家人患了癌症,有哪些医疗报销?怎么报销?
<div style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">今年1月份,刘阿姨在当地县城医院确诊了肝癌,为了得到更好的治疗,她决定前往女儿所在的上海进一步<span style="color: black;">看病</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但她们却在异地<span style="color: black;">看病</span>的准备上犯了难,于是赶忙给向觅健科普君发来了求助。叽里呱啦一大堆后,刘阿姨和女儿<span style="color: black;">最终</span>弄懂了<span style="color: black;">所有</span>流程,<span style="color: black;">起始</span>了<span style="color: black;"><a style="color: black;">异地<span style="color: black;">看病</span></a></span>之旅。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">你<span style="color: black;">晓得</span>异地<span style="color: black;">看病</span><span style="color: black;">必须</span>提前准备<span style="color: black;">那些</span>东西吗?异地<span style="color: black;">看病</span>的报销又有<span style="color: black;">那些</span>注意事项?跟着觅健科普君的步伐,<span style="color: black;">一块</span>来<span style="color: black;">瞧瞧</span>异地<span style="color: black;">看病</span>的全流程吧~</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">01 异地<span style="color: black;">看病</span><span style="color: black;">第1</span>站:家中</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 1.登录“<span style="color: black;"><a style="color: black;">国家<span style="color: black;">医疗保险</span>服务平台</a></span>”APP或“国家异地<span style="color: black;">看病</span>备案”<span style="color: black;"><a style="color: black;"><span style="color: black;">微X</span>小程序</a></span>,自助备案</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在女儿的<span style="color: black;">帮忙</span>下,刘阿姨在手机应用商城下载了“国家<span style="color: black;">医疗保险</span>服务平台”APP,完成登录后在首页“在线办理”一栏下点击“异地备案”进入了异地备案界面,随后便点击“异地<span style="color: black;">看病</span>备案申请”<span style="color: black;">起始</span>了自己的线上异地备案工作。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首要</span>,刘阿姨<span style="color: black;">按照</span>自己的<span style="color: black;">看病</span><span style="color: black;">实质</span><span style="color: black;">状况</span><span style="color: black;">选取</span>了自己的备案信息,<span style="color: black;">包含</span>“参保地”、“<span style="color: black;">看病</span>地”、“参保险种”、“备案类型”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随后点击“<span style="color: black;">起始</span>备案”按钮,待手机页面弹出自助备案开通<span style="color: black;">通知</span>书后,仔细阅读并选中“<span style="color: black;">自己</span>已仔细阅读<span style="color: black;"><a style="color: black;">备案<span style="color: black;">通知</span>书</a></span>”之后,点击【我已阅读,<span style="color: black;">起始</span>备案】按钮,<span style="color: black;">起始</span>核对个人信息,随后<span style="color: black;">起始</span><span style="color: black;"><a style="color: black;">填写自己的</a></span>异地<span style="color: black;">看病</span>备案材料(备案信息、联系人信息),完成后进行备案人个人承诺<span style="color: black;"><a style="color: black;">电子书</a></span>签名,最后提交了自己的异地<span style="color: black;">看病</span>备案。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">详细</span>流程演示如下图:</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-3e666484d8e778dd88dce7f71af64877_720w.webp?source=1def8aca" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-a75b77d3a1bc8385ac48f025addbefa5_720w.webp?source=1def8aca" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pica.zhimg.com/80/v2-370d429bf5c63249ad68d9028be8f586_720w.webp?source=1def8aca" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-003007cd2aab2e936335a1f8d3d95b14_720w.webp?source=1def8aca" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-0c15283d616868e42840752e9b2a400b_720w.webp?source=1def8aca" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-2c4c3e5258cf18774c272ced5a6ebea2_720w.webp?source=1def8aca" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">完成异地<span style="color: black;">看病</span>备案后,刘阿姨在女儿的提醒下<span style="color: black;">经过</span>点击“备案记录”按钮查看了自己的异地<span style="color: black;">看病</span>备案基本信息。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">提醒:觅友们<span style="color: black;">亦</span><span style="color: black;">能够</span>去参保地<span style="color: black;">医疗保险</span><span style="color: black;">分部</span>窗口备案、<span style="color: black;">或</span>去参保地<span style="color: black;">拥有</span>转诊资质的<span style="color: black;"><a style="color: black;"><span style="color: black;">选定</span>医疗<span style="color: black;">公司</span></a></span>备案,但<span style="color: black;">必须</span>提前准备<span style="color: black;">医疗保险</span>电子凭证、有效身份证件或社会<span style="color: black;">保证</span>卡、备案表、<span style="color: black;">长时间</span>居住认定材料(居住证明或个人承诺书)材料。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">若属于常驻异地工作人员(如单位<span style="color: black;">长时间</span>外派人员),不需提交<span style="color: black;">长时间</span>居住认定材料,需准备异地工作证明材料(参保地工作单位派出证明、异地工作单位证明、工作合同任选其一或个人承诺书)。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 2.