Policy interpretation of the Interim Provisions on medical treatment guarantee for soldiers and military related personnel
2021-12-29
Write in front By the end of the year, the reform and adjustment of military welfare treatment had made rapid and steady progress. From improving the preferential treatment of military children's education, to adjusting the subsidy for the separation of military couples, and issuing military spouse honor grant and parental support subsidy, to the upcoming reform of the latest medical policy system, which is full of the maintenance of military honor and the praise of the special contribution of military families. The tide of the times is surging forward, and the medical security policies with temperature and strength make the dream shine into reality. With the approval of the Central Military Commission, the Interim Provisions on medical treatment guarantee for military personnel and military related personnel issued by the general office of the Central Military Commission will be officially implemented on January 1, 2022. The reform of the medical policy system will appropriately expand the scope of medical security, reasonably improve the medical security standards, orderly connect the national medical insurance policy, and establish and improve a convenient and high-quality medical security system with military local complementarity. Protecting the health of military dependents and ensuring the happiness of military families is one of the highlights of this reform and is widely expected by grass-roots officers and soldiers. In the past, only soldiers and eligible military dependents could enjoy military medical treatment. Today, all military spouses are included in the scope of free medical security, and the parents of officers and sergeants and their spouses enjoy preferential medical treatment. Some netizens commented: "military medical security has been upgraded from version 2.0 to version 4.0." Soldiers care for everyone from a small home and "reveal the details" of military family medical welfare from the policy level, which is not only the greatest maintenance of military health rights and interests, but also the greatest incentive for military dedication. The new policy fully implements the guarantee mode of "all-in-one card for outpatient and emergency treatment + inpatient referral" in military hospitals and outpatients, and unblocks the medical referral path of military dependents; Establish and improve the system of "nearby defecation" and "cross military medical treatment", and soldiers can go to local public medical institutions for medical treatment in case of emergency, out of town illness, difficult and severe cases. In terms of organization and implementation, it is connected with the military and local policies. Under the framework of the national basic medical insurance policy, new guaranteed objects enjoy priority services for medical treatment in military hospitals, and the diagnosis and treatment expenses enjoy preferential treatment. According to the relevant persons in charge of the cadre bureau of the Political Work Department of the Central Military Commission and the Health Bureau of the logistics support department of the Central Military Commission, who are fully responsible for the formulation and implementation of the policy, the new policy adheres to the supremacy of officers and soldiers in terms of support objects, focuses on maintaining and improving the health level of officers and soldiers, releases reform dividends by giving full play to the adjustment, incentive and compensation functions of the medical security system, and protects the health rights and interests of officers and soldiers as much as possible, Enhance the sense of honor and gain of officers and soldiers, and stimulate the internal driving force of loving the army and refining its martial arts. Pay close attention to the urgent needs of reform, the urgent needs of war preparation and the urgent expectations of officers and soldiers, and scientifically design the support treatment of all kinds of personnel according to the actual medical support capacity of the army and the reasonable medical needs of the support objects; Pay attention to matching with the new system, new mechanism and new composition, coordinating with the reform in various fields, and comprehensively design the medical treatment level of different types of guaranteed objects, so as to achieve continuous improvement in vertical comparison and balance and rationality in horizontal comparison. The reform can only be carried out when it is not completed, and the medical security of military personnel and military dependents will be better and better. In the next step, a medical security system that connects with national policies and systems, matches the reform and development of the army, and adapts to the preparation of the army for war will be gradually established, so as to provide strong support for improving the medical treatment of soldiers and military related personnel, improving the combat effectiveness of the army, and building a world-class army. To prepare for war and rally the morale of the army —— An exclusive interview with the heads of the relevant business departments of the Central Military Commission on the "Interim Provisions on medical treatment guarantee for soldiers and military related personnel" ■ Wang Shuqian, Xu Yinglong, reporter of PLA Daily, Chen