福清职工医保报销标准！
<p style="text-align:center;outline: 0px;max-inline-size: 100%;cursor: text;caret-color: rgb(255, 0, 0);letter-spacing: 0.544px;visibility: visible;line-height: 2em;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="font-weight: 700;color: rgb(192, 0, 0);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;">看病能报销多少钱？</span></p><p style="text-align:center;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">是不是大家每次就医缴费时</span></p><p style="text-align:center;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">都会关心的问题</span></p><p style="text-align:center;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">根据福州市医保局发布</span></p><p style="text-align:center;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">福州职工医保报销标准如下</span></p><p style="text-align:center;outline: 0px;visibility: visible;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;"></span></p><p style="text-align:center;outline: 0px;visibility: visible;line-height: 2em;"><br/></p><p><br/></p><section data-role="title" data-tools="135编辑器" data-id="135036" style="outline: 0px;letter-spacing: 0.544px;"><section style="margin: 10px auto;padding-top: 5px;outline: 0px;display: flex;justify-content: center;align-items: center;"><section style="outline: 0px;flex-shrink: 0;z-index: 9;"><section style="outline: 0px;width: 30px;"></section></section><section style="margin-left: -10px;padding: 5px 20px;outline: 0px;color: rgb(76, 190, 255);background-color: rgb(243, 251, 255);"><p style="outline: 0px;"><strong data-brushtype="text" style="outline: 0px;">福州职工医疗保险待遇</strong></p></section><section style="margin-top: -20px;margin-left: -15px;outline: 0px;flex-shrink: 0;z-index: 9;"><section style="outline: 0px;width: 25px;"></section></section></section></section><p><br/></p><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;line-height: 2em;"><br/></p><p><br/></p><section data-role="paragraph" style="outline: 0px;letter-spacing: 0.544px;"><p style="text-align:justify;outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">1.个人账户划拨；</span></p><p style="text-align:justify;outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">2.普通门诊医疗费用统筹基金支付；</span></p><p style="text-align:justify;outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">3.门诊特殊病种医疗费用统筹基金支付；</span></p><p style="text-align:justify;outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">4.住院医疗费用统筹基金支付；</span></p><p style="text-align:justify;outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">5.在职工基本医保待遇基础上，享受职工大额医疗费用补充保险待遇；</span></p><p style="text-align:justify;outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">6.符合医疗救助条件的，对基本医保、大病保险等支付后个人医疗费用负担仍然较重的救助对象按规定实施救助。</span></p><p style="text-align:justify;outline: 0px;line-height: 2em;"><br/></p><section data-role="title" data-tools="135编辑器" data-id="135037" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;display: flex;justify-content: center;"><section style="outline: 0px;"><section style="margin-right: auto;margin-left: auto;outline: 0px;font-size: 16px;color: rgb(255, 255, 255);background-color: rgb(255, 203, 135);width: 35px;height: 35px;display: flex;justify-content: center;align-items: center;border-radius: 100%;"><strong style="outline: 0px;">0</strong><strong data-original-title="" title="" style="outline: 0px;">1</strong></section><section style="margin-top: 2px;margin-right: auto;margin-left: auto;outline: 0px;width: 0px;height: 1px;border-top: 6px solid rgb(255, 203, 135);border-left: 6px solid transparent;border-right: 6px solid transparent;overflow: hidden;"><br style="outline: 0px;"/></section><section style="padding: 4px 20px;outline: 0px;font-size: 16px;color: rgb(76, 190, 255);background-color: rgb(243, 251, 255);border-radius: 8px 8px 0px 0px;"><p style="outline: 0px;"><strong data-brushtype="text" style="outline: 0px;">普通门诊待遇</strong></p></section><section data-width="100%" style="outline: 0px;width: 100%;border-bottom: 1px dashed rgb(76, 190, 255);height: 2px;overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section><p style="text-align:justify;outline: 0px;line-height: 2em;"><br/></p><p style="outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">1.