富平县城乡居民医保住院核报政策
<p style="text-align:center"><strong><span style="font-family: 黑体;letter-spacing: -0;font-size: 24px"><span style="font-family:黑体">富平县城乡居民医保住院核报政策</span></span></strong></p><table class="wcn_c_table" cellspacing="0" width="569"><tbody><tr style="height:26px" class="firstRow"><td width="110" valign="top" style="padding: 0px 7px; border-width: 1px; border-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">统筹区域内</span></p></td><td width="79" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">起付线（元）</span></p></td><td width="103" valign="top" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">支付比例（<span style="font-family:Calibri">%</span><span style="font-family:FangSong_GB2312">）</span></span></p></td><td width="104" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">统筹区域外</span></p></td><td width="81" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">起付线（元）</span></p></td><td width="91" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">支付比例（<span style="font-family:Calibri">%</span><span style="font-family:FangSong_GB2312">）</span></span></p></td></tr><tr style="height:47px"><td width="110" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">一级及以下医院</span></p></td><td width="79" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">200</span></p></td><td width="103" valign="center" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">85</span></p></td><td width="104" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">一级及以下医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">500</span></p></td><td width="91" valign="center" rowspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">符合分级诊疗、双向转诊规定的患者，执行与统筹区内同级医院相同基金支付比例。</span></p></td></tr><tr style="height:47px"><td width="110" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">二级医院</span></p></td><td width="79" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">500</span></p></td><td width="103" valign="center" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">75</span></p></td><td width="104" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">二级医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">800</span></p></td></tr><tr style="height:39px"><td width="110" valign="center" rowspan="2" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三级医院</span></p></td><td width="79" valign="center" rowspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">1000</span></p></td><td width="103" valign="center" rowspan="2" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">65</span></p></td><td width="104" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三级医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">1800</span></p></td></tr><tr style="height:28px"><td width="104" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三特医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">2500</span></p></td></tr><tr style="height:26px"><td width="110" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">不规范转诊</span></p></td><td width="79" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">不变</span></p></td><td width="103" valign="center" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">下调<span style="font-family:Calibri">10</span></span></p></td><td width="104" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">不规范转诊</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">不变</span></p></td><td width="91" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">下调<span style="font-family:Calibri">20</span></span></p></td></tr><tr style="height:60px"><td width="110" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">定额支付</span></p></td><td width="459" valign="center" colspan="5" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">正常分娩报1000元、剖宫产报3000元，双胎及多胎分娩的，每增一胎基金支付限额增加30%。</span></p></td></tr><tr style="height:26px"><td width="110" valign="center" rowspan="4" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">医用耗材</span></p></td><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">金额（元）</span></p></td><td width="185" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">个人先行自付（<span style="font-family:Calibri">%</span><span style="font-family:FangSong_GB2312">）</span></span></p></td><td width="91" valign="center" rowspan="9" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">剩余部分按政策规定支付</span></p></td></tr><tr style="height:26px"><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">1<span style="font-family:FangSong_GB2312">万以下（含</span><span style="font-family:Calibri">1</span><span style="font-family:FangSong_GB2312">万）</span></span></p></td><td width="185" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">20</span></p></td></tr><tr style="height:26px"><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">1<span style="font-family:FangSong_GB2312">万——</span><span style="font-family:Calibri">5</span><span style="font-family:FangSong_GB2312">万（含</span><span style="font-family:Calibri">5</span><span style="font-family:FangSong_GB2312">万）</span></span></p></td><td width="185" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">30</span></p></td></tr><tr