Xiaojing, sun Xingwei Zheng Biao, the fourth level sergeant of a brigade of the 78th group army, and his wife and children who came to visit their relatives showed their security cards. Photo by Liu Shengyun Recently, the Interim Provisions on medical treatment guarantee for soldiers and military related personnel (hereinafter referred to as the provisions) were officially issued. The majority of military families and military families eagerly look forward to the relevant interpretation of the policy. In response to the concerns of officers and soldiers, the reporter of the people's Liberation Army daily conducted an exclusive interview with the heads of relevant business departments of the Central Military Commission. Reporter: after the issuance of the regulations, the mainstream media reported, and many we media were also "Interpreting", which triggered widespread heated debate in the society. Which personnel can enjoy military related medical treatment? Person in charge: expanding the scope of military medical security objects is one of the important contents of the reform of medical treatment security policy and system. The protection objects of the regulations include military personnel and military related personnel. Among them, "servicemen" refer to officers, non commissioned officers, conscripts and other personnel in active service in the Chinese people's Liberation Army in accordance with the provisions of the national defense law of the people's Republic of China. "Military related personnel" includes six groups: families of active servicemen, families of martyrs, families of servicemen who died on duty, families of servicemen who died of illness, retired servicemen managed by the army and families of retired servicemen managed by the army; The "family members" in the provisions are limited to four identities: spouse, children, parents (including dependants) and spouse parents (including dependants). At the same time, the medical treatment guarantee of officers and soldiers of the Chinese people's Armed Police Force and related personnel, military civilian cadres and their families, active duty cadres transferred to civilian personnel and their families during the deepening of national defense and military reform shall also apply to these provisions. Reporter: with the development of social economy, the people's demand for medical and health is increasing. The limitation and scarcity of medical resources determine that the "military free medical care" implemented by our army is free medical care under certain conditions. Please introduce the new policies of the regulations on improving the medical treatment of soldiers? Person in charge: the new medical policy has greatly improved the medical security standards for military personnel, made it clear that military personnel should make diagnosis and treatment within the scope of military medical treatment, and provide free medical security; Medical treatment in military medical institutions shall be given priority and preferential treatment such as treatment places and ward conditions. The "military medical scope" mentioned here refers to the use scope of diagnosis and treatment items, drugs and medical consumables that meet the needs of disease treatment. Among them, for the "scope of diagnosis and treatment projects", considering the complex and rapid development of medical technology, it is being stipulated that military free projects are difficult to be exhausted and will lag behind. The regulations have formulated a reverse catalogue to specify special medical services such as beauty and other non disease diagnosis and treatment, tooth repair and inlay beyond the standard, special wards for non-treatment needs, and soldiers need to pay their own expenses; In addition, the soldiers of other diagnosis and treatment projects are free of charge. With regard to the "scope of drug use", the "Regulations" clearly stipulates that according to the catalogue of basic medical insurance drugs for provincial employees stationed in military medical institutions, class A and class B drugs can be used by soldiers free of charge. In addition, special drugs for the army and preparations for Military Medical institutions can be used free of charge. For the "scope of use of medical consumables", the regulations learn from the management and control concept of medical consumables of medical insurance, and adopt the quota free method for some high-value medical consumables: first, scientifically determine the quota of various high-value medical consumables to ensure that the vast majority of medical consumables in the market are within the quota; Secondly, soldiers can use medical consumables within the limit free of charge. If they use medical consumables beyond the limit, they will bear the price difference. For example, the limit for single chamber pacemakers is 35000 yuan each. At present, the market purchase price of commonly used single chamber pacemakers is about 25000 yuan each. Soldiers can use them completely free. If 40000 yuan is required for personal reasons, individuals need to bear the price difference of 5000 yuan. In order to ensure the optimal treatment of soldiers injured due to work in the war, the regulations specify that soldiers injured due to work in the war and the diagnosis and treatment of diseases during the war can break through the restrictions on the scope of military medical treatment. For example, for officers and