年度内参保人员在定点医疗机构普通门诊符合基本医疗保险目录范围内的医疗费用，按以下标准支付：</span></p><p style="text-align:center;outline: 0px;line-height: 2em;"></p><p style="text-align:center;outline: 0px;line-height: 2em;"><span style="outline: 0px;color: rgb(165, 165, 165);font-size: 12px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">图源：福州市医疗保障局（下同）</span></p><p style="outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">2.在定点公立社区卫生服务中心（站）、乡镇（街道）卫生院门诊使用国家基本药物的药品费用取消起付线，由统筹基金按规定比例支付（不计入门诊统筹起付线累计）。</span></p><p style="outline: 0px;line-height: 2em;"><br/></p><section data-role="title" data-tools="135编辑器" data-id="135037" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;display: flex;justify-content: center;"><section style="outline: 0px;"><section style="margin-right: auto;margin-left: auto;outline: 0px;font-size: 16px;color: rgb(255, 255, 255);background-color: rgb(255, 203, 135);width: 35px;height: 35px;display: flex;justify-content: center;align-items: center;border-radius: 100%;"><strong style="outline: 0px;">0</strong><strong data-original-title="" title="" data-num="2" style="outline: 0px;">2</strong></section><section style="margin-top: 2px;margin-right: auto;margin-left: auto;outline: 0px;width: 0px;height: 1px;border-top: 6px solid rgb(255, 203, 135);border-left: 6px solid transparent;border-right: 6px solid transparent;overflow: hidden;"><br style="outline: 0px;"/></section><section style="padding: 4px 20px;outline: 0px;font-size: 16px;color: rgb(76, 190, 255);background-color: rgb(243, 251, 255);border-radius: 8px 8px 0px 0px;"><p style="outline: 0px;"><strong data-brushtype="text" style="outline: 0px;">门诊特殊病种待遇</strong></p></section><section data-width="100%" style="outline: 0px;width: 100%;border-bottom: 1px dashed rgb(76, 190, 255);height: 2px;overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section><p style="outline: 0px;line-height: 2em;"><br/></p><p style="outline: 0px;"></p><section data-role="paragraph" style="outline: 0px;"><p style="outline: 0px;"><br/></p></section></section><p><br/></p><section data-role="paragraph" style="outline: 0px;"><section data-role="paragraph"><p><br/></p></section><section data-role="title" data-tools="135编辑器" data-id="135037" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;display: flex;justify-content: center;"><section style="outline: 0px;"><section style="margin-right: auto;margin-left: auto;outline: 0px;font-size: 16px;color: rgb(255, 255, 255);background-color: rgb(255, 203, 135);width: 35px;height: 35px;display: flex;justify-content: center;align-items: center;border-radius: 100%;"><strong style="outline: 0px;">0</strong><strong data-original-title="" title="" data-num="3" style="outline: 0px;">3</strong></section><section style="margin-top: 2px;margin-right: auto;margin-left: auto;outline: 0px;width: 0px;height: 1px;border-top: 6px solid rgb(255, 203, 135);border-left: 6px solid transparent;border-right: 6px solid transparent;overflow: hidden;"><br style="outline: 0px;"/></section><section style="padding: 4px 20px;outline: 0px;font-size: 16px;color: rgb(76, 190, 255);background-color: rgb(243, 251, 255);border-radius: 8px 8px 0px 0px;"><p style="outline: 0px;"><strong data-brushtype="text" style="outline: 0px;">住院待遇</strong></p></section><section data-width="100%" style="outline: 0px;width: 100%;border-bottom: 1px dashed rgb(76, 190, 255);height: 2px;overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section><p style="outline: 0px;"><br/></p></section><p style="outline: 0px;line-height: 2em;"><span style="outline: 0px; font-size: 15px; text-shadow: none; letter-spacing: 1px; font-family: Helvetica, Arial, sans-serif;"><strong style="outline: 0px;">1.