Five types of outpatients in Shanxi Province are directly settled in 11 cities. All 11 cities are opened for trial operation

From July 1st, provincial medical insurance and 11 cities have obtained 5 kinds of outpatients with high blood pressure qualifications. The relevant treatment costs are directly settled in the province. Full coverage province.

Shanxi Province-

In 2017, the insured person's hospitalization costs were settled directly in the province;

In August 2021, the full coverage of ordinary outpatient expenses across the province was achieved earlier in the country.

In December 2021, the provincial medical insurance and Luliang City took the lead in achieving 5 clinics such as hypertension, diabetes, malignant tumor outpatient chemotherapy, uremia dialysis, organ transplantation, etc. Direct settlement of medical expenses;

In June of this year, in both ways to open Taiyuan, Datong, Yangquan, Changzhi, Jincheng, Shuozhou, Xinzhou, Jinzhong, Linfen, and Yuncheng, including the province's coverage.

Among the employees or residents' medical insurance in Shanxi Province, five kinds of outpatients have been qualified for slow special diseases, and the insured person who has completed the formalities of medical treatment in different places, holds his own social security card or medical insurance electronic voucher, and slow special disease in the outpatient clinic outside the province. The cost of treating hypertension, diabetes, malignant tumor outpatient chemotherapy, uremia dialysis, and organ transplantation of anti -rejection therapy can be settled directly.

At the same time, people from other provinces can also hold social security cards or medical insurance electronic vouchers settlement related outpatient expenses in 185 hospitals including Shanxi Provincial People's Hospital. Five types of outpatients inside and outside the province can be queried through the national medical insurance public service platform.

The realization of the direct settlement of the outpatient slow special illness cost will be greatly convenient for medical reimbursement. Patients will no longer need to pay for the medical insurance center to reimburse, reduce the pressure on cashier, save time, block and reduce the loopholes of manual reimbursement and the loopholes of manual reimbursement and the loopholes of manual reimbursement. Risk, maintaining fund safety.

In the next step, the medical insurance department will gradually expand the scope of direct settlement of the outpatient clinic and the number of hospitals, optimize services, improve efficiency, provide greater convenience for insured personnel in Shanxi Province, and provide better services for people from other provinces.

Click "Reading the original text" to see the list of the first batch of 185 clinics of 185 outpatient clinics and special medical institutions for direct medical institutions in Shanxi Province

Source | Public account of Shanxi Medical Insurance Bureau

Edit | Feng Yuxian

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