合优网-皮皮 发表于 2024-1-2 13:55:27

重庆职工医保新政策来了!哪些医院看门诊能报销?市外也能报吗?

<section data-role="paragraph" data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255);width: 977px;flex: 0 0 100%"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">2024年1月1日起</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">《重庆市建立健全职工基本医疗保险</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">门诊共济保障机制实施细则》</span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;letter-spacing: 1px;caret-color: red;font-family: Helvetica, Arial, sans-serif">正式实施</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;letter-spacing: 0.578px;line-height: 1.33em"><ignore_js_op style="overflow-wrap: break-word"></ignore_js_op></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px"><br/></p><p style="overflow-wrap: break-word;margin-top: 0px;padding: 0px;letter-spacing: 0.578px;line-height: 1.33em"><span style="overflow-wrap: break-word;color: rgb(127, 127, 127);font-size: 12px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica Neue, Helvetica, Hiragino Sans GB, Apple Color Emoji, Emoji Symbols Font, Segoe UI Symbol, Arial, sans-serif">图源:重庆市医疗保障局</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">重庆市职工医保参保人员</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;caret-color: red;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">在</span><span style="overflow-wrap: break-word;caret-color: red;color: rgb(63, 63, 63);font-size: 15px;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">重庆<span style="overflow-wrap: break-word">市</span>定点医疗机构</span><span style="overflow-wrap: break-word;caret-color: red;color: rgb(63, 63, 63);font-size: 15px;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">看</span><span style="overflow-wrap: break-word;caret-color: red;color: rgb(63, 63, 63);font-size: 15px;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">普通门诊</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;caret-color: red;color: rgb(63, 63, 63);font-size: 15px;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">可按相关规定进行医保报销</span></p><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;line-height: 2em;margin-bottom: 0px"><span style="overflow-wrap: break-word;font-size: 15px"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">具体政策可点击下方链接查看:</span></span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;line-height: 2em;margin-bottom: 0px"><span style="overflow-wrap: break-word;font-size: 15px"><span style="overflow-wrap: break-word;color: rgb(102, 102, 102)"><span style="overflow-wrap: break-word;color: rgb(54, 96, 146)"><span style="overflow-wrap: break-word;font-weight: 700"><span style="overflow-wrap: break-word;letter-spacing: 1px;caret-color: red"><a href="https://mp.weixin.qq.com/s?__biz=MzAwNTkyMDUzOQ==&mid=2247759350&idx=2&sn=6bbd04d4cb5e5dcee81ff03f9e441abd&chksm=9b1bf782ac6c7e94caf7c777c97f3f260abf41b7a3c66bf75a3c3942072bb903d4ccfd4d7682&token=1148357520&lang=zh_CN&scene=21#wechat_redirect" data-linktype="2" style="overflow-wrap: break-word;color: rgb(54, 96, 146)">重庆医保有重大调整!</a></span></span></span></span></span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;line-height: 1.33em;margin-bottom: 0px"><span style="overflow-wrap: break-word;color: rgb(127, 127, 127);font-family: Helvetica, Arial, sans-serif;font-size: 12px;letter-spacing: 1px"><ignore_js_op style="overflow-wrap: break-word"></ignore_js_op><ignore_js_op style="overflow-wrap: break-word"></ignore_js_op><ignore_js_op style="overflow-wrap: break-word"></ignore_js_op></span></section><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">重庆哪些医院看普通门诊能报销?</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">在药店买药医保能报销吗?</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-family: Helvetica, Arial, sans-serif"><span style="overflow-wrap: break-word;font-size: 15px;letter-spacing: 1px">本宝汇总了一些热门问答</span></span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-family: Helvetica, Arial, sans-serif"><span style="overflow-wrap: break-word;font-size: 15px;letter-spacing: 1px">赶紧随小编一起来了解下吧</span></span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 25px;padding: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-family: Helvetica, Arial, sans-serif"></span></p></section><p><br/></p><section data-role="title" data-tools="135编辑器" data-id="34405" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;border-width: initial;border-style: none;border-color: initial;margin: 0.8em auto 0.3em"><section data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;font-size: 1em;color: rgb(254, 254, 254);border-color: rgb(104, 140, 32);display: inline-block;width: 977px"><section data-brushtype="text" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;padding: 0.5em;line-height: 1.2em;font-size: 1em;background-color: rgb(104, 140, 32)"><span style="overflow-wrap: break-word;font-weight: 700">重庆市哪些医院看普通门诊能报销?