新政策来啦！明年起，重庆居民医保普通门诊报销待遇提高！
<br><section data-role="outer" label="Powered by 135editor.com" data-mpa-powered-by="yiban.io"><section data-role="paragraph"><section data-tools="135编辑器" data-id="101254"><section style="margin: 10px auto;"><section style="display: flex;padding-left: 6px;"><section style="display: flex;flex-direction: column;justify-content: center;margin-right: -13px;"><section style="width: 2px;background: rgb(182, 220, 255);flex: 0.1 1 0%;"><section style="height: 1px;overflow: hidden;"><br></section></section></section><section style="padding: 1em;border-width: 2px 2px 2px 0px;border-style: solid solid solid none;border-top-color: rgb(182, 220, 255);border-right-color: rgb(182, 220, 255);border-bottom-color: rgb(182, 220, 255);border-left-color: initial;"><section data-autoskip="1" style="padding: 1em;font-size: 14px;letter-spacing: 1.5px;line-height: 1.75em;color: rgb(87, 174, 255);word-break: break-all;background: rgb(242, 249, 255);"><section style="line-height: 2em;text-indent: 2em;"><span style="color: rgb(33, 33, 34);font-size: 16px;font-family: Helvetica, Arial, sans-serif;">近日，重庆市医疗保障局、市财政局印发《重庆市城乡居民基本医疗保险普通门诊统筹办法》（渝医保发〔2020〕71号）（以下简称《办法》），</span><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);">将于2021年1月1日起施行。</span></strong></section><section style="line-height: 2em;text-indent: 2em;"><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);"><br></span></strong></section><section style="text-indent: 2em;"><br></section><section style="text-align: left; line-height: 2em; text-indent: 2em;"><span style="color: rgb(33, 33, 34);font-size: 16px;font-family: Helvetica, Arial, sans-serif;">《办法》实施后，已按规定参加居民医保并足额缴费的参保人，将按规定享受对应年度的居民医保普通门诊统筹待遇。</span></section><section style="text-align: center; line-height: 2em; text-indent: 2em;"></section></section></section></section><section style="display: flex;justify-content: flex-end;"><section style="width: 12px;height: 12px;background: rgb(182, 220, 255);margin-top: -27px;margin-right: 12px;overflow: hidden;"><br></section></section></section></section><p style="text-align:justify;"><br></p><section data-tools="135编辑器" data-id="101597"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-flex;flex-direction: column;justify-content: center;"><section style="flex: 1;transform: translateY(4px);-webkit-transform: translateY(4px);-moz-transform: translateY(4px);-ms-transform: translateY(4px);-o-transform: translateY(4px);"><section style="width: 85%;height: 1px;background-image: linear-gradient(to right, rgb(52, 110, 183) 0%, rgb(52, 110, 183) 85%, rgba(255, 255, 255, 0) 85%, rgba(255, 255, 255, 0) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;" data-width="85%"><br></section></section><section data-brushtype="text" style="font-size: 16px;color: rgb(52, 110, 183);font-weight: bold;letter-spacing: 1.5px;line-height: 2.5em;padding-right: 1em;padding-left: 1em;background: rgb(234, 240, 248);margin-right: 10px;margin-left: 10px;"><p style="line-height: 2em;"><span style="font-family: Helvetica, Arial, sans-serif;">二级机构门诊费用也可以报销了</span></p></section><section style="flex: 1;transform: translateY(-5px);-webkit-transform: translateY(-5px);-moz-transform: translateY(-5px);-ms-transform: translateY(-5px);-o-transform: translateY(-5px);"><section style="width: 100%;height: 2px;background-image: linear-gradient(to left, rgb(52, 110, 183) 0%, rgb(52, 110, 183) 85%, rgba(255, 255, 255, 0) 85%, rgba(255, 255, 255, 0) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;" data-width="100%"><br></section></section></section></section></section><p style="text-align:justify;"><br></p><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">和此前相比，《办法》扩大了机构范围。居民医保参保人在重庆市</span><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);">二级及以下医疗机构门诊就医发生的费用按规定纳入普通门诊统筹</span></strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">，包括社区卫生服务机构、乡镇卫生院、村卫生室和社会办医疗机构；未成年人可在三级儿童医院或妇幼保健医院门诊就医，按照在二级医疗机构的起付标准（即门槛费）和支付限额进行报销。</span></section><section style="text-align: justify;text-indent: 2em;"><br></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">支付范围方面，《办法》规定，普通门诊统筹待遇按照重庆市药品目录、诊疗项目、医疗服务设施和医保基金支付范围执行。参保人的普通门诊统筹待遇和特殊疾病待遇不重复享受。也就是说，获得了重庆市居民医保特病资格的参保人员，</span><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);">可以分别按照规定享受特病门诊报销和普通门诊统筹报销。