<span style="color: black;">查找</span><span style="color: black;">选定</span>医疗<span style="color: black;">公司</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">备案完成后,刘阿姨在“国家<span style="color: black;">医疗保险</span>服务平台”APP“异地<span style="color: black;">看病</span>”界面首页<span style="color: black;">查找</span>服务一栏中点击了“<span style="color: black;">选定</span>医疗<span style="color: black;">公司</span>”按钮,<span style="color: black;">起始</span><span style="color: black;">查找</span>全国范围内<span style="color: black;">已然</span>开通跨省<span style="color: black;"><a style="color: black;">住院<span style="color: black;">花费</span></a></span>直接结算的<span style="color: black;">选定</span>医疗<span style="color: black;">公司</span>与已开通跨省门诊<span style="color: black;">花费</span>直接结算的<span style="color: black;">选定</span>医疗<span style="color: black;">公司</span>,选定了自己<span style="color: black;">将来</span>将要<span style="color: black;">看病</span>的医院。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://picx.zhimg.com/80/v2-d103f230307b276e47b743090dbe4a57_720w.webp?source=1def8aca" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="data:image/svg+xml;utf8," style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 3.准备<span style="color: black;">看病</span>材料</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">出发去上海前,刘阿姨将自己的病历单、<span style="color: black;">检测</span>报告(<span style="color: black;">包含</span><span style="color: black;">彩超</span><span style="color: black;">检测</span>报告、胸部CT<span style="color: black;">检测</span>结果、<span style="color: black;"><a style="color: black;">肿瘤标志物</a></span><span style="color: black;">检测</span>报告以及组织病理学<span style="color: black;">检测</span>报告等。若未做过,可提前在当地医院做好<span style="color: black;">检测</span>)、社会<span style="color: black;">保证</span>卡、身份证整理好并放在了袋子里,挑了几件较为宽松且易穿脱的衣物以及<span style="color: black;">有些</span>生活用品后,和女儿<span style="color: black;">一块</span>踏上了去上海的路程。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">02 异地<span style="color: black;">看病</span>第二站:医院门诊</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">刘阿姨和女儿下飞机后,先到女儿的家中冲了个热水中并<span style="color: black;">休憩</span>了一晚,<span style="color: black;">次日</span>便带好准备的<span style="color: black;">看病</span>材料,穿着宽松的衣服到了提前选定的离家<span style="color: black;">近期</span>的一家三甲医院<span style="color: black;"><a style="color: black;"><span style="color: black;">门诊楼</span></a></span>,向工作人员主动<span style="color: black;">显示</span>了自己的<span style="color: black;"><a style="color: black;">参保</a></span>身份。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">而后</span>向其出示了自己的身份证及社会<span style="color: black;">保证</span>卡,办理了医院的就诊卡并挂上了肝胆科专家号(<span style="color: black;">也</span>可在该医院公众号提前<span style="color: black;"><a style="color: black;">预约挂号</a></span>)。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在医院<span style="color: black;"><a style="color: black;">志愿者</a></span>的指引及女儿的<span style="color: black;">帮忙</span>下,刘阿姨找到了所挂专家号的门诊位置,等待<span style="color: black;">稍许</span>听到叫号后进入了<span style="color: black;">大夫</span>的<span style="color: black;"><a style="color: black;">门诊室</a></span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大夫</span><span style="color: black;">首要</span>对刘阿姨进行了问诊,仔细查看了刘阿姨的病历单及<span style="color: black;">检测</span>报告,<span style="color: black;">认识</span>了刘阿姨的基本病史后,对刘阿姨进行了简单的<span style="color: black;">检测</span>,<span style="color: black;">而后</span>安排刘阿姨进行住院,并为刘阿姨制定了后续的治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">刘阿姨住院接受治疗后,女儿拿着她的社会<span style="color: black;">保证</span>卡到医院<span style="color: black;">门诊楼</span>结算了医疗<span style="color: black;">花费</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">03 异地<span style="color: black;">看病</span>第三站:<span style="color: black;">医疗保险</span><span style="color: black;"><a style="color: black;">经办<span style="color: black;">公司</span></a></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">住院一段时间之后,刘阿姨的治疗顺利完成,病情恢复良好,便准备收拾东西出院。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">此时刘阿姨的女儿便拿着<span style="color: black;"><a style="color: black;">社保卡</a></span>、身份证、病历单、医院收费票据、门诊及住院<span style="color: black;">花费</span><span style="color: black;">名单</span>、诊断证明或出院小结原件来到了上海<span style="color: black;">医疗保险</span>经办<span style="color: black;">公司</span>上交了<span style="color: black;">以上</span>报销材料进行<span style="color: black;">医疗保险</span>报销。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">大约7个工作日后,刘阿姨便在<span style="color: black;"><a style="color: black;">手机银行</a></span>上收到了报销<span style="color: black;">花费</span>到账的短信。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;"><a style="color: black;"><span style="color: black;">医疗保险</span>报销比例</a></span>及<span style="color: black;">药品</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.