</span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;width: 0px;margin-right: auto;margin-left: auto;border-top: 0.6em solid rgb(104, 140, 32);border-bottom-color: rgb(104, 140, 32);height: 10px;overflow: hidden;border-left: 1em solid transparent !important;border-right: 1em solid transparent !important"><br style="overflow-wrap: break-word"/></section></section></section></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">重庆市职工医保参保人员在重庆市所有定点医疗机构普通门诊就医,可以按规定享受门诊统筹报销。可通过重庆市医疗保障局官网、重庆市医疗保障局微信公众号、重庆医保APP等平台查询重庆市定点医疗机构。</span></p></section></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"></section><section data-role="title" data-tools="135编辑器" data-id="34405" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;border-width: initial;border-style: none;border-color: initial;margin: 0.8em auto 0.3em"><section data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;font-size: 1em;color: rgb(254, 254, 254);border-color: rgb(104, 140, 32);display: inline-block;width: 977px"><section data-brushtype="text" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;padding: 0.5em;line-height: 1.2em;font-size: 1em;background-color: rgb(104, 140, 32)"><span style="overflow-wrap: break-word;font-weight: 700">在重庆市定点医院看普通门诊,医保如何报销?</span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;width: 0px;margin-right: auto;margin-left: auto;border-top: 0.6em solid rgb(104, 140, 32);border-bottom-color: rgb(104, 140, 32);height: 10px;overflow: hidden;border-left: 1em solid transparent !important;border-right: 1em solid transparent !important"><br style="overflow-wrap: break-word"/></section></section></section></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">重庆市职工医保参保人员在重庆市定点医疗机构普通门诊看病,发生的符合重庆市医保政策范围内(就是医保目录内的)普通门诊的药品费、检查费等,</span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">在定点医疗机构缴费时,医保就直接结算报销了</span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">。如果这个定点医疗机构开通了医保移动支付,职工医保参保就医人员可直接通过手机缴费,医保通过移动支付直接结算报销。</span></p></section></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;letter-spacing: 0.544px;line-height: 1.33em;font-family: 微软雅黑, sans-serif"><ignore_js_op style="overflow-wrap: break-word"></ignore_js_op></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px"><br/></p><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;outline: 0px;letter-spacing: 0.544px;font-family: 微软雅黑, sans-serif"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;line-height: 1.33em"><span style="overflow-wrap: break-word;outline: 0px;color: rgb(127, 127, 127);font-size: 12px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">图虫创意-1020927942661111937</span></p></section></section><section data-role="title" data-tools="135编辑器" data-id="34405" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;border-width: initial;border-style: none;border-color: initial;margin: 0.8em auto 0.3em"><section data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;font-size: 1em;color: rgb(254, 254, 254);border-color: rgb(104, 140, 32);display: inline-block;width: 977px"><section data-brushtype="text" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;padding: 0.5em;line-height: 1.2em;font-size: 1em;background-color: rgb(104, 140, 32)"><span style="overflow-wrap: break-word;font-weight: 700">现在有多少医院开通了医保移动支付?如何通过手机缴费报销医保?</span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;width: 0px;margin-right: auto;margin-left: auto;border-top: 0.6em solid rgb(104, 140, 32);border-bottom-color: rgb(104, 140, 32);height: 10px;overflow: hidden;border-left: 1em solid transparent !important;border-right: 1em solid transparent !important"><br style="overflow-wrap: break-word"/></section></section></section></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">截至2023年底,重庆市已经有177家定点医疗机构开通医保移动支付,重庆市职工医保参保人员可通过这177家定点医疗机构微信公众号或小程序缴费,直接结算报销。</span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">市民在看门诊时,可咨询医院是否开通医保移动支付</span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">。</span></p></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"></section><section data-role="title" data-tools="135编辑器" data-id="34405" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;border-width: initial;border-style: none;border-color: initial;margin: 0.8em auto 0.3em"><section data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;font-size: 1em;color: rgb(254, 254, 254);border-color: rgb(104, 140, 32);display: inline-block;width: 977px"><section data-brushtype="text" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;padding: 0.5em;line-height: 1.2em;font-size: 1em;background-color: rgb(104, 140, 32)"><span style="overflow-wrap: break-word;font-weight: 700">在药店买药医保能报销吗?