</span></strong></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);"><br></span></strong></section><section data-tools="135编辑器" data-id="101597"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-flex;flex-direction: column;justify-content: center;"><section style="flex: 1 1 0%;transform: translateY(4px);"><section data-width="85%" style="width: 85%;height: 1px;background-image: linear-gradient(to right, rgb(52, 110, 183) 0%, rgb(52, 110, 183) 85%, rgba(255, 255, 255, 0) 85%, rgba(255, 255, 255, 0) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;"><br></section></section><section data-brushtype="text" style="margin-right: 10px;margin-left: 10px;padding-right: 1em;padding-left: 1em;font-size: 16px;color: rgb(52, 110, 183);font-weight: bold;letter-spacing: 1.5px;line-height: 2.5em;background: rgb(234, 240, 248);"><p style="line-height: 2em;"><span style="font-family: 宋体, SimSun;">二级医疗机构起付标准为200元</span></p></section><section style="flex: 1 1 0%;transform: translateY(-5px);"><section data-width="100%" style="width: 100%;height: 2px;background-image: linear-gradient(to left, rgb(52, 110, 183) 0%, rgb(52, 110, 183) 85%, rgba(255, 255, 255, 0) 85%, rgba(255, 255, 255, 0) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;"><br></section></section></section></section></section><section data-tools="135编辑器" data-id="101597"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-flex;flex-direction: column;justify-content: center;"><section style="flex: 1;transform: translateY(4px);-webkit-transform: translateY(4px);-moz-transform: translateY(4px);-ms-transform: translateY(4px);-o-transform: translateY(4px);"><section style="width: 85%;height: 1px;background-image: linear-gradient(to right, rgb(52, 110, 183) 0%, rgb(52, 110, 183) 85%, rgba(255, 255, 255, 0) 85%, rgba(255, 255, 255, 0) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;" data-width="85%"><br></section></section></section></section></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">根据《办法》，参保居民一年内发生的符合规定医疗费用，累计超过起付标准部分按规定报销，</span><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);">二级医疗机构起付标准为200元</span></strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">；一级及以下医疗机构不设起付标准。</span></section><section style="text-align: justify;text-indent: 2em;"><br></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">参保居民在普通门诊统筹医疗机构发生符合规定的医疗费用，</span><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);">居民医保基金按一级医疗机构60%、二级医疗机构40%的比例，实行限额报销。</span></strong></section><section style="text-align: justify;text-indent: 2em;"><br></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">比如，赵先生在附近的某二级医院门诊看病，发生了政策范围内医疗费用400元，那么医保报销（400-200）X40%=80元。但如果是在一级医院门诊看病，那么医保报销400X60%=240元。</span></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;"><br></span></section><section data-tools="135编辑器" data-id="101597"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-flex;flex-direction: column;justify-content: center;"><section style="flex: 1 1 0%;transform: translateY(4px);"><section data-width="85%" style="width: 85%;height: 1px;background-image: linear-gradient(to right, rgb(52, 110, 183) 0%, rgb(52, 110, 183) 85%, rgba(255, 255, 255, 0) 85%, rgba(255, 255, 255, 0) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;"><br></section></section><section data-brushtype="text" style="margin-right: 10px;margin-left: 10px;padding-right: 1em;padding-left: 1em;font-size: 16px;color: rgb(52, 110, 183);font-weight: bold;letter-spacing: 1.5px;line-height: 2.5em;background: rgb(234, 240, 248);"><p style="line-height: 2em;"><span style="font-family: 宋体, SimSun;">基层门诊统筹支付限额提高</span></p></section><section style="flex: 1 1 0%;transform: translateY(-5px);"><section data-width="100%" style="width: 100%;height: 2px;background-image: linear-gradient(to left, rgb(52, 110, 183) 0%, rgb(52, 110, 183) 85%, rgba(255, 255, 255, 0) 85%, rgba(255, 255, 255, 0) 100%);background-position: initial;background-size: initial;background-repeat: initial;background-attachment: initial;background-origin: initial;background-clip: initial;overflow: hidden;"><br></section></section></section></section></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><br><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;"></span></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">支付限额方面，《办法》提出，</span><strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;color: rgb(123, 12, 0);">在一个自然年度即1月1日至12月31日内，参保居民普通门诊就医发生的医疗费用，门诊统筹基金支付费用（不包括个人负担部分）累计计算。</span></strong><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">2021年度，一档参保居民最高支付限额300元，二档参保居民为500元。</span></section><section style="text-align: justify;text-indent: 2em;"><br></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">年度支付限额由市医保局、市财政局根据基金运行、居民医保筹资标准、财政补助标准、参保人数以及门诊医疗费用情况等适时进行调整。2020年居民医保基层门诊统筹支付限额为200元。2021年在2020年的基础上，一档增加了100元，二档增加了300元。</span></section><section style="text-align: justify;text-indent: 2em;"><br></section><section style="text-align: justify;line-height: 2em;text-indent: 2em;"><span style="font-size: 16px;font-family: Helvetica, Arial, sans-serif;">大学生普通门诊按每人每年100元定额标准由校医院统筹安排，专款专用，结余作为指标结转，超支由校医院负担。学生每次普通门诊医药费用报销比例为一档75%、二档80%。</span></section><p><br></p></section><section data-role="paragraph"><section data-role="outer" label="Powered by 135editor.com" 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提高了好
可以，报销得更多了
政策越来越好了！
国强民盛，杀猪宰牛，载歌载舞！
政策是越来越好
大好事！哦
么么么么么么么
一切都将会越来越好了。
确实看病太贵了
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