统筹基金支付规定（按病种收付费和按 DRG 收付费除外）</strong></span></p><p style="outline: 0px;line-height: 2em;"><br/></p><p style="outline: 0px;line-height: 2em;"><span style="outline: 0px; font-size: 15px; text-shadow: none; letter-spacing: 1px; font-family: Helvetica, Arial, sans-serif;"></span></p><p style="outline: 0px;line-height: 2em;"><br/></p><p style="outline: 0px;line-height: 2em;"><span style="font-size: 15px; text-shadow: none; letter-spacing: 1px; font-family: Helvetica, Arial, sans-serif;"><strong>2.按病种收付费管理的病种支付规定 </strong></span></p><p style="outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;" draggable="true">在定点医疗机构发生的列入按病种收付费管理的病种费用，医保按照该病种收费标准结算，不设起付线，由个人和统筹基金按比例分担。</span></p><p style="outline: 0px;line-height: 2em;"><strong><span style="outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">①省属医院按以下标准结算</span></strong></p><p style="outline: 0px;line-height: 2em;"><span style="outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;"></span></p><p style="outline: 0px;line-height: 2em;"><br/></p><p style="outline: 0px;line-height: 2em;"><strong><span style="outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">②市属医院按以下标准结算</span></strong></p><p style="outline: 0px;"></p><p style="outline: 0px;"><br/></p><p style="outline: 0px;line-height: 2em;"><strong><span style="color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;">③按DRG收付费的支付规定 </span></strong></p><p style="outline: 0px;line-height: 2em;"><span style="color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">在开展DRG收付费改革的定点医疗机构发生的按DRG结算的住院医疗费用，由个人和统筹基金按比例分担。其中，在职职工统筹基金支付比例为 73%，退休人员统筹基金支付比例为 78%。</span></p><p style="outline: 0px;"><br/></p><p><br/></p><section data-role="title" data-tools="135编辑器" data-id="135037" style="outline: 0px;"><section style="margin: 10px auto;outline: 0px;display: flex;justify-content: center;"><section style="outline: 0px;"><section style="margin-right: auto;margin-left: auto;outline: 0px;font-size: 16px;color: rgb(255, 255, 255);background-color: rgb(255, 203, 135);width: 35px;height: 35px;display: flex;justify-content: center;align-items: center;border-radius: 100%;"><strong style="outline: 0px;">0</strong><strong data-original-title="" title="" data-num="4" style="outline: 0px;">4</strong></section><section style="margin-top: 2px;margin-right: auto;margin-left: auto;outline: 0px;width: 0px;height: 1px;border-top: 6px solid rgb(255, 203, 135);border-left: 6px solid transparent;border-right: 6px solid transparent;overflow: hidden;"><br style="outline: 0px;"/></section><section style="padding: 4px 20px;outline: 0px;font-size: 16px;color: rgb(76, 190, 255);background-color: rgb(243, 251, 255);border-radius: 8px 8px 0px 0px;"><p style="outline: 0px;"><strong data-brushtype="text" style="outline: 0px;">大病保险待遇</strong></p></section><section data-width="100%" style="outline: 0px;width: 100%;border-bottom: 1px dashed rgb(76, 190, 255);height: 2px;overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section><p><br/></p><p style="outline: 0px;"><br/></p><p style="outline: 0px;line-height: 2em;"><span style="outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">职工医保大额医疗费用补充保险是解决基本医保统筹基金最高支付限额以上的医疗费用，补充保险费由统筹基金支付，赔付范围：</span><span style="outline: 0px;color: rgb(192, 0, 0);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;"><strong style="outline: 0px;">职工医保统筹基金最高支付限额(12万元)以上、50万元(含)以下</strong></span><span style="outline: 0px;color: rgb(89, 89, 89);font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family: Helvetica, Arial, sans-serif;">，符合医保目录内住院和门诊特殊病种医疗费用，理赔比例90%，“一站式”结算。</span></p><p>▌图文来源：福州市医疗保障局</p><link rel="stylesheet" href="//www.fqlook.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_J03" id="wcn_editor_css"/> 收到了已知悉 实时报销很好了， 现在都是DRG
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