</span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;width: 0px;margin-right: auto;margin-left: auto;border-top: 0.6em solid rgb(104, 140, 32);border-bottom-color: rgb(104, 140, 32);height: 10px;overflow: hidden;border-left: 1em solid transparent !important;border-right: 1em solid transparent !important"><br style="overflow-wrap: break-word"/></section></section></section></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">重庆市职工医保参保人员在定点医疗机构就医后,凭定点医疗机构开具的外配处方 (电子处方或纸质处方),在门诊统筹定点零售药店购买符合重庆市医保目录规定的药品,药品费用可按相关政策规定进行报销。<br style="overflow-wrap: break-word;outline: 0px"/></span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">截至2023年底,重庆市已有1995家定点零售药店开通了门诊统筹服务,数量还会不断增多。</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">目前,门诊统筹定点零售药店查询功能正在紧密开发中,</span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">后续将会在重庆医保APP、重庆市医疗保障局微信公众号等平台上线</span><span draggable="true" style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">,并及时向公众公布。</span><span style="overflow-wrap: break-word;font-weight: 700"><span draggable="true" style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">目前市民可以通过咨询当地医保经办机构或药店确认是否已开通门诊统筹服务</span></span><span draggable="true" style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">。</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;line-height: 1.33em;font-family: 微软雅黑, sans-serif"><ignore_js_op style="overflow-wrap: break-word"></ignore_js_op></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px"><br/></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;line-height: 1.33em;font-family: 微软雅黑, sans-serif"><span style="overflow-wrap: break-word;outline: 0px;color: rgb(127, 127, 127);font-size: 12px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">图虫创意-971051432347566136</span></p></section><section data-role="title" data-tools="135编辑器" data-id="34405" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;border-width: initial;border-style: none;border-color: initial;margin: 0.8em auto 0.3em"><section data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;font-size: 1em;color: rgb(254, 254, 254);border-color: rgb(104, 140, 32);display: inline-block;width: 977px"><section data-brushtype="text" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;padding: 0.5em;line-height: 1.2em;font-size: 1em;background-color: rgb(104, 140, 32)"><span style="overflow-wrap: break-word;font-weight: 700">“两病”、特病、国谈药使用患者在门诊报销后,是否还能报销普通门诊?</span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;width: 0px;margin-right: auto;margin-left: auto;border-top: 0.6em solid rgb(104, 140, 32);border-bottom-color: rgb(104, 140, 32);height: 10px;overflow: hidden;border-left: 1em solid transparent !important;border-right: 1em solid transparent !important"><br style="overflow-wrap: break-word"/></section></section></section></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;font-weight: 700"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">可以的</span></span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">。“两病”(高血压、糖尿病)门诊用药保障患者、门诊特殊疾病保障患者、国谈药品门诊保障用药患者等,经医保统筹基金支付后的个人自付费用(就是医保目录内的费用),也按规定纳入普通门诊统筹基金报销范围。</span></p></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section data-role="title" data-tools="135编辑器" data-id="34405" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;border-width: initial;border-style: none;border-color: initial;margin: 0.8em auto 0.3em"><section data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;font-size: 1em;color: rgb(254, 254, 254);border-color: rgb(104, 140, 32);display: inline-block;width: 977px"><section data-brushtype="text" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;padding: 0.5em;line-height: 1.2em;font-size: 1em;background-color: rgb(104, 140, 32)"><span style="overflow-wrap: break-word;font-weight: 700">如果在定点医院或者门诊统筹定点药店看普通门诊或买药时,因停电、网络中断等原因没有马上报销,后续怎么办?</span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;width: 0px;margin-right: auto;margin-left: auto;border-top: 0.6em solid rgb(104, 140, 32);border-bottom-color: rgb(104, 140, 32);height: 10px;overflow: hidden;border-left: 1em solid transparent !important;border-right: 1em solid transparent !important"><br style="overflow-wrap: break-word"/></section></section></section></section><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;outline: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">如因定点医疗机构或门诊统筹定点药店停电、断网等特殊情况,未能在现场联网结算普通门诊统筹费用的,</span><span style="overflow-wrap: break-word;font-weight: 700"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">重庆市职工医保参保人员可自己垫付医疗费用后,通过以下两种方式进行报销</span></span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">:</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 15px;padding: 0px;text-align: justify;outline: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">1、持本人医保电子凭证或社会保障卡和医药机构收费票据,到就诊医疗机构或购药的门诊统筹定点零售药店进行反结算(参保人员因为提前垫付了医疗费用,到医保定点机构进行自费转医保结算的过程)。