The medical insurance patient is in hospital twice continuously in half a month The hospitalization cost can't be offered
I fell ill last time the expenses were returned most newspapers, and are all at one's own expense in hospital this time, the expenses of more than 4000 yuan are not a small number to me. " 76 -year-old uncle Zhao says to reporters having one's face covered with gloomy expression.
It is a worker of one factory of Nanjing to live in Nanjing uncle Zhao in the bridge of red crowned crane, lung worry broke out not long ago, live in 20 more than day such as hospital, cost medical the intersection of fee and more than 8600, because the unit has participated in the medical insurance, there is actually few money that oneself pays while leaving hospital.Recently, the intersection of uncle and the intersection of lung and worry Zhao break out, in hospital over half of a month again, spend more than 5600, but this cost of hospitalization should be all drawn by oneself.
It is reported, according to the relevant regulations of medical insurance policy, all medical insurance patients were in hospital twice continuously in two weeks, can't offer in the second hospitalization cost medical insurance centre.
In case like uncle Zhao of Nanjing, the hospital can meet every day nearly.
"The medical insurance, this regulation, makes us in a dilemma, this is that contradictions of doctors and patients compare the centralized place at present too, it's time to make a change. " According to one hospital and a doctor of dept. of neurology in Nanjing, many old patient's conditions often have a change not predictable, for example the patient is apoplexy of left brain, the right brain and apoplexy several days after leaving hospital while coming for the first time, must be admitted to hospital again, this is a very common thing, but the expenses must be undertaken by patient, if the patient can not afford to pay, the expenses should be deducted from the doctor's bonus. They the intersection of department and several everybody deduct money nearly, one colleague spike the hospital more than 20,000 yuan at most.
"Can't two in hospital, mean, can't enter same hospital by the same kinds of disease in the half month, patient if because whom two different disease is admitted to hospital to can enjoy medical insurance. " A staff member of check department in the medical insurance centre of Nanjing tells reporters, "this regulation of ours has left hospital for time equally in the past three years according to every hospital, the expenses were made in hospital, general disease will not have illness coming on in short half a month after curing; Have illness coming on, prove what reason does it cure or other no last time probably again. " This staff member in the medical insurance centre says, there is phenomenon of expenses on purpose in the discovery many times in the past, the disease that can be cured at one time, should divide into several times treatment and raise department's income of the hospital, while damaging safe handling and patient's interests of the medical insurance fund, fatten the hospital.
The medical insurance fund is taken from civil Yu Min, the representatives of medical insurance centres suffer from and then manage this fund, control the expenses strictly, it is for avoiding the excessively medical behavior, save medical resources, starting point and good, but some medical insurance patients' rational demand can not be satisfied is the fact. Could the related departments explore actively, issue a method of making the best of both worlds?
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