核心提示

    Core tips

    报销  reimbursement

    三门槛     Three threshold

    是否先天     Whether the innate

    由于限定了“原发性”的条件，实际上，属于多数派的特发性生长激素缺乏儿童（后天患病）不在医保报销范围中

    Because of limited"primary"The conditions of the,In fact,Idiopathic growth hormone lack children belong to the majority(Ill the day after tomorrow)Not in the scope of coverage

    需要住院     Need to be hospitalized

    儿童原发性生长激素缺乏症患者，符合入院指征且住院治疗的情况下，基本医疗保险基金才可以按规定支付医疗费用

    Patients with primary growth hormone deficiency in children,Comply with the indications and hospital treatment,Fund of insurance of primary medical treatment to pay medical fees according to regulations

    门诊报销 Outpatient reimbursement

    儿童原发性生长激素缺乏症没有被纳入《成都市基本医疗保险门诊特殊疾病管理办法》所设定的病种；重组人生长激素也不在成都市城乡居民基本医疗保险门诊统筹报销范围里。

    Children with primary growth hormone deficiency is not included[Special disease outpatient service of insurance of primary medical treatment of chengdu management approach]Set by the disease;Human recombinant growth hormone is not in chengdu urban and rural residents insurance of primary medical treatment in the outpatient reimbursement scope as a whole.

    121厘米的个头，让10岁的小宇比班上的同学矮一大截。10岁的他正常身高本应达140.2厘米，但其骨龄却只有8岁，被确诊为“原发性生长激素缺乏症”，是矮小症的一种。

    Size of 121 cm,Let 10 small space is a lot shorter than classmates.10 he normal height should be 140.2 cm,But the bone age was only eight years old,Was diagnosed with"Primary growth hormone deficiency",Is a form of dwarfism.

    现在，小宇一个月注射重组人生长激素就要花3000多元。虽然治疗儿童矮小症的药物“重组人生长激素”已列入四川省医保药品目录，但日前妈妈带他去成都市医保局报销时，却被告知报销不了。

    now,Small yu human recombinant growth hormone injections will spend a month 3000 yuan.Although the drug for the treatment of children's dwarfism"Human recombinant growth hormone"Sichuan province has been included in the health care medicine directory,But yesterday when my mother took him to the health bureau of chengdu to submit an expense account,Only to be told that submit an expense account.

    小宇的将来，也许会和比他大一岁的玲玲一样：在过去两年多时间里，为治疗矮小症，玲玲家已花了近20万元，全部自费。

    Small space in the future,May and lingling is one year older than him:In the past two years,For the treatment of dwarfism,Lingling has spent nearly 200000 yuan,All the expenses.

    两年多，花了近20万  More than two years,Spent nearly 200000

    今年11岁的玲玲是四川大学华西第二医院钱幼琼医生诊疗室里的“常客”。从小学三年级开始，玲玲就在华西附二院接受矮小症治疗。

    11 years old this year, lingling is sichuan university west China second hospital Qian Youqiong doctor in the doctor's office"Regular customers".Starting from the third grade,Lingling is in huaxi FuEr dwarfism treatment.

    除了每月注射一次达菲林，玲玲还需要每天在家注射重组人生长激素，“就像糖尿病患者注射胰岛素。”

    In addition to the injection of tamiflu Lin once a month,Lingling also need daily injections of human recombinant growth hormone at home,"Just as diabetes patients with insulin injections."

    生长激素的费用需要按体重计算，随着玲玲个头不断长高，治疗费用也一路看涨，现在要每月六七千元。据了解，生长激素的费用大约是1200元每支，一个体重30公斤的小女孩，每月注射生长激素的费用大概就在5000~6000元。而现实病例中，大部分患者体重在30公斤以上。玲玲妈粗略算了一笔账，过去两年多，为了治疗玲玲的矮小症，家里已花掉了近20万元。

    The cost of the growth hormone will need to be calculated on weight,With lingling head continues to grow,Treatment costs and the upward,Now LiuQiQian dollars per month.We have learned,Growth hormone costs about 1200 yuan each,Little girl a 30 kg,Monthly cost growth hormone injections in about 5000 ~ 6000 yuan.But in real cases,The majority of patients in 30 kg weight.Mom roughly calculated brushstroke zhang lingling,In the past more than two years,In order to treatment of dwarfism, lingling,Home has spent nearly 200000 yuan.