soldiers who are injured, disabled or burned in rescue and disaster relief, their plastic and cosmetic projects should be free of charge. Taking into account the needs for the diagnosis and treatment of special injuries and injuries of officers and soldiers, the provisions specifically specify that the military hospital shall organize expert consultation. If it is determined that the treatment is necessary, the curative effect is accurate and there is no effective replacement, it can also use drugs and medical consumables beyond the scope of military medical treatment free of charge. During the period of deepening the reform of national defense and the army, cadres in active service are transferred to civilian personnel and go to military hospitals for medical treatment with social security cards. After medical insurance settlement, individuals need to bear the expenses below the starting line and at their own expense, and the expenses within the scope of military medical treatment will be exempted. Reporter: under the background of the national policy of vigorously promoting graded diagnosis and treatment, what arrangements have been made in the provisions to provide convenient medical treatment for soldiers? Person in charge: the state promotes graded diagnosis and treatment to prevent overcrowding and difficult medical treatment in large hospitals, idle resources and capacity degradation in small hospitals. For a long time, the system of medical treatment and level by level referral implemented by the army also adheres to this concept. The regulations have formulated a series of supporting systems, which not only facilitate the medical treatment of officers and soldiers to the greatest extent, but also inherit and carry forward this good practice: on the one hand, adhere to the principle of convenience, add the coverage of "all-in-one card" for front-door emergency, expand the personnel object from soldiers, increase the military related personnel with military support card, expand the support organization from military hospitals, and increase the outpatients; On the other hand, adhere to the principle of order, completely change the previous "single line" inpatient referral path according to the organizational system, and innovate the "spindle" three-level system referral mode, that is, the "one point entrance" of the system hospital, the "multi line selection" of referral to the whole military division and regiment level hospital, and the "final support" of the PLA General Hospital. Reporter: How did the regulations realize the demand of soldiers for medical treatment in local hospitals? Person in charge: military medical support is mainly provided by the military, which is a common practice of the military in most countries and meets the military support requirements of intensive and efficient, security and confidentiality. At the same time, policy supplements are made for some special cases where military medical resources can not provide timely and effective support and need to rely on local medical resources. The regulations specify that soldiers can seek medical treatment in local public medical institutions with treatment capacity nearby due to acute injuries, out of town illness, beyond the treatment capacity of medical institutions, and difficult and critical diseases, so as to ensure that military patients can be treated in a timely and effective manner. A new registration window for soldiers and military related personnel opened by the eastern theater general hospital. Photo by Yang Zijiang Reporter: all levels have always paid close attention to the medical security of officers and soldiers stationed in difficult and remote areas such as borders, plateaus and islands. What arrangements have been made in the regulations? Person in charge: during the drafting process of the regulations, the leaders of the Central Military Commission repeatedly instructed to solve problems for officers and soldiers stationed in difficult and remote areas. We specially listed this issue in a separate chapter. On the one hand, in view of the shortage of military medical resources and the difficulty of seeing a doctor in the families of officers and soldiers, the units far away from military medical institutions are designated according to the standard of "100 kilometers and 3 hours", and the officers and soldiers and their spouses Children under 18 (including the children over the age of 19 who have lost the ability to take care of themselves after being identified by the military hospital or are still studying in middle school as certified by the Political Work Department of the unit above the regiment level, the same below), they can go to the nearby public medical institutions for medical treatment, and the outpatient, emergency and hospitalization expenses within the scope of military medical treatment shall be reimbursed; some troops stationed on plateaus and islands also increase the number of officers and soldiers Parents, spouses and parents living with the team. On the other hand, in view of the shortage of medical resources in some army stations and the difficulty of family members to see a doctor, the accompanying family members or temporary family members of officers and soldiers stationed in difficult and remote areas, plateaus and islands can be in the military clinic
Edit：Luo yu Responsible editor：Jia jia
Source：PLA Daily
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