爱渭南的暖洋洋
发表于 2024-8-4 16:13
事关医保！陕西最新实施→
<div class="wx_rich_media_content" id="jsWxContainer"><section data-support="96编辑器" data-style-id="56830" data-mpa-powered-by="yiban.io"><section><p style='text-align: center;'><strong style='letter-spacing: 0.578px; color: rgb(0, 122, 170); font-size: 17px;'>最新！</strong></p><h1 style='letter-spacing: 0.578px; text-align: center;'><span style='color: rgb(0, 122, 170);font-size: 17px;'><strong>陕西拓展职工医保个人账户共济范围</strong></span></h1><p><br></p><h1></h1></section><section style='margin-bottom: unset;padding: 20px 10px;outline: 0px;background-color: rgb(241, 251, 255);'><p style='outline: 0px; word-break: break-word; color: rgb(0, 0, 0); font-family: "Microsoft YaHei", -apple-system, BlinkMacSystemFont, "Open Sans", "Helvetica Neue", arial, "PingFang SC", "Hiragino Sans GB", simsun, sans-serif; text-indent: 2em; line-height: 2em; font-size: 16px; letter-spacing: 2px; overflow-y: hidden !important;'><span style='outline: 0px;line-height: 2em;'>据陕西省医疗保障局消息，为提高医保基金使用效率，减轻参保人员医疗费用负担，陕西省稳妥推动职工医保门诊共济保障机制改革落地见效。</span><span style='outline: 0px;line-height: 2em;color: rgb(0, 122, 170);'><strong style='outline: 0px;'>开通职工医保个人账户共济后，个人账户授权人由父母、配偶、子女等直系家庭成员拓展到兄弟姐妹、祖父母、外祖父母、孙子女、外孙子女等近亲属</strong></span><span style='outline: 0px;line-height: 2em;'>。</span></p><p style='margin-top: 0.4rem; outline: 0px; word-break: break-word; color: rgb(0, 0, 0); font-family: "Microsoft YaHei", -apple-system, BlinkMacSystemFont, "Open Sans", "Helvetica Neue", arial, "PingFang SC", "Hiragino Sans GB", simsun, sans-serif; text-indent: 2em; line-height: 2em; font-size: 16px; letter-spacing: 2px; overflow-y: hidden !important;'>陕西省实行家庭成员关系承诺制办理，免去成员关系证明材料，简化办理流程，参保人可通过<strong style='outline: 0px;'><span style='outline: 0px;color: rgb(0, 122, 170);'>国家医保服务平台APP陕西专区、“陕西医保”微信和支付宝小程序等</span></strong>多种线上渠道办理个人账户家庭共济绑定，也可到<strong style='outline: 0px;'><span style='outline: 0px;color: rgb(0, 122, 170);'>各级医保经办服务窗口与网点现场办理</span></strong>。</p><p style='margin-top: 0.4rem; outline: 0px; word-break: break-word; color: rgb(0, 0, 0); font-family: "Microsoft YaHei", -apple-system, BlinkMacSystemFont, "Open Sans", "Helvetica Neue", arial, "PingFang SC", "Hiragino Sans GB", simsun, sans-serif; text-indent: 2em; line-height: 2em; font-size: 16px; letter-spacing: 2px; overflow-y: hidden !important;'>个人账户家庭共济授权后，被授权人可使用授权人职工医保个人账户基金支付被授权人在定点医药机构发生的住院、门诊慢特病、门诊特药、门诊统筹等费用中应由个人负担的部分，以及在定点零售药店购买药品、医疗器械、医用耗材发生的费用。</p><p style='margin-top: 0.4rem; outline: 0px; word-break: break-word; color: rgb(0, 0, 0); font-family: "Microsoft YaHei", -apple-system, BlinkMacSystemFont, "Open Sans", "Helvetica Neue", arial, "PingFang SC", "Hiragino Sans GB", simsun, sans-serif; text-indent: 2em; line-height: 2em; font-size: 16px; letter-spacing: 2px; overflow-y: hidden !important;'>在前期统筹区内家庭共济使用基础上，陕西省医疗保障局推动实现省内跨统筹区个人账户家庭共济关系的绑定及结算，实现个人账户家庭共济异地“即时享”。个人账户家庭共济授权后，被授权人在已开通医疗费用异地联网结算的定点医药机构进行就医购药时，可实现个人账户共济资金省内异地就医即时结算。</p><p style='margin-top: 0.4rem; outline: 0px; word-break: break-word; color: rgb(0, 0, 0); font-family: "Microsoft YaHei", -apple-system, BlinkMacSystemFont, "Open Sans", "Helvetica Neue", arial, "PingFang SC", "Hiragino Sans GB", simsun, sans-serif; text-indent: 2em; line-height: 2em; font-size: 16px; letter-spacing: 2px; overflow-y: hidden !important;'>截至2024年6月底，省内本统筹区个人账户绑定家庭共济关系170.4万人，结算个人账户基金15.2亿元；省内跨统筹区业务开通一个多月以来，新增个人账户绑定家庭共济关系3.95万人，结算个人账户基金749.19万元。