2024年10月11日
第07版:周口醫(yī)保 PDF版

沈丘縣醫(yī)療保障局

群眾有“醫(yī)”靠 看病有“?!闭?/h2>

本報訊 (記者 邱一帆 通訊員 林廣華) 近日,沈丘縣醫(yī)療保障局工作人員接到沈丘縣邢莊鎮(zhèn)宋莊行政村宋先生的電話,稱其近期檢查出患有再生障礙性貧血,需要長期吃藥且費用較高,想了解一下我市異地就醫(yī)政策。

了解了宋先生的具體情況后,沈丘縣醫(yī)療保障局工作人員告知宋先生如何辦理異地就醫(yī)備案手續(xù)、在哪兒辦理等一系列事項。

“我先辦理了異地就醫(yī)備案手續(xù),再持醫(yī)??ㄈ朐褐委煛4舜巫≡嘿M用為13萬元,醫(yī)保報銷了11萬元,我自己支付了2萬元。原本以為會是一筆沉重負(fù)擔(dān)的醫(yī)療費用,經(jīng)過醫(yī)保報補(bǔ),我只支付了一小部分。”宋先生逢人就說,“真正生病住院了,才體會到醫(yī)保的好處。有了醫(yī)保,我們老百姓也能看得起病了。醫(yī)保讓我在面對突發(fā)疾病時,不再有后顧之憂?!?/p>

城鄉(xiāng)居民醫(yī)保就像一把保護(hù)傘,為老百姓的健康和生活提供了堅實的保障。繳納城鄉(xiāng)居民醫(yī)保后,老百姓在鄉(xiāng)級定點醫(yī)療機(jī)構(gòu)住院起付線為150元,起付線以下的費用由個人承擔(dān),起付線以上除去自費及自付部分按照相應(yīng)比例報銷,150元至800元部分報銷70%,800元以上部分報銷90%。在縣級定點醫(yī)療機(jī)構(gòu)住院起付線為400元,除去起付線、自費及自付部分,按照相應(yīng)比例報銷,住院報銷比例400元至1500元部分報銷63%,1500元以上部分報銷83%。2024年城鄉(xiāng)居民醫(yī)保門診統(tǒng)籌政策報銷比例是60%,在縣域內(nèi)鄉(xiāng)(鎮(zhèn))衛(wèi)生院和村衛(wèi)生室都可以使用,并可以享受大病保險待遇、生育保險待遇和門診慢特病待遇。此外,困難群眾還能享受醫(yī)療救助待遇。

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