style="height:26px"><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">5<span style="font-family:FangSong_GB2312">万（不含</span><span style="font-family:Calibri">5</span><span style="font-family:FangSong_GB2312">万）以上</span></span></p></td><td width="185" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">35</span></p></td></tr><tr style="height:26px"><td width="110" valign="center" rowspan="5" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">大型医疗检查、检验费用</span></p></td><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">金额（元）</span></p></td><td width="185" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">个人先行自付（<span style="font-family:Calibri">%</span><span style="font-family:FangSong_GB2312">）</span></span></p></td></tr><tr style="height:26px"><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">500<span style="font-family:FangSong_GB2312">——</span><span style="font-family:Calibri">1000</span><span style="font-family:FangSong_GB2312">元（含</span><span style="font-family:Calibri">1000</span><span style="font-family:FangSong_GB2312">元）</span></span></p></td><td width="185" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">20</span></p></td></tr><tr style="height:26px"><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">1000<span style="font-family:FangSong_GB2312">——</span><span style="font-family:Calibri">3000</span><span style="font-family:FangSong_GB2312">元（含</span><span style="font-family:Calibri">3000</span><span style="font-family:FangSong_GB2312">元）</span></span></p></td><td width="185" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">30</span></p></td></tr><tr style="height:26px"><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">3000<span style="font-family:FangSong_GB2312">——</span><span style="font-family:Calibri">8000</span><span style="font-family:FangSong_GB2312">元（含</span><span style="font-family:Calibri">8000</span><span style="font-family:FangSong_GB2312">元）</span></span></p></td><td width="185" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">40</span></p></td></tr><tr style="height:26px"><td width="183" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">8000<span style="font-family:FangSong_GB2312">元（不含</span><span style="font-family:Calibri">8000</span><span style="font-family:FangSong_GB2312">元）以上</span></span></p></td><td width="185" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">45</span></p></td></tr><tr style="height:26px"><td width="110" valign="center" rowspan="6" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 14px">床位费</span></span></p></td><td width="287" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 14px">级 别</span></span></p></td><td width="172" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 14px">最高限价（元<span style="font-family:Calibri">/</span><span style="font-family:FangSong_GB2312">床</span><span style="font-family:Calibri">.</span><span style="font-family:FangSong_GB2312">日</span></span></span><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">）</span></span></p></td></tr><tr style="height:22px"><td width="287" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">乡镇卫生院</span></span></p></td><td width="172" valign="center" colspan="2" rowspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">18</span></span></p></td></tr><tr style="height:21px"><td width="287" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">社区服务中心</span></span></p></td></tr><tr style="height:20px"><td width="287" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">一级医院</span></span></p></td></tr><tr style="height:26px"><td width="287" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">二级医院</span></span></p></td><td width="172" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">25</span></span></p></td></tr><tr style="height:26px"><td width="287" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">三级医院</span></span></p></td><td width="172" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="text-decoration:line-through;"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">32</span></span></p></td></tr><tr style="height:26px"><td width="569" valign="top" colspan="6" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><strong><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">城乡居民医保基金住院年度最高支付限额为<span style="font-family:Calibri">13</span><span style="font-family:FangSong_GB2312">万元。</span></span></strong></p></td></tr><tr style="height:186px"><td width="569" valign="top" colspan="6" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">1. </span><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">在统筹区域内符合转诊规范的上转者，上级医疗机构执行两级医疗机构起付线差额部分。符合转诊规范的康复期下转者，取消下级医疗机构起付线。市内转市外、市外互相转诊的，暂不执行此政策。</span></p><p><span style="font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">2. </span><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">在二级及以上医疗机构住院前<span style="font-family:Calibri">5</span><span style="font-family:FangSong_GB2312">日，产生的与本次住院疾病相关的门诊检查检验费用纳入医保报销，医保统筹基金支付</span><span style="font-family:Calibri">60%</span><span style="font-family:FangSong_GB2312">，个人负担</span><span style="font-family:Calibri">40%</span><span style="font-family:FangSong_GB2312">。