声色妹 发表于 2023-2-27 11:02:13

@江门街坊,医保最高支付限额提高!

<section style="margin-bottom: unset;" data-mpa-powered-by="yiban.io"><p style="text-align: center;line-height: 1.75em;letter-spacing: 1px;"><span style="font-size: 16px;">近日</span></p><p style="text-align: center;line-height: 1.75em;letter-spacing: 1px;"><span style="letter-spacing: 0.5px;color: rgb(0, 0, 0);font-size: 16px;">江门市2023年十项民生实事</span><span style="color: rgb(0, 0, 0);font-size: 16px;letter-spacing: 0.5px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif;">出炉</span></p><p style="text-align: center;line-height: 1.75em;letter-spacing: 1px;"><span style="letter-spacing: 0.5px;color: rgb(0, 0, 0);font-size: 16px;">其中的</span><strong style="color: rgb(192, 0, 0);font-size: 24px;"><span style="letter-spacing: 0.5px;">医保项目</span></strong></p><p style="text-align: center;line-height: 1.75em;letter-spacing: 1px;"><span style="color: rgb(0, 0, 0);letter-spacing: 0.5px;font-size: 16px;">与大家息息相关</span></p><p style="text-align: center;line-height: 2em;"><br></p><p style="line-height: 2em;"><br></p><p style="line-height: 1.75em;letter-spacing: 1px;"><span style="font-size: 16px;">为贯彻落实医保待遇清单制度,推进门诊共济保障改革,结合江门市2023年十项民生实事工作任务事项,市医保局提保障、稳改革、解民忧,稳步提升基本医疗保险待遇水平。</span></p><p style="line-height: 1.75em;letter-spacing: 1px;"><span style="font-size: 16px;"><br></span></p></section><section style="margin-bottom: unset;"><section label="edit by 135editor"><section><section style="background-repeat: repeat;background-position: center center;padding: 10px;background-color: rgb(218, 239, 249);background-size: auto;background-image: none;"><section data-support="96编辑器" data-style-id="33877" style="margin-bottom: unset;"><section data-align="title" style="text-align: center;margin-top: 10px;margin-bottom: 10px;height: 44px;display: flex;justify-content: flex-start;"><section style="display:inline-block;"><section style="border-left: 1px solid rgb(80, 92, 144);padding-top: 5px;padding-bottom: 5px;padding-left: 5px;"><section style="background-color:#f7f8ff;"><section style="display: flex;justify-content:center;align-items:flex-start;"><section style="margin-left: -5px;margin-top: -5px;border-top: 1px solid rgb(80, 92, 144);color: rgb(47, 107, 199);font-size: 18px;"><section style="padding-top: 7px;padding-right: 12px;padding-left: 12px;"><p data-form="0" data-num="1"><strong>01</strong></p></section></section><section style="margin-top: -7px;margin-right: 7px;margin-left: 7px;width: 1px;height: 38px;background-color: rgb(80, 92, 144);overflow: hidden;transform: rotateZ(-26deg);"><br></section><section style="font-size: 18px;color: rgb(55, 66, 120);padding: 2px 15px 2px 10px;letter-spacing: 2px;"><p><span style="color: #0070C0;"><strong>在普通门诊待遇方面</strong></span><span style="color: #0070C0;"></span></p></section></section></section></section><section style="width: 80%;height: 1px;background-color: rgb(80, 92, 144);max-width: 80%;overflow: hidden;" data-width="80%"><br></section></section></section></section><p style="line-height: normal;"><br></p><section data-support="96编辑器" data-style-id="43647" style="margin-bottom: unset;"><section style="margin-top: 10px;margin-bottom: 10px;"><section><section style="background-color: rgb(255, 253, 243);padding: 25px 15px 15px;border-radius: 10px 10px 0px 0px;margin-top: -13px;"><section style="font-size:14px;letter-spacing:2px;line-height:1.75;"><section><ul class="list-paddingleft-1" style="list-style-type: circle;padding-left: 30px;"><li style="font-size: 16px;letter-spacing: 1px;"><section style="text-align: justify;letter-spacing: 1px;line-height: 1.75em;"><span style="font-size: 16px;letter-spacing: 1px;"><span style="font-size: 16px;">职工医保普通门诊月度最高支付限额一级及以下定点医疗机构由2022年的80元</span><span style="font-size: 16px;color: rgb(192, 0, 0);"><strong><span style="font-size: 16px;">提高至2023年的85元</span></strong></span><span style="font-size: 16px;">;</span></span></section><section style="text-align: justify;line-height: 1.75em;"><br></section></li><li style="font-size: 16px;letter-spacing: 1px;"><section style="text-align: justify;letter-spacing: 1px;line-height: 1.75em;"><span style="font-size: 16px;letter-spacing: 1px;"><span style="font-size: 16px;letter-spacing: 1px;">二级或三级定点医疗机构由2022年的70元</span><span style="letter-spacing: 1px;font-size: 16px;color: rgb(192, 0, 0);"><strong><span style="font-size: 16px;">提高至2023年的75元</span></strong></span><span style="font-size: 16px;letter-spacing: 0.5px;">。