Qinghai opens up access to medical treatment outside the province

2023-10-18

On October 17th, the Qinghai Provincial Medical Insurance Bureau announced that Qinghai Province will implement the policy of remote medical treatment as a specific practice of benefiting people's livelihoods, doing practical things, and relieving people's concerns. We will adhere to the optimization and integration of policies, standardized and unified management, and efficient and convenient services, while also holding electronic medical insurance certificates to purchase medicine at designated medical institutions outside the province, Effectively enhancing the people's sense of access and happiness towards medical insurance. The relevant person in charge of the Qinghai Provincial Medical Insurance Bureau introduced that, with the parallel promotion of policy and mechanism optimization, problems such as tight time limits for medical records in different places, heavy burden of advance funds, long reimbursement cycles, and difficult commuting in Qinghai Province have been effectively solved. At present, in terms of settlement, there is a unified policy of cross provincial direct settlement fund payment for inpatient, general outpatient, outpatient chronic diseases, and pharmacy purchase fees. The reimbursement ratio for inter provincial referral and hospitalization expenses will no longer decrease, and insured individuals can enjoy medical insurance benefits without distinction within or outside the province. In terms of filing, holding a social security card for cross provincial and remote medical treatment can be filed at any time through online and offline channels. For insured individuals who have not processed the filing in a timely manner, they can reapply for remote medical treatment registration in the insured area before settling the cross provincial discharge settlement. Holding an electronic medical insurance certificate to seek medical treatment and purchase drugs at designated medical institutions outside the province shall implement the policy of "swiping the code and filing". At the same time, Qinghai Province has improved relevant guarantee mechanisms, standardized interfaces for remote medical treatment, and improved the standardization of docking with designated medical institutions. Whether it is employee medical insurance or resident medical insurance, whether it is hospitalization or outpatient, as long as policy changes are involved, ensure timely implementation of the adjusted policies, and provide more services and guarantees for the insured population. The relevant person in charge of the Qinghai Provincial Medical Insurance Bureau stated that in order to further facilitate the medical treatment and drug purchase of insured people both inside and outside the province, Qinghai Province is continuously improving measures, emphasizing both the relaxation and cancellation of measures, and continuously optimizing procedures, effectively improving the convenience of medical treatment for the people. Opening up access to medical treatment outside of the province. On the one hand, insured individuals in Qinghai Province can directly settle expenses related to hospitalization, regular outpatient services, 5 types of chronic diseases, and pharmacy purchases outside the province (except for some provinces with cross provincial restrictions), and implement the local medical insurance catalog and Qinghai Province medical insurance policies. On the other hand, the direct settlement business of cross provincial and non local medical treatment in Qinghai Province has achieved full coverage of all "two fixed" institutions. If allowed by the policies of the insured areas, insured people outside the province can directly settle the relevant expenses of cross provincial and non local medical treatment, and implement the Qinghai Provincial Medical Insurance Catalogue and the medical insurance policies of the insured areas. In addition, restrictions on medical treatment in different regions within the province will be lifted, and the "two fixed" mechanism for mutual recognition of institutions will be fully abolished. The province will be connected for settlement, achieving "one card (code) connection to the whole province and no different regions within the province", further facilitating the insured to seek medical treatment and purchase medicine within the province. Reporter: Sun Rui (Xinhua News Agency)

Edit:GuoGuo    Responsible editor:FangZhiYou

Source:people.cn

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