</span></span></p><p><span style="font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">3. </span><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">因治疗需要，参保人住院期间转其它医疗机构产生的检查检验费用，急诊（观察室）<span style="font-family:Calibri">72</span><span style="font-family:FangSong_GB2312">小时必须转入住院治疗，其急诊医疗费纳入医保报销，医保统筹基金支付</span><span style="font-family:Calibri">60%</span><span style="font-family:FangSong_GB2312">，个人负担</span><span style="font-family:Calibri">40%</span><span style="font-family:FangSong_GB2312">。</span></span></p><p><span style="font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">4. </span><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">参保人在急诊抢救治疗期间死亡，医保统筹基金支付<span style="font-family:Calibri">60%</span><span style="font-family:FangSong_GB2312">，个人负担</span><span style="font-family:Calibri">40%</span><span style="font-family:FangSong_GB2312">。</span></span></p><p><span style="font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">5. </span><span style="font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">。</span></p></td></tr></tbody></table><p style="text-align:center"><strong><span style="font-family: 黑体;letter-spacing: -0;font-size: 24px"><span style="font-family:黑体">富平县城乡居民医保门诊核报政策</span></span></strong></p><table class="wcn_c_table" cellspacing="0"><tbody><tr style="height:26px" class="firstRow"><td width="31" valign="center" rowspan="3" style="padding: 0px 7px; border-width: 1px; border-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">门诊</span></p></td><td width="57" valign="center" rowspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">普通门诊统筹</span></p></td><td width="196" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">统筹区域内</span></p></td><td width="284" valign="top" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="margin-left:13px;text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">支付比例(%)</span></p></td></tr><tr style="height:19px"><td width="196" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">乡镇卫生院</span></p></td><td width="284" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">60</span></p></td></tr><tr style="height:20px"><td width="196" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">村卫生室</span></p></td><td width="284" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">70</span></p></td></tr><tr style="height:20px"><td width="31" valign="center" rowspan="3" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">两病</span></p></td><td width="57" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">病名</span></p></td><td width="196" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">支付比例（%）</span></p></td><td width="114" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">支付限额（元）</span></p></td><td width="170" valign="top" colspan="2" rowspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">一次处方最长2个月，在外务工、居住者回参保地报销。</span></p></td></tr><tr style="height:20px"><td width="57" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">高血压</span></p></td><td width="196" valign="center" colspan="2" rowspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">50</span></p></td><td width="114" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">360</span></p></td></tr><tr style="height:21px"><td width="57" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">糖尿病</span></p></td><td width="114" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">300</span></p></td></tr><tr style="height:40px"><td width="88" valign="center" colspan="2" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">特殊药品</span></p></td><td width="480" valign="top" colspan="6" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">在住院、门诊和特药定点零售药店发生的特药费用，由个人先行自付15%，剩余85%纳入统筹基金支付范围，城乡居民基本医疗保险支付比例为60%。</span></p><p><span style="font-family:仿宋;letter-spacing:-0;font-size:14px"> </span></p></td></tr><tr style="height:21px"><td width="31" valign="center" rowspan="8" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">门诊慢特病</span></p></td><td width="57" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">分类</span></p></td><td width="60" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:16px">Ⅰ类</span></p></td><td width="136" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:16px">Ⅱ类</span></p></td><td width="74" valign="top" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:16px">Ⅲ类</span></p></td><td width="210" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">共30种</span></p></td></tr><tr style="height:26px"><td width="57" valign="center" rowspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">Ⅰ类</span></p><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">7种</span></p></td><td width="270" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">病种名称</span></p></td><td width="86" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">最高限额（元）</span></p></td><td width="124" valign="top" rowspan="7" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-indent: 