</span></span></section></li></ul></section><p style="line-height: 2em;"><br></p><p style="line-height: 1.75em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="letter-spacing: 0.5px;">全年合计年度最高支付限额由2022年的1800元</span><span style="color: rgb(192, 0, 0);"><strong><span style="letter-spacing: 0.5px;">提高至2023年的1920元,</span></strong><strong><span style="letter-spacing: 0.5px;">增加了120元</span></strong></span><span style="letter-spacing: 0.5px;">。</span></span></p><p style="line-height: 2em;"><br></p><p style="line-height: 1.75em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="font-size: 16px;letter-spacing: 0.5px;">居民医保普通门诊年度最高支付限额由2022年的320元</span><span style="font-size: 16px;color: rgb(192, 0, 0);"><strong><span style="letter-spacing: 0.5px;">提高至2023年的350元,</span></strong><strong><span style="letter-spacing: 0.5px;">增加了30元</span></strong></span><span style="font-size: 16px;letter-spacing: 0.5px;">。</span></span></p></section></section><section style="width: 23px;margin-left: auto;margin-top: -10px;margin-right: 20px;"><br></section></section></section></section><section data-support="96编辑器" data-style-id="33877" style="margin-bottom: unset;"><section data-align="title" style="text-align: center;margin-top: 10px;margin-bottom: 10px;height: 44px;display: flex;justify-content: flex-start;"><section style="display:inline-block;"><section style="border-left: 1px solid rgb(80, 92, 144);padding-top: 5px;padding-bottom: 5px;padding-left: 5px;"><section style="background-color:#f7f8ff;"><section style="display: flex;justify-content:center;align-items:flex-start;"><section style="margin-left: -5px;margin-top: -5px;border-top: 1px solid rgb(80, 92, 144);color: rgb(47, 107, 199);font-size: 18px;"><section style="padding-top: 7px;padding-right: 12px;padding-left: 12px;"><p data-form="0" data-num="1"><strong>02</strong></p></section></section><section style="margin-top: -7px;margin-right: 7px;margin-left: 7px;width: 1px;height: 38px;background-color: rgb(80, 92, 144);overflow: hidden;transform: rotateZ(-26deg);"><br></section><section style="font-size: 18px;color: rgb(55, 66, 120);padding: 2px 15px 2px 10px;letter-spacing: 2px;"><p><span style="color: #0070C0;"><strong>在门诊特定病种待遇方面</strong></span></p></section></section></section></section><section style="width: 80%;height: 1px;background-color: rgb(80, 92, 144);max-width: 80%;overflow: hidden;" data-width="80%"><br></section></section></section></section><p style="line-height: normal;"><br></p><section data-support="96编辑器" data-style-id="43647" style="margin-bottom: unset;"><section style="margin-top: 10px;margin-bottom: 10px;"><section><section style="background-color: rgb(255, 253, 243);padding: 25px 15px 15px;border-radius: 10px 10px 0px 0px;margin-top: -13px;"><section style="font-size:14px;letter-spacing:2px;line-height:1.75;"><section data-support="96编辑器" data-style-id="27325" style="margin-bottom: unset;"><section data-align="title" style="text-align: left;margin-top: 10px;margin-bottom: 10px;"><section style="background-color: rgba(0, 72, 191, 0.75);display: inline-block;padding-right: 10px;padding-left: 10px;"><section style="display: flex;justify-content:center;align-items: center;"><section style="margin-right: 10px;"><p><span style="font-size:17px;"><strong><span style="color: #ffffff;" data-form="0" data-num="1">01</span></strong></span></p></section><section style="width: 10px;background: rgba(254, 254, 254, 0.992);transform: skew(-27deg);"><br></section><section style="margin-left: 10px;color: #ffffff;"><p><span style="font-size:17px;"><strong draggable="true">职工医保</strong></span></p></section></section></section></section></section><p style="line-height: 2em;"><br></p><section style="letter-spacing: 1px;line-height: 1.75em;"><span style="font-size: 16px;letter-spacing: 1px;">三类病种最高支付限额由2022年每季度3600元,<span style="color: rgb(192, 0, 0);"><strong>提高至2023年每季度4200元</strong><strong>,</strong><strong>每季度增加了600元</strong></span>。