Gansu ensures that confirmed and suspected COVID-19 patients do not seek medical care due to cost

2022-06-11 0 By

To further do a good job in the current health care province COVID – 19 epidemic prevention and control work, March 23, in gansu province health bureau of health care for the provincial epidemic prevention and control work notice, require the province medical security departments at all levels, scratching real fine epidemic prevention and control health care for all the work, ensure COVID – 19 of confirmed and suspected patients due to cost impact,We will ensure that medical institutions receiving medical treatment are not affected by payment policies.The cost of in-patient testing shall be settled by the medical insurance pooling fund in accordance with the relevant provisions. The provincial Medical insurance Bureau shall timely adjust relevant policies and clarify relevant medical insurance policies for the promotion and application of Novel Coronavirus antigen testing.Novel Coronavirus antigen detection reagents and corresponding detection items shall be temporarily included in the list of basic medical insurance service items of Our province in accordance with the procedures, and relevant expenses incurred by insured personnel in designated medical institutions shall be paid according to the current regulations of the overall planning area, namely:The novel Coronavirus antigen test expenses incurred during hospitalization shall be settled and paid by the National Insurance Pooling Fund in accordance with category A and other inpatient medical expenses, and the novel Coronavirus antigen test expenses incurred in outpatient clinics shall be reimbursed in accordance with the current medical expense reimbursement regulations for general outpatient clinics in the coordinated areas.Adjust the scope of medical insurance payment for therapeutic Drugs Drugs newly added to the Diagnosis and Treatment Plan (Trial Edition 9) will be temporarily included in the scope of medical insurance fund payment as Class A drugs;For the “Diagnosis and treatment Plan (trial ninth edition)” and not in the basic medical insurance list of drugs, in the “diagnosis and treatment Plan (trial ninth edition)” since the release of the date stop medical insurance payment.For newly added drugs that have not yet been connected to the Internet, a green channel will be opened to be directly connected to the Internet, allowing medical institutions to purchase offline drugs for emergency use before being connected to the Internet.The nematavir/ritonavir tablets added in The Diagnosis and Treatment Plan (Trial Ninth Edition) shall be purchased by medical institutions according to the price agreed between enterprises and relevant departments, and the medical insurance department shall make payment according to regulations.Strengthen the policy implementation focus on four work notification requirements, medical security departments at all levels of the province should continue to strictly implement the requirements of the provincial Medical Insurance Bureau, the provincial Department of Finance and other series of documents, notice on continuing to do a good job in COVID-19 Medical Security work (Gan Medical Insurance Fa (2021) No. 104), on the basis of the four work.Emergency disbursement of medical advances.In areas affected by COVID-19, special advances for COVID-19 treatment can be allocated to designated medical institutions for centralized treatment according to procedures, so as to reduce the pressure on medical institutions to make advance payments and fully support the smooth operation of designated medical institutions for centralized treatment.Cities and states that have not recovered the advance funds in 2021 shall retain or add special advance funds for medical insurance according to the development of the epidemic situation.We will ensure medical insurance for medical treatment expenses.Local governments should do a good job in ensuring the medical expenses of confirmed and suspected insured patients in strict accordance with work requirements, and urge designated medical institutions for centralized treatment to continue the practice of “treatment first, settlement later” for local insured patients and those insured in other places.In cooperation with the financial department, the medical treatment expenses will be partially subsidized by individuals.Actively cooperate with provincial Health insurance Bureau to do a good job in the settlement of treatment costs of patients insured in different places across the province and within the province.We will spare no efforts to ensure the procurement of epidemic prevention and control materials.All localities should continue to follow the relevant requirements of the provincial medical insurance bureau to make every effort to smooth the green channel for emergency hanging online of medical supplies for epidemic prevention and control, simplify the procedures for reporting medical supplies for epidemic prevention and control online, and help ensure the supply of treatment drugs, testing reagents and prevention and control materials.We will continue to ensure the cost of novel Coronavirus vaccines.Local medical security departments should strictly implement the novel Coronavirus vaccine special budget, timely and fully settle the vaccine vaccination costs to vaccination institutions at all levels, and earnestly ensure the novel Coronavirus vaccine and vaccination costs.Source: China