报销结算标准:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">觅友们跨省异地<span style="color: black;">看病</span>时结算住院<span style="color: black;">花费</span>采用的标准是“<span style="color: black;">看病</span>地目录、<span style="color: black;"><a style="color: black;">参保地政策</a></span>、<span style="color: black;">看病</span>地管理”三点,即结算时<span style="color: black;">根据</span><span style="color: black;">看病</span>地的<span style="color: black;">医疗保险</span>支付范围及<span style="color: black;">相关</span>规定报销,<span style="color: black;">根据</span>参保地的<span style="color: black;">医疗保险</span>基金起付标准、支付比例与最高支付限额进行报销。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.报销比例:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;"><a style="color: black;"><span style="color: black;">医疗保险</span>起付线</a></span>以上,封顶线以内的医药(在<span style="color: black;">医疗保险</span>名录内)<span style="color: black;">花费</span>,<span style="color: black;">医疗保险</span><span style="color: black;">能够</span>按<span style="color: black;">关联</span>比例进行报销,但若超出封顶线,<span style="color: black;">医疗保险</span>报销的比例则会下降。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>,城乡居民<span style="color: black;">医疗保险</span>、<span style="color: black;"><a style="color: black;">城镇职工<span style="color: black;">医疗保险</span></a></span>和大学生、未成年人<span style="color: black;">医疗保险</span>报销的比例<span style="color: black;">亦</span>有不同(<span style="color: black;">详细</span><span style="color: black;">必须</span><span style="color: black;">按照</span>各地不同<span style="color: black;">状况</span>决定)。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">医疗保险</span>的药品名录中,仅有甲类、<span style="color: black;"><a style="color: black;">乙类药</a></span>能够按比例报销,而丙类<span style="color: black;">药品</span>(不在<span style="color: black;">医疗保险</span>范围内或在<span style="color: black;">医疗保险</span>范围内但未<span style="color: black;">获准</span><span style="color: black;"><a style="color: black;">肝癌适应证</a></span>,<span style="color: black;">通常</span>为进口抗肿瘤药、新药等)则<span style="color: black;">不可</span>报销,需觅友自费<span style="color: black;">运用</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.<span style="color: black;">医疗保险</span>可报销的肝癌治疗用药举例</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2022年最新<span style="color: black;">医疗保险</span>目录中,肝癌治疗用药有靶向药:<span style="color: black;"><a style="color: black;">甲苯磺酸多纳非尼片</a></span>、<span style="color: black;"><a style="color: black;">甲磺酸</a></span>阿帕替尼片、瑞戈非尼片;免疫治疗<span style="color: black;">药品</span>:<span style="color: black;"><a style="color: black;">信迪利单抗注射液</a></span>、替雷利珠单抗注射液等等,<span style="color: black;">所有</span><span style="color: black;">药品</span>看>>><a style="color: black;">重磅!平均降价60.1%,这些肝癌<span style="color: black;">药品</span>纳入2022<span style="color: black;">医疗保险</span>目录!</a>(点击阅读)</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">觅友们还<span style="color: black;">能够</span>在网络上搜索国<span style="color: black;">医疗保险</span><span style="color: black;">药物</span><span style="color: black;"><a style="color: black;">目录<span style="color: black;">查找</span></a></span>,进入我国政府官网进行<span style="color: black;">查找</span><span style="color: black;">认识</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">尾声</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">刘阿姨的异地<span style="color: black;">看病</span>之旅到<span style="color: black;">这儿</span>就结束了,相信<span style="color: black;">大众</span><span style="color: black;">经过</span>沉浸式地体验,<span style="color: black;">亦</span>对异地<span style="color: black;">看病</span>的流程有了一个更为深刻的理解~<span style="color: black;">认识</span><span style="color: black;">更加多</span>肝癌知识,欢迎关注【肝愿为您】和公众号【拯救肝癌】,陪您<span style="color: black;">一块</span>回归美好生活!</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">内容制作</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">封面<span style="color: black;">照片</span>:<span style="color: black;"><a style="color: black;">摄图网</a></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">外链论坛:http://www.fok120.com/觅健科普君</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">参考<span style="color: black;">源自</span>:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;">http://www.</span><span style="color: black;">gov.cn/zhengce/zhengcek</span><span style="color: black;">u/2022-07/26/content_5702881.htm</span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;">htt</span></a>ps://<span style="color: black;">mp.weixin.qq.com/s/rk5M</span><span style="color: black;">ypo5xyUFPYOTOBdByw</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">《<span style="color: black;"><a style="color: black;">国家基本医疗保险</a></span>、<span style="color: black;"><a style="color: black;">工伤保险</a></span>和生育保险<span style="color: black;">药物</span>目录(2022年)》</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">温馨提示:本文仅基于医疗知识科普分享,意见仅供参考,不<span style="color: black;">做为</span>诊疗<span style="color: black;">方法</span>以及医疗依据。</p>
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感谢楼主的分享!我学到了很多。 外链发布社区 http://www.fok120.com/
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