,朱建强还要自费5000多元,这与他当初需要自费看病的费用相当。

Nanjing should day hospital orthopedic chief physician CengXiaoFeng said:"Because has a long history of diabetes,Happened infection and progress very fast,Bones have and surrounding soft tissue to peel off completely,Bones become bare,Not the blood circulation."Fortunately after the doctor more than a hour of debridement drainage operation,ZhuJianJiang feet saved.But at the moment,Mr. Zhu operation cost will reach twenty thousand yuan,Remove medical insurance reimbursement,ZhuJianJiang even at one's own expense 5000 multivariate,This and he had to see a doctor at one's own expenses cost quite.

  医保中心介绍,初次缴纳医疗保险有六个月的观察期,这期间看病是不能报销的。主要是为了防止带病投保的行为。医保部门提醒,医保交费一旦中断,重新交费后还会有六个月的观察期。(完)

Health center is introduced,First pay medical insurance there are six months observation period,This period is the doctor cannot submit an expense account.The main duties is to prevent the behavior of the insured.Health care providers to remind,Medical insurance fee once interrupt,After the new fee will have 6 months observation period.(finish)


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