    为省120元 买一次药花4小时     To save 120 yuan to buy it took 4 hours at a time

    与玲玲相比，今年10岁的小宇的治疗才起步。在温江念小学3年级的他身高121厘米。今年3月，小宇通过检查发现，他的生长激素不到5个单位。成都市妇女儿童医院主任医师程昕然介绍说，“正常儿童的生长激素应大于10个单位，小宇属于‘生长激素完全缺乏’”。

    Compared with lingling,This year ten years old little yu treatment is started.In WenJiang read primary school grade three of his height is 121 cm.In march of this year,Small yutong check found,He growth hormone is less than 5 units.Chengdu women and children hospital chief physician Cheng Xin said,"Normal children of the growth hormone should be greater than 10 units,Small yu belongs to‘Complete lack of growth hormone’".

    小宇的治疗费比玲玲更成问题。小宇妈林女士在温江一家具厂工作，收入并不丰厚。而小宇一个月花在重组人生长激素注射针剂上的费用达3000多元。

    The small yu treatment is more problematic than lingling.Small yu ma Lin in WenJiang a furniture factory work,Income is not good.Small yu a month spent on human recombinant growth hormone injections cost 3000 multivariate.

    重组人生长激素的注射针剂，在小宇接受检查的医院标价为1250元，林女士多番打听得知，市内另一家医院的单支价格为1130元。为节省这120元，林女士每隔两周就会去市内的这家医院买药。“早上6点出门，先骑电瓶车到三环，再转两次公共汽车，跑一趟得花4个小时。”谈起自己的辛苦，林女士只是摇头，“只要孩子争气，长个8厘米、10厘米，再苦都值得。”

    Recombinant human growth hormone injections,In a small space for inspection of hospital price is RMB 1250,Ms. Lin's more inquire about that,Another hospital in the city of the single price is RMB 1130.In order to save the 120 yuan,Ms. Lin every two weeks otherwise it will go to the city hospital to buy medicine."At 6 o 'clock in the morning to go out,Ride electromobile first to the third ring road,To two buses,Run a trip to take 4 hours."About their hard work,Ms. Lin just shook his head,"As long as the child control,Long a 8 cm/10 cm,Again painstakingly are worth."

    不能报销？    Cannot submit an expense account?

    本已纳入医保报销范围     Already included in the scope of coverage

    钱幼琼是华西第二医院矮小症方面的专家。据她介绍，在她问诊期间，每天都能遇到10多位矮小症患者。“患病的非常多，但能坚持治疗几年的比较少。”究其原因，钱幼琼分析，既有家长意识方面的原因，也有客观的经济因素，药价贵而药费又报销难。

    Qian Youqiong is an expert in the west China second hospital dwarfism.According to her,During her visits,Every day to meet more than 10 patients with dwarfism."Sick, very much,But less can adhere to the treatment of a few years."Investigate its reason,Qian Youqiong analysis,Both parents consciousness reasons,Also has the objective of economic factors,Price expensive and drug expenses.

    据了解，治疗儿童矮小症的主要药物——重组人生长激素生产工艺复杂、运输要求严格、成本高，患者治疗费用也相对较高。2007年，当时的劳动与社会保障部发布了《关于城镇居民基本医疗保险儿童用药有关问题的通知》，曾明确规定：儿童生长激素缺乏症导致的矮小纳入医保报销范围。

    We have learned,Key therapeutic agents in the treatment of children's dwarfism - the human recombinant growth hormone production process complicated/Transportation requirements strictly/The high cost,Patient treatment cost is relatively high.In 2007,,Was issued by ministry of labor and social security[Medicine for children about the basic medical insurance for urban residents about the problem],Once make clear a regulation:Growth hormone deficiency caused by small children into the scope of coverage.