26px;line-height: 28px"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">参保患者年度内在定点医药机构门诊就诊产生的政策范围内医药费用累计计算一次起付线，起付线标准为300元，Ⅰ类</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">（慢性肾功能衰竭腹膜血液透析除外</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">）</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">、</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">Ⅱ类</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">病种</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">支付比例为合</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">规</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">费用</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">的</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">60％</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">；</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">Ⅲ类</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">病种和</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">Ⅰ类</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">病种中的慢性肾功能衰竭腹膜、血液透析</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">支付比例为合</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">规</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">费用</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">的</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">7</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">0％</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">。</span></p><p style="text-indent:28px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px;background:rgb(255,255,255)"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">大骨节病一个参保年度最高支付限额为每人</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">470</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">元；氟骨症</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">为</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">630元；</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">克山病</span><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">为</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">1500元。</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">儿童苯丙酮尿症</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">按患者年龄段不同设置不同最高支付限额。</span></p></td></tr><tr style="height:6px"><td width="270" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">①慢性肾功能衰竭腹膜、血液透析；</span></p></td><td width="86" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">60000元</span></p></td></tr><tr style="height:79px"><td width="270" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style=";text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:27px;background:rgb(255,255,255)"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">②恶性肿瘤门诊放化疗；③器官移植后抗排异用药；④白血病；⑤系统性红斑狼疮；⑥血友病；⑦成骨不全症（脆骨症）。</span></p></td><td width="86" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">20000元</span></p></td></tr><tr style="height:105px"><td width="57" valign="center" rowspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style=";text-autospace:ideograph-numeric;text-align:center;line-height:27px;background:rgb(255,255,255)"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:16px">Ⅱ类19种</span></p><p style="text-align:center"><span style="font-family:仿宋;letter-spacing:-0;font-size:14px"> </span></p></td><td width="60" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:16px">A类</span></p><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:16px">8种</span></p></td><td width="210" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">①重性精神病[精神分裂症、双向情感障碍（躁狂、抑郁）、偏执型精神障碍、分裂情感型精神障碍、癫痫所致精神障碍、精神发育迟滞伴发精神障碍]；②癫痫；③活动性肺结核；④脑血管意外后遗症；⑤帕金森病；⑥甲状腺功能亢进症或减退症；⑦类风湿性关节炎；⑧原发性高血压病；</span></p></td><td width="86" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">2000元</span></p></td></tr><tr style="height:6px"><td width="60" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:16px">B类</span></p><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:16px">4种</span></p></td><td width="210" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">①糖尿病；②慢性心功能不全（包括冠心病、肺心病、风湿性心脏病、心肌病、先天性心脏病引起的心功能不全或心律失常）；③慢性阻塞性肺疾病；④慢性病毒性肝炎；</span></p></td><td width="86" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">3000元</span></p></td></tr><tr style="height:141px"><td width="60" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">C类</span></p><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">7种</span></p></td><td width="210" valign="top" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom: none;"><p style=";text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:27px;background:rgb(255,255,255)"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:0;font-size:14px">①再生障碍性贫血；②肝硬化失代偿期；③肾病综合征；④强直性脊柱炎；⑤慢性肾功能不全（一期、二期）；⑥重症肌无力；⑦冠心病支架术后（冠心病冠脉搭桥术后）用药。</span></p></td><td width="86" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;letter-spacing:-0;font-size:14px">5000元</span></p></td></tr><tr style="height:117px"><td width="57" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">Ⅲ类</span></p><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">4种</span></p></td><td width="356" valign="center" colspan="5" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">①大骨节病；②氟骨症；③克山病；④儿童苯丙酮尿症。