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乳癌等大病有望纳入新农合试点报销医药费七成以上
发布时间:2011-06-30 10:54     来源:君健网
    卫生部部长陈竺28日在推进农村居民重大疾病医疗保障试点工作会议上说,今年要重点考虑将乳腺癌、宫颈癌、重性精神病、终末期肾病、耐多药肺结核以及艾滋病机会感染等疾病纳入新农合大病救治试点。这意味着,上述大病的医药费用有望报销七成以上。

  新农合制度初步解决了农村居民的基本医疗保障问题,但是,对一些重大疾病,参合农民的医药费用负担仍然很重。卫生部先从严重危害群众健康、严重影响农村居民生产生活、给家庭带来沉重负担、社会广泛关注的重大疾病入手,推行大病保障试点。去年开展的儿童先心病白血病保障试点,已经取得较好效果。

  陈竺28日强调,要加快推进新增病种医疗保障试点工作。今年,各地要参照儿童两病试点的做法,将妇女两癌等上述疾病纳入重大疾病保障试点,按病种限价,新农合补偿70%,再积极争取民政医疗救助的支持,协同提高保障水平,减轻农民医药费用负担。

  目前,全国已经有11个省份试点增加重大疾病保障病种。江阴市对精神病人和白血病患者除进行新农合正常报销外,还对其剩余自理费用给予100%救助。对患有精神病、红斑狼疮、恶性肿瘤、再生障碍性贫血、血友病和进行器官移植等特殊人群,在年底给予1000至5000元的门诊费用补助。对终末期肾病病人每3个月的门诊透析费按1次住院标准纳入住院报销;常熟市对患终末期肾病、重性精神病、再生障碍性贫血的贫困人群进行正常补偿和救助后,还对其自付部分费用再按90%至100%比例给予救助。恶性肿瘤住院政策补偿比提高到了75%。

  陈竺要求,在今年9月底前,所有省份都要结合实际制定试点工作实施方案,并在10月底前进入政策实施阶段。

  陈竺强调,要合理确定新增重大疾病的定点救治机构;要做好费用控制工作;要提高经办服务能力。同时,要继续做好新农合与医疗救助制度的衔接,对符合医疗救助条件的患者,争取与新农合实行“一站式”结报。

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