</p><p style='outline: 0px; letter-spacing: 2px; line-height: 1.75; color: rgb(0, 0, 0);'><br style='outline: 0px;'></p></section><section style='margin-top: -43px;margin-bottom: unset;margin-left: auto;outline: 0px;width: 91px;'><p style='outline: 0px;'><span class="wxart_image" wx-style='display:inline-block;outline: 0px;display: block;vertical-align: bottom;width: 91px !important;visibility: visible !important;'></span></p></section></section><section style='margin-bottom: unset;outline: 0px;'><p style='outline: 0px;'><br style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px;'></p><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;'></span></p><p style='text-align: center;'><br></p><section style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);visibility: visible;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'>9月1日起“取卵术”等</span></strong></span></section><section style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);visibility: visible;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'>治疗性辅助生殖类医疗服务项目纳</span></strong></span></section><section style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);visibility: visible;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'>入陕西医保支付范围！</span></strong></span></section><section style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);visibility: visible;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'><br style='outline: 0px;visibility: visible;'></span></strong></span></section><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'>日前，陕西省医疗保障局、陕西省人力资源和社会保障厅、陕西<span style='outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.034em;visibility: visible;'>省卫生健康委员会联合发出通知，将部分治疗性辅助生殖类医疗服务项目纳入基本医疗保险和工伤保险基金支付范围。</span></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><br style='outline: 0px;visibility: visible;'></p><section style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; font-size: 16px; visibility: visible;'><section style='margin-top: 10px; margin-bottom: 10px; outline: 0px; justify-content: flex-start; display: flex; flex-flow: row; visibility: visible;'><section style='outline: 0px;display: inline-block;width: 676.994px;vertical-align: top;background-color: rgb(240, 244, 255);align-self: flex-start;flex: 0 0 auto;visibility: visible;'><section style='outline: 0px;justify-content: flex-start;display: flex;flex-flow: row;visibility: visible;'><section style='padding: 9px;outline: 0px;display: inline-block;vertical-align: middle;width: auto;background-color: rgb(79, 109, 155);min-width: 10%;flex: 0 0 auto;height: auto;align-self: center;visibility: visible;'><section style='outline: 0px;color: rgb(255, 255, 255);text-align: justify;visibility: visible;'><p style='outline: 0px;visibility: visible;'></p></section></section><section style='margin-left: 10px;outline: 0px;display: inline-block;vertical-align: middle;width: auto;min-width: 10%;flex: 0 0 auto;height: auto;align-self: center;visibility: visible;'><section style='outline: 0px;color: rgb(79, 109, 155);text-align: justify;visibility: visible;'><p style='outline: 0px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;background-color: rgba(0, 0, 0, 0);text-decoration-thickness: auto;text-decoration-style: solid;text-decoration-color: rgb(62, 62, 62);visibility: visible;'>主要内容</span></strong></p></section></section></section></section></section></section><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.5px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'>（一）基金支付范围。</strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.5px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'><br style='outline: 0px;visibility: visible;'></strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;text-indent: 2em;font-size: var(--articleFontsize);letter-spacing: 0.5px;visibility: visible;'>将“取卵术”等部分治疗性辅助生殖类医疗服务项目纳入我省基本医疗保险和工伤保险基金支付范围。按照乙类管理，个人先行自付比例全省统一确定为10%。“取卵术”等6个项目医保基金支付次</span><span style='outline: 0px;text-indent: 2em;font-size: var(--articleFontsize);letter-spacing: 0.5px;visibility: visible;'>数限3次/人。工伤保险支付不分甲、乙类，不实行限定支付。</span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'><br style='outline: 0px;visibility: visible;'></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);visibility: visible;'>（二）基金支付政策。</span></strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);visibility: visible;'><br style='outline: 0px;visibility: visible;'></span></strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'>参保人员在经卫生健康部门批准开展人类<span style='outline: 0px;font-size: var(--articleFontsize);visibility: visible;'>辅助生殖技术的医保定点医疗机构，门诊发生的13个人类辅助生殖技术项目治疗费用，实行单行支付，不设起付标准，<span style='outline: 0px;font-size: var(--articleFontsize);color: rgb(171, 25, 66);visibility: visible;'><strong style='outline: 0px;visibility: visible;'>职工基本医疗保险、城乡居民基本医疗保险报销比例分别为70%、60%，</strong></span>不占用基本医疗保险普通门诊统筹额度，计入参保人员年度基本医疗保险基金最高支付限额。</span></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'><br style='outline: 0px;visibility: visible;'></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.5px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'>（三）工作要求。</strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.5px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'><br style='outline: 0px;visibility: visible;'></strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em; visibility: visible;'><span style='outline: 0px;letter-spacing: 0.5px;visibility: visible;'>一是要完善医保协议管理，同步调整信息管理<span style='outline: 0px;font-size: var(--articleFontsize);visibility: visible;'>系统数据；</span></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em;'><span style='outline: 0px;letter-spacing: 0.5px;'><br style='outline: 0px;'></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em;'><span style='outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.5px;'>二是要严格按照人类辅助生殖技术规范要求，为符合条件的参保人员提供辅助生殖技术服务；三是做好政策宣传解读工作，及时回应群众关切，合理引导社会预期。</span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em;'><span style='outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.5px;'><br style='outline: 0px;'></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em;'><span style='outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.5px;'><strong style='outline: 0px;'>（四）执行时间。</strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em;'><span style='outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.5px;'><strong style='outline: 0px;'><br style='outline: 0px;'></strong></span></p><p style='outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-indent: 2em;'><span style='outline: 0px;color: rgb(171, 25, 66);'><strong style='outline: 0px;'><span style='outline: 0px;font-size: var(--articleFontsize);letter-spacing: 0.5px;'>自2024年9月1日起执行。</span></strong></span></p></section><section style='outline: 0px; 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@不倒翁
发表于 2024-8-4 17:30
谢谢分享一下
简单一点。。
发表于 2024-8-4 17:57
感谢你的分享
wnghj766824
发表于 2024-8-4 17:57
政策给力暖心
小旺财
发表于 2024-8-4 18:24
医保能异地互转吗
道缘
发表于 2024-8-4 19:43
方便看病花钱更方便了
孙会玲
发表于 2024-8-4 20:49
谢谢分享一下！
hwa
发表于 2024-8-4 20:54
医保政策优惠。
普通人类
发表于 2024-8-4 21:36
学习了很多了
好人张
发表于 2024-8-4 22:00
谢谢你的提示。