</span></p></td></tr></tbody></table><p style="text-align:center"><strong><span style="font-family: 黑体;letter-spacing: -0;font-size: 24px"><span style="font-family:黑体">富平县城镇职工医保核报政策</span></span></strong></p><table class="wcn_c_table" cellspacing="0" width="569"><tbody><tr style="height:28px" class="firstRow"><td width="98" valign="center" style="padding: 0px 7px; border-width: 1px; border-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">统筹区域内</span></p></td><td width="91" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">起付线（元）</span></p></td><td width="95" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">支付比例（<span style="font-family:Calibri">%</span><span style="font-family:FangSong_GB2312">）</span></span></p></td><td width="110" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">统筹区域外</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">起付线（元）</span></p></td><td width="94" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">支付比例（<span style="font-family:Calibri">%</span><span style="font-family:FangSong_GB2312">）</span></span></p></td></tr><tr style="height:20px"><td width="98" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">一级医院</span></p></td><td width="91" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">150</span></p></td><td width="95" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">90</span></p></td><td width="110" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">一级及以下医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">500</span></p></td><td width="94" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">90</span></p></td></tr><tr style="height:19px"><td width="98" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">二级医院</span></p></td><td width="91" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">400</span></p></td><td width="95" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">88</span></p></td><td width="110" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">二级医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">800</span></p></td><td width="94" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">88</span></p></td></tr><tr style="height:19px"><td width="98" valign="center" rowspan="2" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三级医院</span></p></td><td width="91" valign="center" rowspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">550</span></p></td><td width="95" valign="center" colspan="2" rowspan="2" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">86</span></p></td><td width="110" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三级医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">1800</span></p></td><td width="94" valign="center" rowspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">86</span></p></td></tr><tr style="height:19px"><td width="110" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三特医院</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">2500</span></p></td></tr><tr style="height:23px"><td width="98" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">不规范转诊</span></p></td><td width="91" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">不变</span></p></td><td width="95" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right: 4px double windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">下调<span style="font-family:Calibri">10</span></span></p></td><td width="110" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">不规范转诊</span></p></td><td width="81" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">不变</span></p></td><td width="94" valign="center" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:16px">下调<span style="font-family:Calibri">20</span></span></p></td></tr><tr style="height:79px"><td width="569" valign="center" colspan="9" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">参保患者在一个年度内发生二次住院的，起付金标准降低10%，多次住院的执行第二次住院起付线；退休人员住院统筹基金支付比例均提高2%。</span></p><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">慢性肾功能衰竭腹膜透析和血液透析、恶性肿瘤放化疗、器官移植后抗排异、白血病患者，因同一病种在同一医院住院的，在一个自然年度内累计计一次起付线。</span></p></td></tr><tr style="height:19px"><td width="98" valign="center" rowspan="8" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">住院分娩</span></p></td><td width="95" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">分娩类别</span></p></td><td width="157" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">医院级别</span></p></td><td width="219" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">定额报销金额（元）</span></p></td></tr><tr style="height:17px"><td width="95" valign="center" colspan="2" rowspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">顺产</span></p></td><td width="157" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">一级医院</span></p></td><td width="219" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 16px">1400</span></p></td></tr><tr style="height:20px"><td width="157" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">二级医院</span></p></td><td