</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;outline: 0px;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">2、持相关材料到重庆市各区县医保服务大厅,或其指定的医保定点机构按规定进行手工报销。所需材料如下:①医保电子凭证或有效身份证件或社会保障卡,帮别人代办的还需要提供代办人有效的身份证件;②医药机构收费票据;③门诊费用清单;④病历资料(含处方底方);⑤银行账户信息。</span></p></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;line-height: 1.33em;visibility: visible;font-family: 微软雅黑, sans-serif"><br/></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;outline: 0px;color: rgb(34, 34, 34);letter-spacing: 0.544px;line-height: 1.33em;font-family: 微软雅黑, sans-serif"><span style="overflow-wrap: break-word;outline: 0px;color: rgb(127, 127, 127);font-size: 12px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">摄图网-500642171</span></p><section data-role="title" data-tools="135编辑器" data-id="34405" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%"><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;border-width: initial;border-style: none;border-color: initial;margin: 0.8em auto 0.3em"><section data-width="100%" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;font-size: 1em;color: rgb(254, 254, 254);border-color: rgb(104, 140, 32);display: inline-block;width: 977px"><section data-brushtype="text" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;padding: 0.5em;line-height: 1.2em;font-size: 1em;background-color: rgb(104, 140, 32)"><span style="overflow-wrap: break-word;font-weight: 700">在重庆市外就医,也可以享受普通门诊统筹报销吗?</span></section><section style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;width: 0px;margin-right: auto;margin-left: auto;border-top: 0.6em solid rgb(104, 140, 32);border-bottom-color: rgb(104, 140, 32);height: 10px;overflow: hidden;border-left: 1em solid transparent !important;border-right: 1em solid transparent !important"><br style="overflow-wrap: break-word"/></section></section></section></section><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;font-weight: 700"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">可以。结算方式主要分为以下三种情况</span></span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">:</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;font-weight: 700"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">第一种情况</span></span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">:重庆市职工医保参保人员,在市外医保定点医疗机构普通门诊就医发生的医疗费用,医保报销的部分是可直接异地联网结算的,自己是不需要垫付费用的。异地联网可以直接结算的定点医疗机构有很多,可以在国家医保服务平台 App、重庆市医疗保障局公众号、渝快办 App 上查询到的。</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;font-weight: 700"><span draggable="true" style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">第二种情况</span></span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">:取得重庆市门诊慢特病资格且该病种已实现跨省直接结算的职工医保参保人员(目前限高血压、糖尿病、恶性肿瘤门诊放化疗、尿毒症透析、器官移植术后抗排异治疗5种特病),在市外异地联网的医保定点医疗机构就医,和在重庆市看病一样,经医保统筹基金支付后的个人自付费用(就是医保目录内的费用),也按规定进行普通门诊统筹基金报销而且也可直接异地联网结算报销。</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;font-weight: 700"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">第三种情况</span></span><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">:前述5种特病范围外的重庆市门诊慢特病其它病种的患者,在市外医保定点医疗机构门诊就医发生的医疗费用,需由参保人员先行垫付相关费用,再持以下材料到重庆市各区县医保服务大厅或其指定的医保定点机构进行手工报销:</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">1.医保电子凭证或有效身份证件或社会保障卡,帮别人代办的还需提供代办人有效身份证件;</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">2.医药机构收费票据;</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">3.门诊费用清单;</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">4.病历资料(含处方底方);</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif">5.银行账户信息。</span></p><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: justify;line-height: 2em"><span style="overflow-wrap: break-word;color: rgb(63, 63, 63);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif"><br style="overflow-wrap: break-word"/></span></p></section><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;color: rgb(68, 68, 68);font-family: 宋体, Arial, tahoma, arial, sans-serif;font-size: 16px;text-align: center;white-space: normal;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255)"><section data-role="paragraph" style="overflow-wrap: break-word;box-sizing: border-box;max-width: 100%;outline: 0px"><p style="overflow-wrap: break-word;margin-top: 0px;margin-bottom: 0px;padding: 0px;text-align: left;outline: 0px;line-height: 1.33em">来源:重庆本地宝</p></section></section><p><br/></p><p><br/></p><link rel="stylesheet" href="//www.cqhc.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_E0a" id="wcn_editor_css"/>
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