</span></section><section style="line-height: 1.75em;"><br></section><section style="letter-spacing: 1px;line-height: 1.75em;"><span style="font-size: 16px;letter-spacing: 1px;">四类病种最高支付限额由2022年每季度840元,<span style="color: rgb(192, 0, 0);"><strong>提高至2023年每季度1200元,</strong><strong>每季度增加了360元</strong></span>。</span></section><section style="line-height: 1.75em;"><br></section><section style="letter-spacing: 1px;line-height: 1.75em;"><span style="font-size: 16px;letter-spacing: 1px;"><span style="color: rgb(0, 89, 255);"><strong>血友病、耐多药肺结核</strong></span>由原来二类病种待遇,即最高支付限额为每季度10200元,<span style="color: rgb(192, 0, 0);"><strong>调整为一类病种待遇</strong></span>,按住院费用结算方式支付,不设起付标准,最高支付限额为<span style="color: rgb(192, 0, 0);"><strong>每</strong><strong>年</strong><strong>80万元</strong></span>。<span style="color: rgb(0, 89, 255);"><strong>银屑病</strong></span>由原来四类病种待遇,即最高支付限额为每季度840元,<span style="color: rgb(192, 0, 0);"><strong>调整为三类病种待遇</strong></span>,即最高支付限额<span style="color: rgb(192, 0, 0);"><strong>提高至每季度4200元</strong></span>。</span></section><p style="line-height: 2em;"><br></p><section data-support="96编辑器" data-style-id="27325" style="margin-bottom: unset;"><section data-align="title" style="text-align: left;margin-top: 10px;margin-bottom: 10px;"><section style="background-color: rgba(0, 72, 191, 0.75);display: inline-block;padding-right: 10px;padding-left: 10px;"><section style="display: flex;justify-content:center;align-items: center;"><section style="margin-right: 10px;"><p><span style="font-size:17px;"><strong><span style="color: #ffffff;" data-form="0" data-num="1">02</span></strong></span></p></section><section style="width: 10px;background: rgba(254, 254, 254, 0.992);transform: skew(-27deg);"><br></section><section style="margin-left: 10px;color: #ffffff;"><p><span style="font-size:17px;"><strong>居民医保</strong></span></p></section></section></section></section></section><p style="line-height: 2em;"><br></p><section style="letter-spacing: 1px;line-height: 1.75em;"><span style="letter-spacing: 1px;font-size: 16px;">三类病种最高支付限额由2022年每季度720元,<span style="letter-spacing: 1px;color: rgb(192, 0, 0);"><strong>提高至2023年每季度1500元,</strong><strong>每季度增加了780元</strong></span>。</span></section><section style="line-height: 1.75em;"><br></section><section style="letter-spacing: 1px;line-height: 1.75em;"><span style="letter-spacing: 1px;font-size: 16px;">四类病种最高支付限额由2022年每季度540元,<span style="letter-spacing: 1px;color: rgb(192, 0, 0);"><strong>提高至2023年每季度900元,</strong><strong>每季度增加了360元</strong></span>。</span></section><section style="line-height: 1.75em;"><br></section><section style="letter-spacing: 1px;line-height: 1.75em;"><span style="letter-spacing: 1px;font-size: 16px;"><span style="font-size: 16px;letter-spacing: 1px;color: rgb(0, 89, 255);"><strong>血</strong><strong>友病、耐多药肺结核</strong></span>由原来二类病种待遇,即最高支付限额为每季度7500元,<span style="font-size: 16px;letter-spacing: 1px;color: rgb(192, 0, 0);"><strong>调整为一类病种待遇</strong></span>,按住院费用结算方式支付,不设起付标准,最高支付限额为<span style="font-size: 16px;letter-spacing: 1px;color: rgb(192, 0, 0);"><strong>每年54万元</strong></span>。<span style="font-size: 16px;letter-spacing: 1px;color: rgb(0, 89, 255);"><strong>银屑病</strong></span>由原来四类病种待遇,即最高支付限额为每季度540元,<span style="font-size: 16px;letter-spacing: 1px;color: rgb(192, 0, 0);"><strong>调整为三类病种待遇</strong></span>,即最高支付限额<span style="font-size: 16px;letter-spacing: 1px;color: rgb(192, 0, 0);"><strong>提高至每季度1500元</strong></span>。