width="219" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 16px">1800</span></p></td></tr><tr style="height:17px"><td width="157" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三级医院</span></p></td><td width="219" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 16px">2200</span></p></td></tr><tr style="height:21px"><td width="95" valign="center" colspan="2" rowspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">剖宫产</span></p></td><td width="157" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">一级医院</span></p></td><td width="219" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 16px">3200</span></p></td></tr><tr style="height:19px"><td width="157" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">二级医院</span></p></td><td width="219" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 16px">4000</span></p></td></tr><tr style="height:18px"><td width="157" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">三级医院</span></p></td><td width="219" valign="center" colspan="4" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 16px">5000</span></p></td></tr><tr style="height:59px"><td width="470" valign="top" colspan="8" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">生育保险女性产前检查费报500元，女性在分娩期间男性一次性报销1000元。对怀孕未满4个月（含4个月）流产的定额补助500元，对怀孕4个月以上（不含4个月）流产的报销800元。</span></p></td></tr><tr style="height:22px"><td width="98" valign="center" rowspan="5" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">职工</span></p><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">特殊慢性病</span><span style="font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px"><br/></span><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">（共<span style="font-family:Calibri">18</span><span style="font-family:FangSong_GB2312">种）</span></span></p></td><td width="186" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">病种</span></p></td><td width="74" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">最高限额</span></p></td><td width="211" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top-width: 1px; border-top-color: windowtext; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">报销比例及自付</span></p></td></tr><tr style="height:104px"><td width="186" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">⒈</span><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">慢性肾功能衰竭腹膜透析、血液透析</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">⒉器官移植术后</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">服用抗排斥药</span></p></td><td width="74" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><br/></td><td width="211" valign="center" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">不设置起付线，透析费及抗排斥药费用，报销90%，个人负担10%。其他辅助治疗必需使用的药品费用原则上统筹基金支付70%，个人自付30%。</span></p></td></tr><tr style="height:38px"><td width="186" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style="font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">⒊</span><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">恶性肿瘤门诊放化疗</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">⒋白血病⒌肝硬化（失代偿期）</span></p></td><td width="74" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">10000元</span></p></td><td width="211" valign="center" colspan="3" rowspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">先由个人自付起付金500元。对超出起付金符合规定的费用，由统筹基金支付70%，个人自负30%。</span></p></td></tr><tr style="height:97px"><td width="186" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:16px"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">⒍糖尿病⒎原发性高血压病⒏多耐药肺结核⒐精神分裂症⒑冠性动脉硬化性心脏病⒒慢性再生障碍性贫血⒓脑梗塞后遗症⒔脑出血后遗症⒕性病活动性肝炎⒖系统性红斑狼疮</span></p></td><td width="74" valign="center" colspan="2" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style="font-family: 仿宋;letter-spacing: -0;font-size: 14px">5000元</span></p></td></tr><tr style="height:57px"><td width="186" valign="top" colspan="3" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">⒗大骨节病⒘中重度氟骨症⒙慢型克山病</span></p></td><td width="285" valign="center" colspan="5" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-autospace:ideograph-numeric;line-height:16px"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">大骨节病、中重度氟骨症、慢型克山病最高支付限额分别是</span><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">517元、693元、1650元，报销比例为70%。</span></p></td></tr><tr style="height:36px"><td width="98" valign="center" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:center"><span style=";font-family:FangSong_GB2312;letter-spacing:-0;font-size:14px">特殊药品</span></p></td><td width="470" valign="center" colspan="8" style="padding: 0px 7px; border-left: none; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:16px"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">在住院、门诊和特药定点零售药店发生的特药费用，由个人先行自付15%，剩余85%纳入统筹基金支付范围，职工基本医疗保险支付比例为83%。</span></p></td></tr><tr style="height:42px"><td width="569" valign="center" colspan="9" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-align:justify;text-justify:inter-ideograph"><strong><span style="font-family: FangSong_GB2312;letter-spacing: -0;font-size: 16px">城镇职工基本医疗保险统筹基金每人一个年度最高报销<span style="font-family:Calibri">20</span><span style="font-family:FangSong_GB2312">万元，其中，基本医保统筹基金支付</span><span style="font-family:Calibri">10</span><span style="font-family:FangSong_GB2312">万元，大病互助基金最高支付</span><span style="font-family:Calibri">10</span><span style="font-family:FangSong_GB2312">万元。