The special-needs ward is a special-needs service, and the part that is higher than the bed fee paid by medical insurance cannot be reimbursed.
At present, special medical services are limited to analgesia delivery, doula delivery, LDR home delivery, plastic surgery and special outpatient service, and all non-profit medical institutions are not allowed to add special medical services without authorization.
The pricing of special medical service items was changed from pre-audit to post-notification filing, emphasizing post-supervision and simplifying management procedures. Non-profit medical institutions shall inform the Municipal Price Bureau and Xiamen Municipal Health Bureau for the record within 5 working days after setting up or adjusting special medical service items and prices.
At the same time, non-profit medical institutions are required to do a good job in the management of special-needs wards and special-needs medical services, clearly mark prices, implement sunshine prices, and follow the principles of prior notice and voluntary patients. Do not arbitrarily raise the charging standard in the name of special medical services, which will harm the interests of patients. Do not induce or force patients to provide special medical services, and do not give priority to medical treatment to affect the normal medical treatment of the masses.
Non-profit medical institutions shall accept the inspection of the municipal price and health authorities.
Mr. Song, 29, often accompanies his wife to the hospital for prenatal examination. He found that every time he stood in line, there was always a nurse leading pregnant women to jump in line for inspection in advance. "It is estimated that the somebody else is a VIP, otherwise how could it be so special? If you say jump in line, jump in line. " Mr. Song whispered a few words to his wife. In order to find out as soon as possible, he also dared to say it.
The family members of patients living in the special needs ward of a 3A hospital in Chaoyang District said that the reason why they chose the special needs ward was that they could enjoy "one-stop" service in addition to a more comfortable medical environment, which means that after check-in, a series of examinations were arranged by the hospital, eliminating the trouble of waiting in line.
A nurse in the special needs ward of the hospital explained that,
17 and 18 wards are special-needs wards with special-needs medical departments. Outpatient blood drawing and ECG examination can be completed in the ward without complicated procedures and running back and forth. The charging standard here is a deposit of 20,000 yuan, and the examination fee is higher than that of ordinary wards. "Some inspections can be done directly at 1 1 floor without queuing."
In the special needs ward of this 3A hospital in Dongcheng District, Mr. Liu, who has just become a father, said that the conditions of the room are similar to those of a hotel standard room, and the hospital bed is a multifunctional bed that can be automatically adjusted. The hospital implements the same room for mother and baby, and can accompany the bed. Meals are delivered directly to the room every day, and each room is attended by a special nurse.
The charging standard is 20,000 yuan for deposit, 600 yuan/day for bed, 65,438 yuan +000 yuan/day for nursing, and the examination fee is several times that of ordinary wards. The attending doctors in the special needs ward are all chief doctors, and each doctor is only responsible for five pregnant women. B-ultrasound or other examinations, although they need to be done outside, are also handled according to special needs and do not need to spend a lot of time like ordinary patients.
"The special needs ward here is very nervous. Many women have just been pregnant for 8 weeks and may not be able to arrange it. "
A doctor in the special needs ward said that there are special doctors and nurses in the special needs ward to serve patients. If patients need to go to other departments for laboratory tests, they will also make quick arrangements by phone and can be accompanied by nurses. "It is also possible to jump the queue."
It is understood that patients can also organize doctors to conduct consultations after staying in the special needs ward, and other examinations should try not to queue up.
Living in a VIP ward can also be reimbursed, and the reimbursement process is the same as living in a general ward.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.