</span></section></section></section><section style="width: 23px;margin-left: auto;margin-top: -10px;margin-right: 20px;"><br></section></section></section></section><section style="margin-bottom: unset;"><section data-support="96编辑器" data-style-id="35703" style="margin-bottom: unset;"><section style="margin-top: 10px;margin-bottom: 20px;"><section style="width: 30px;margin-left: auto;margin-right: auto;margin-bottom: -20px;"><br></section><section style="width: 50%;height: 6px;background-color: rgb(49, 83, 230);margin-right: auto;margin-left: auto;overflow: hidden;max-width: 50%;" data-width="50%"><br></section><section style="width: 100%;height: 2px;background-color: rgb(49, 83, 230);margin-top: -4px;margin-right: auto;margin-left: auto;overflow: hidden;" data-width="100%"><br></section></section></section></section><p style="text-align:center;line-height: 2em;"><br></p><p style="text-align:center;line-height: 2em;"><strong><span style="color: #c00000;">2023年江门市基本医保</span></strong></p><p style="text-align:center;line-height: 2em;"><strong><span style="color: #c00000;">具体待遇标准可详细看以下表格哦!</span></strong></p><p style="text-align:center;line-height: 2em;"><strong><span style="color: #c00000;">(点击查看大图)</span></strong></p><section style="text-align: center;"><section style="display:inline-block;"><section style="width: 2.5em;margin-right: auto;margin-left: auto;"><br></section></section></section><section data-support="96编辑器" data-style-id="41804" style="margin-bottom: unset;"><section data-align="title" style="display: flex;margin-top: 10px;margin-bottom: 10px;justify-content: center;align-items: center;"><section style="width: 30px;"><br></section><section style="background-color: rgb(232, 240, 255);padding-top: 5px;padding-bottom: 5px;margin-right: 10px;margin-left: 10px;"><section style="background-color: rgb(34, 96, 198);padding: 5px 20px;"><section style="font-size:16px;letter-spacing:2px;color:#fefefe;"><p><strong>职工医保待遇标准</strong></p></section></section></section><section style="width: 30px;transform: rotateY(180deg);"><br></section></section></section><section><section style="margin: 10px auto;text-align: center;"><section style="display: flex;"><section style="flex: 1 1 0%;"><section style="max-width: 90%;width: 90%;height: 15px;background: rgba(243, 245, 251, 0.047);overflow: hidden;" data-width="90%"><br></section><section style="border-width: 1px;border-style: solid;border-color: rgb(68, 117, 241);padding: 4px;margin-top: -10px;"><p><span style="color: #000000;"><strong><span style="font-size: 16px;">住院待遇标准</span></strong></span><br></p></section></section></section></section></section><p style="line-height: normal;"><br></p><section><section style="margin: 10px auto;text-align: center;"><section style="display: flex;"><section style="flex: 1 1 0%;"><section style="max-width: 90%;width: 90%;height: 15px;background: rgba(243, 245, 251, 0.02);overflow: hidden;" data-width="90%"><br></section><section style="border-width: 1px;border-style: solid;border-color: rgb(68, 117, 241);padding: 4px;margin-top: -10px;"><section><strong><span style="font-size: 16px;color: #000000;">普通门诊待遇标准</span></strong><br></section></section></section></section></section></section><p style="line-height: normal;"><br></p><section><section style="margin: 10px auto;text-align: center;"><section style="display: flex;"><section style="flex: 1 1 0%;"><section style="max-width: 90%;width: 90%;height: 15px;background: rgba(243, 245, 251, 0);overflow: hidden;" data-width="90%"><br></section><section style="border-width: 1px;border-style: solid;border-color: rgb(68, 117, 241);padding: 4px;margin-top: -10px;"><p style="width: 100%;line-height: normal;" data-width="100%"><span style="color: #313030;font-size: 16px;"><strong>门诊特定病种待遇标准</strong></span><span style="font-size: 14px;color: #7f7f7f;"><strong><br></strong></span></p></section><section><p style="line-height:2em;"><br></p></section></section></section></section></section><section data-support="96编辑器" data-style-id="41804" style="margin-bottom: unset;"><section data-align="title" style="display: flex;margin-top: 10px;margin-bottom: 10px;justify-content: center;align-items: center;"><section style="width: 