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Is primary medical treatment sure to by what principle pa
From;    Author:Stand originally

Ginseng of insurance of primary medical treatment protects personnel to use Western medicine and the fee that medium officinal happening, the fund of insurance of primary medical treatment that exceeds range of catalog of medicines and chemical reagents does not grant to pay, belong to limits of catalog of medicines and chemical reagents to pay inside by the following principle, it is to use " armour kind directory " the cost that place of medicines and chemical reagents produces, by primary medical treatment the standard of insurance regulation gives pay; 2 it is to use " second kind catalog " the cost that place of medicines and chemical reagents produces, after paying certain proportion oneself by the worker first, the standard that is sure to set by primary medical treatment again gives pay.

The cost that place of prepared herbal medicine in small pieces ready of decoction produces use Chinese traditional medicine, belong to catalog of medicines and chemical reagents inside, fund of insurance of primary medical treatment does not grant to pay, do not record in medical items, by primary medical treatment the standard of insurance regulation gives pay.

For example, some plans as a whole a Fu Biao of the area is accurate it is 800 yuan, highest pay limitation to be 25 thousand yuan, as a whole fund pays scale of responsibility of the individual inside limits to be 10 % , second kind individual of medicines and chemical reagents pays 20 % oneself above all. Assume be in hospital produces worker of this city some now medical treatment charge 30 thousand yuan, among them, drug cost 10 thousand yuan, 6000 yuan are use armour kind the charge of medicines and chemical reagents, 3000 yuan are use second kind the charge of medicines and chemical reagents, 1000 yuan are blame " catalog of medicines and chemical reagents of insurance of primary medical treatment " the drug cost inside. Criterion charge of this worker medical treatment pays method to be as follows:

1, worker above all the second that the individual pays oneself kind the charge of medicines and chemical reagents is:

20 % of 3000 × = 600 yuan of;
From Fu Fei " catalog of medicines and chemical reagents of insurance of primary medical treatment " drug cost: 1000 yuan

2, armour kind medicines and chemical reagents 6000 yuan, second kind drug cost is used 2200 yuan when fall from Fu Houyu with other medical expenses in the individual along with all the others in all 28400 yuan, bring into as a whole fund pays limits, by primary medical treatment safe provision pays a Fu Biao to allow above charge to be 27600 yuan, as a whole fund presses exemple pay:

   - - case pay the line pays oneself by the individual below or individual account pays: 800 yuan
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