Recently, a number of provinces announced the relevant policies to optimize the medical insurance for the treatment expenses of infected patients after the implementation of "Class B Management" in COVID-19.
For example, on June 8th, 65438, Heilongjiang Provincial Medical Security Bureau, Heilongjiang Provincial Department of Finance and Heilongjiang Provincial Health and Wellness Committee issued the Notice on Optimizing the Relevant Policies of Medical Insurance for the Treatment Expenses of Infected Patients after the Implementation of Class B Management in COVID-19. It is clear in the notice that the hospitalization medical expenses incurred by infected patients in COVID-19 in all medical institutions (including non-medical insurance designated medical institutions) that meet the COVID-19 infection diagnosis and treatment plan formulated by the health department shall be paid by the basic medical insurance, serious illness insurance and medical assistance according to the regulations, and the personal burden shall be subsidized by the finance, and the required funds shall be paid in advance by the local finance, and the central and provincial finances shall give subsidies, and the patients shall not bear the medical expenses. Among them, the personal burden of patients' medical expenses is 60% of the central financial burden and 40% of the provincial financial burden. This policy is based on the patient's admission time and will be implemented until March 3, 20231day.
The above-mentioned notice in Heilongjiang also made it clear that the outpatient treatment of infection in COVID-19 should be unified, and the outpatient and emergency expenses related to the treatment of COVID-19 infection incurred by the insured in the designated medical institutions (including county-level designated medical institutions) within the scope of medical insurance payment should not be set with deductible line and capping line, and the reimbursement ratio (including medical treatment in different places) should be 70% in the whole province, which will be implemented first until March 3, 20231day. The expenses for outpatient and emergency treatment of COVID-19 infection occurred outside the designated medical institutions at level 2 and below (including the designated medical institutions at level 3 in the county) shall be implemented in accordance with the original medical insurance policy.
According to reports, on June 7, 65438, the Medical Insurance Bureau of the Autonomous Region jointly issued the Notice on Doing a Good Job in Medical Security for the Treatment Expenses of Patients with novel coronavirus Infection after Class B Management, which stipulated the hospitalization expenses and emergency expenses of COVID-19 patients. The notice will be implemented from June 8, 65438+,and will be implemented first until March 365438+.
The above-mentioned notice in Inner Mongolia proposes to continue to implement the policy of reimbursement for hospitalization expenses in the early stage: after the hospitalization expenses incurred by COVID-19 patients in various medical institutions in accordance with the novel coronavirus infection diagnosis and treatment plan formulated by the health department are paid by the basic medical insurance, serious illness insurance and medical assistance, the personal burden will be subsidized by the finance, and the required funds will be paid in advance by the local finance. At the same time, there are no deductible lines and capping lines for the outpatient and emergency expenses related to the treatment of patients with infection and suspected symptoms in COVID-19 in designated medical institutions at the primary level and COVID-19, and the reimbursement ratio is 70%.
On October 7th, 65438/kloc-0, according to the spirit of the Notice on Optimizing the Medical Insurance Policy for the Treatment Expenses of Infected Patients in novel coronavirus after the Implementation of Class B Management, jointly issued by the National Medical Insurance Bureau, the Ministry of Finance, the National Health and Wellness Commission and the National Disease Control Bureau, Jiangsu Province decided to optimize the medical insurance policies in seven aspects, and the relevant policies will be implemented as of the date of the implementation of Class B Management in novel coronavirus.
After the implementation of Jiangsu's optimization policy, the original medical institutions that only guaranteed fixed-point admission were expanded to all medical institutions. As long as the hospitalization expenses of patients in medical institutions meet the COVID-19 infection diagnosis and treatment plan, they shall be paid by the basic medical insurance, serious illness insurance and medical assistance according to the regulations, and the personal burden shall be subsidized by the finance to implement comprehensive protection. This policy is based on the admission time of infected patients in novel coronavirus, and will be implemented until March 3, 20231day.
Jiangsu has also made it clear that medical insurance will give more support to primary medical institutions (secondary and below medical institutions) such as rural areas and urban communities, and give special protection to outpatient and emergency expenses of patients with infection and suspected symptoms in novel coronavirus at designated medical institutions of primary medical insurance. For the outpatient and emergency expenses related to the treatment of COVID-19 infection incurred by the insured patients in the designated medical institutions of basic medical insurance, there is no deductible and reimbursement limit for medical insurance fund payment, and the reimbursement ratio is not less than 75%. This special safeguard policy will be implemented in advance until March 3, 20231day. The outpatient and emergency expenses of the insured patients for novel coronavirus infection treatment in other medical institutions shall be implemented in accordance with other existing outpatient security policies.
On June 7th, 65438, Guizhou Province also issued the Notice on the Medical Security Policy for Patients' Treatment Expenses after the Implementation of Class B Management in COVID-19. The notice made it clear that the hospitalization expenses incurred by the insured novel coronavirus infected patients in all medical institutions in the province in accordance with the novel coronavirus infection diagnosis and treatment plan formulated by the health department shall be paid by the basic medical insurance, serious illness insurance and medical assistance. The personal burden is partly subsidized by finance. The medical expenses of non-insured patients shall be borne by the finance. This policy is based on the patient's admission time and will be implemented until March 3, 20231day.
Guizhou has made it clear that medical insurance will give more support to primary medical institutions (secondary and below medical institutions) such as rural areas and urban communities, and give special support to outpatient and emergency expenses of patients with novel coronavirus infection and suspected symptoms in the province who are insured in designated medical institutions of primary medical insurance. There are no deductible lines and capping lines, and the reimbursement rate within the policy scope is 70%.
On October 7th, 65438/KLOC-0, Hubei Provincial Medical Insurance Bureau, Hubei Provincial Department of Finance and Hubei Provincial Health and Wellness Committee jointly issued the Notice on Optimizing the Relevant Policies of Medical Insurance for the Treatment Expenses of Infected Patients in novel coronavirus after the Implementation of Class B Management (hereinafter referred to as the Notice). It is clear in the notice that there is no deductible line and no capping line for outpatient and emergency expenses related to the treatment of novel coronavirus infection in designated medical institutions of primary medical insurance, and the reimbursement ratio is 70%, which will be implemented until March 3, 20231day.
Hubei's "Notice" clarifies that the hospitalization expenses incurred by novel coronavirus infected patients in all medical institutions that meet the novel coronavirus infection diagnosis and treatment plan formulated by the health department shall be paid by basic medical insurance, serious illness insurance and medical assistance according to regulations, and the personal burden shall be subsidized by the finance, and the required funds shall be paid in advance by the municipal and county finances, and the central and provincial finances shall give subsidies. Among them, 60% of the actual expenditure of the central financial subsidy is shared by the local governments according to the ratio of 6:4 in key counties for rural revitalization and 5:5 in general counties. This policy is based on the patient's admission time and will be implemented until March 3, 20231day.