</span></span></strong></p></td></tr><tr style="height:94px"><td width="569" valign="top" colspan="9" style="padding: 0px 7px; border-left-width: 1px; border-left-color: windowtext; border-right-width: 1px; border-right-color: windowtext; border-top: none; border-bottom-width: 1px; border-bottom-color: windowtext;"><p style="text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:16px"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">1.在统筹区域内符合转诊规范的上转者，上级医疗机构执行两级医疗机构起付线差额部分。符合转诊规范的康复期下转者，取消下级医疗机构起付线。市内转市外、市外互相转诊的，暂不执行此政策。</span></p><p style="text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:16px"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">2.参保人员经门诊检查需住院治疗的，在二级及以上医疗机构住院前7日内，产生的与本次住院疾病相关的门诊检查检验费用纳入医保报销，医保统筹基金支付70%，个人负担30%。</span></p><p style="text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:16px"><span style=";font-family:仿宋;color:rgb(47,47,47);letter-spacing:-0;font-size:14px">3.符合规定的门诊急诊抢救费用，医保统筹基金支付70%，个人负担30%。</span></p></td></tr></tbody></table><p style="text-autospace:ideograph-numeric;text-align:center;line-height:28px"><span style=";font-family:黑体;letter-spacing:-0;font-size:24px"><span style="font-family:黑体">富平县</span></span><span style=";font-family:黑体;letter-spacing:-0;font-size:24px"><span style="font-family:黑体">城镇职工基本医疗保险</span></span><span style=";font-family:黑体;letter-spacing:-0;font-size:24px"><span style="font-family:黑体">相关政策</span></span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">问：城镇职工基本医疗保险的缴费标准是什么？</span></span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">答：</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"><span style="font-family:仿宋">城镇职工医疗保险按照</span>8%的比例缴纳（其中用人单位6%，职工个人2%）,城镇职工基本医疗保险缴费基数低于我市社平工资60%的按照60%缴纳，高于我市社平工资300%最高按照300%缴纳。大病互助基金每人每月8元计征（其中用人单位缴纳5元，职工个人缴纳3元）。</span></p><p style="margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">问：参保职工住院哪些情况不受转诊制度限制？</span></span></p><p style="margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:28px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">答：</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"><span style="font-family:仿宋">以下三类情况不受分级诊疗、双向转诊制度限制，城镇职工按正常住院进行备案，开通直接结算。除以下三类情况外，其他人员按非规范转诊，执行降比例报销政策。</span></span></p><p style="margin-top:0;margin-right:0;margin-bottom:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"> 1.对急危重症、精神类疾病、术后复诊、急性重大传染病、恶性肿瘤等特殊情况的患者，政策规定的其他需要定点收住的患者，以及因某一种疾病须间隔多次住院治疗（如癌症放化疗、肾透析、骨折愈合拆除钢板等）直接选择原就诊定点医疗机构进行住院治疗的患者。</span></p><p style="margin-top:0;margin-right:0;margin-bottom:0;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"> 2.65岁以上老年人、孕产妇、5岁以下儿童、精神病、重大传染病、急性感染性疾病患者，以及医保异地备案等人员。</span></p><p style="margin-top:0;margin-right:0;margin-bottom:0;text-indent:36px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px">3.参保人员在统筹区外突发急危重症的，由患者本人或其家属凭医生开具的诊断证明，在5个工作日内联系参保地医保经办机构办理备案手续。</span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">问：特殊病种住院起付线有没有特殊政策？</span></span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">答：</span></span><span style="font-family: 仿宋;letter-spacing: -0;font-size: 19px"><span style="font-family:仿宋">慢性肾功能衰竭腹膜透析和血液透析、恶性肿瘤放化疗、器官移植后抗排异、白血病患者，因同一病种在同一医院住院的，在一个自然年度内累计计一次起付线。</span></span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">问：特殊药品支付政策是什么？</span></span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;line-height:28px"><span style="font-family: 黑体;letter-spacing: -0;font-size: 19px"><span style="font-family:黑体">答：</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"><span style="font-family:仿宋">在门诊和特药定点零售药店发生的特药费用，由个人先行自付</span>15%，剩余85%纳入统筹基金支付范围，职工基本医疗保险支付比例为83%。</span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;line-height:28px"><span style=";font-family:黑体;letter-spacing:-0;font-size:19px"><span style="font-family:黑体">问：城镇职工医保个人账户资金的划拨比例是多少？</span></span></p><p style="text-indent:36px;text-autospace:ideograph-numeric;line-height:28px"><span style=";font-family:黑体;letter-spacing:-0;font-size:19px"><span style="font-family:黑体">答：</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"><span style="font-family:仿宋">个人账户金额根据参保个人缴费基数</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"><span style="font-family:仿宋">按不同年龄段进行划拨，年龄在</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px">35岁及以下，按2.5%（含个人缴纳2%，下同。）划拨；</span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"><span style="font-family:仿宋">年龄在</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px">36—45岁，按2.8%划拨；</span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px"><span style="font-family:仿宋">年龄在</span></span><span style=";font-family:仿宋;letter-spacing:-0;font-size:19px">46岁及以上，按3.1%划拨；退休人员按本人年退休费的4.3%划拨。</span></p><p>来源：富平县医保局</p><link rel="stylesheet" href="//www.dafuping.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_S0x" id="wcn_editor_css"/>
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