30px;"><br></section><section style="background-color: rgb(232, 240, 255);padding-top: 5px;padding-bottom: 5px;margin-right: 10px;margin-left: 10px;"><section style="background-color: rgb(34, 96, 198);padding: 5px 20px;"><section style="font-size:16px;letter-spacing:2px;color:#fefefe;"><p><strong>城乡居民医保待遇标准</strong></p></section></section></section><section style="width: 30px;transform: rotateY(180deg);"><br></section></section></section><section><section style="margin: 10px auto;text-align: center;"><section style="display: flex;"><section style="flex: 1 1 0%;"><section style="max-width: 90%;width: 90%;height: 15px;background: rgba(243, 245, 251, 0);overflow: hidden;" data-width="90%"><br></section><section style="border-width: 1px;border-style: solid;border-color: rgb(68, 117, 241);padding: 4px;margin-top: -10px;"><p style="width: 100%;line-height: normal;" data-width="100%"><span style="color: #313030;font-size: 16px;"><strong><strong style="white-space: normal;">住院待遇标准</strong></strong></span></p><p style="width: 100%;line-height: normal;" data-width="100%"><strong><strong style="white-space: normal;"><br></strong></strong></p></section></section></section></section></section><p style="line-height: normal;"><br></p><section><section style="margin: 10px auto;text-align: center;"><section style="display: flex;"><section style="flex: 1 1 0%;"><section style="max-width: 90%;width: 90%;height: 15px;background: rgba(243, 245, 251, 0.02);overflow: hidden;" data-width="90%"><br></section><section style="border-width: 1px;border-style: solid;border-color: rgb(68, 117, 241);padding: 4px;margin-top: -10px;"><p style="width: 100%;line-height: normal;" data-width="100%"><span style="color: #313030;font-size: 16px;"><strong><strong style="white-space: normal;">普通门诊待遇标准</strong></strong></span></p><p style="width: 100%;line-height: normal;" data-width="100%"><strong><strong style="white-space: normal;"><br></strong></strong></p></section></section></section></section></section><p style="line-height: normal;"><br></p><section><section style="margin: 10px auto;text-align: center;"><section style="display: flex;"><section style="flex: 1 1 0%;"><section style="max-width: 90%;width: 90%;height: 15px;background: rgba(243, 245, 251, 0);overflow: hidden;" data-width="90%"><br></section><section style="border-width: 1px;border-style: solid;border-color: rgb(68, 117, 241);padding: 4px;margin-top: -10px;"><p style="width: 100%;line-height: normal;" data-width="100%"><span style="color: #313030;font-size: 16px;"><strong><strong style="white-space: normal;">门诊特定病种待遇标准</strong></strong></span></p><p><br></p><p style="width: 100%;line-height: normal;" data-width="100%"><br></p></section></section></section></section></section></section><p style="white-space: normal;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;"><span style="outline: 0px;font-size: 14px;visibility: visible;"><span style="outline: 0px;color: rgb(89, 89, 89);visibility: visible;"><br></span></span></p><p style="margin-bottom: 0px;white-space: normal;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, &quot;system-ui&quot;, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);"><span style="outline: 0px;font-size: 12px;color: rgb(136, 136, 136);"><br></span></p><p style="margin-bottom: 0px;white-space: normal;outline: 0px;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, &quot;system-ui&quot;, &quot;Helvetica Neue&quot;, &quot;PingFang SC&quot;, &quot;Hiragino Sans GB&quot;, &quot;Microsoft YaHei UI&quot;, &quot;Microsoft YaHei&quot;, Arial, sans-serif;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);"><span style="outline: 0px;font-size: 12px;color: rgb(136, 136, 136);">来源:江门市医疗保障局</span></p></section></section></section><p style="display: none;"><mp-style-type data-value="10000"></mp-style-type></p>

冷咖啡小果 发表于 2023-2-27 11:15:46

所以,报销多咗?

我叫宝宝 发表于 2023-2-27 11:27:51

即系报销限额提高噶意思?

yefeng004 发表于 2023-2-27 11:39:47

唔系好明
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