After paying basic medical insurance, serious illness insurance and medical assistance in accordance with the regulations, the personal burden will be partially subsidized by the financial sector, and comprehensive protection will be implemented. In order to ensure that patients are not affected by the cost problem. First, the medical expenses incurred by the patients diagnosed with pneumonia in novel coronavirus shall be subsidized by the finance after the payment of basic medical insurance, serious illness insurance and medical assistance according to the regulations, and comprehensive protection shall be implemented. Second, the patients who have been diagnosed with novel coronavirus should be treated first and then settled, and reimbursement should not be reduced. Third, the drugs and medical services used by patients with pneumonia in novel coronavirus are in line with the diagnosis and treatment plan for pneumonia in novel coronavirus formulated by the health department, and can be temporarily included in the scope of medical insurance fund payment.
The medical expenses of the patients diagnosed with COVID-19 pneumonia: medical insurance reimbursement+financial subsidy, and strive to achieve "zero burden" for individuals. The first is basic medical insurance, serious illness insurance and medical assistance. Pay according to relevant policies and regulations; Secondly, the personal burden is subsidized by finance, and the specific subsidy form is subject to local policies.
At present, many regions have issued relevant documents or regulations, proposing that all expenses incurred by the diagnosed patients in the process of diagnosis and treatment need not be paid by individuals, and all personal burdens are borne by the finance.
Medical expenses of suspected pneumonia patients in COVID-19: medical insurance reimbursement+financial subsidies, to minimize personal burden and ensure that residents are not afraid to see a doctor for fear of expenses. The first is basic medical insurance, serious illness insurance and medical assistance. Pay according to relevant policies and regulations; Secondly, for the personal burden, the medical treatment place shall formulate financial subsidy policies and arrange funds, and the specific subsidy forms shall be subject to local policies. At present, many regions have introduced policies to extend the reimbursement and subsidy policies for patients with newly diagnosed pneumonia to suspected patients. You don't have to worry about the expenses, and you must seek medical advice in time if you have suspected symptoms.
Drugs used for treatment in COVID-19: Relevant drugs and medical services used by infected patients can be temporarily included in the scope of medical insurance fund as long as they meet the national novel coronavirus pneumonia diagnosis and treatment plan.
Medical expenses incurred by COVID-19 pneumonia in non-insured areas: treatment first, then settlement. All expenses paid by medical insurance in different places shall be paid in advance by the medical insurance department of the patient's place of treatment, and no personal payment is required.
legal ground
Notice of the State Medical Insurance Bureau and the Ministry of Finance on doing a good job in the medical security of type II pneumonia in novel coronavirus. Ensure that patients are not affected by expenses.
First, the medical expenses incurred by the patients diagnosed with pneumonia in novel coronavirus shall be subsidized by the finance after the payment of basic medical insurance, serious illness insurance and medical assistance according to the regulations, and comprehensive protection shall be implemented.
Second, the patients who have been diagnosed with novel coronavirus should be treated first and then settled, and reimbursement should not be reduced.
Third, the drugs and medical services used by patients with pneumonia in novel coronavirus are in line with the diagnosis and treatment plan for pneumonia in novel coronavirus formulated by the health department, and can be temporarily included in the scope of medical insurance fund payment.
Notice of the State Medical Insurance Bureau and the Ministry of Finance on doing a good job in the medical security of novel coronavirus's type III pneumonia. Ensure that the hospital is not affected by the payment policy. For medical institutions that treat more patients, medical insurance agencies can prepay part of the funds to reduce the pressure on medical institutions to advance. Medical insurance agencies should adjust the total budget indicators of relevant medical institutions in a timely manner, and budget the medical expenses of patients with pneumonia in novel coronavirus separately. Medical insurance agencies at all levels should ensure timely settlement with medical institutions to ensure the smooth progress of treatment.
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.
People's Republic of China (PRC) Vaccine Management Law Article 6 The State practices an immunization planning system.
Residents living in China have the right to vaccinate against planned immunization according to law, and fulfill the obligation to vaccinate against planned immunization. The government provides free immunization program vaccines to residents.
The people's governments at or above the county level and their relevant departments shall ensure that school-age children are vaccinated with immunization programs. The guardian shall ensure that school-age children are vaccinated with planned immunization vaccine on time according to law.