    记者从相关部门查询得知，在《四川省基本医疗保险、工伤保险和生育保险药品目录》（2010年版）中，编号340号为重组人生长激素注射剂，医保报销范围“限儿童原发性生长激素缺乏症和工伤保险”。该药在西药的下丘脑垂体激素及其类似物类别中，为医保乙类药，需要自付一定比例。重组人生长激素注射剂在2010年版国家医保目录中也同样“限儿童原发性生长激素缺乏症和工伤保险”，四川目录与国家目录的规定保持了一致。

    Reporters learned from relevant departments query,In the[The basic medical insurance in sichuan province/Inductrial injury insurance and maternity insurance drug catalogue](The 2010 version)In the,No. 340 for the restructuring of human growth hormone injections,The expenses of medical insurance"Children with primary growth hormone deficiency and inductrial injury insurance".Of the drug in the western medicine in the hypothalamus pituitary hormone and its analogs category,For health insurance b class medicine,Need to pay a certain percentage.Human recombinant growth hormone injections in the 2010 edition of national health insurance directory also"Children with primary growth hormone deficiency and inductrial injury insurance",Sichuan directory maintained consistent with the provisions of national directory.

    由于限定了“原发性”的条件，许多特发性生长激素缺乏儿童（后天患病）的治疗，不在医保报销范围中，需要自费。

    Because of limited"primary"The conditions of the,Many children idiopathic growth hormone deficiencies(Ill the day after tomorrow)The treatment of,Not in the scope of coverage,Need to pay out-of-pocket.

    但多名医生表示，儿童生长激素缺乏症患者中，特发性的比原发性的多。

    But many doctors said,Children with growth hormone deficiency,More than the primary disease.

    能报销？   To submit an expense account?

    不住院，报不了     Not admitted to the hospital,The report not

    听说四川医保目录里有“重组人生长激素”，小宇妈决定带孩子去成都市医保局。成都市医保局窗口工作人员对这种疾病的报销要求显得很惊讶，因为印象中以前没有患者来报销过。医保局一位田姓工作人员解释说，“不住院治疗的话，目前报销不了。”

    I heard that sichuan medical insurance directory there is"Human recombinant growth hormone",Small yu mom decided to take the child to the health bureau of chengdu.Health bureau of chengdu window staff reimbursement request to the disease seemed to be surprised,Because of no patients for before.Health bureau a Tian Xing staff explained,"Without hospitalization,Reimbursement is not at the moment."

    据市医保局审核处负责人解释，儿童原发性生长激素缺乏症患者，符合入院指征且住院治疗的情况下，基本医疗保险基金可以按规定支付医疗费用。如果没有住院治疗，就得看特殊门诊疾病、城乡居民门诊统筹，这两种途径能否报销。

    According to the municipal medical insurance bureau audit responsible explanation,Patients with primary growth hormone deficiency in children,Comply with the indications and hospital treatment,Fund of insurance of primary medical treatment to pay medical fees according to regulations.If there is no hospitalization,Have to see the special outpatient service disease/Outpatient service as a whole urban and rural residents,The two ways can submit an expense account.

    但事实是，受经济条件的限制，儿童原发性生长激素缺乏症没有被纳入《成都市基本医疗保险门诊特殊疾病管理办法》所设定的病种，报销不了。重组人生长激素也不在成都市城乡居民基本医疗保险门诊统筹报销范围里。所以，如果仅是门诊注射或口服，儿童原发性生长激素缺乏症患者用重组人生长激素，只能自费。

    But the truth is,Restricted by economic condition,Children with primary growth hormone deficiency is not included[Special disease outpatient service of insurance of primary medical treatment of chengdu management approach]Set by the disease,Reimbursement is not the.Human recombinant growth hormone is not in chengdu urban and rural residents insurance of primary medical treatment in the outpatient reimbursement scope as a whole.so,If is only outpatient injection or oral,Patients with primary growth hormone deficiency in children with human recombinant growth hormone,Only at his own expense.

    医生呼吁  The doctor called for

    望孩子真正享受报销福利     Hope children really enjoy reimbursement benefits

    钱幼琼、华西第二医院儿保科教授吴康敏、程昕然都呼吁，希望儿童生长激素缺乏症导致的矮小能真正地享受医保报销。全国矮小人联谊会副会长魏泽洋表示，儿童矮小症亟需得到医疗救助，避免因为经济原因错过最佳治疗时机，影响一生的生活质量。

    Qian Youqiong/West China second hospital professor beaufoy Wu Kangmin/Cheng Xin are calling for,Hope to growth hormone deficiency caused by small children really enjoy medical insurance reimbursement.Small population association, vice chairman wei said,Dwarfism children need to get medical treatment,To avoid miss the best treatment time for economic reasons,Affect the quality of life of life.