福清职工+居民医保报销比例和待遇！
<p style="text-align:center;letter-spacing: 0.544px;-webkit-tap-highlight-color: transparent;outline: 0px;line-height: 2em;visibility: visible;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;caret-color: rgb(255, 0, 0);visibility: visible;">交了医保不会用？</span><span style="-webkit-tap-highlight-color: transparent;outline: 0px;font-size: 15px;letter-spacing: 1.5px;visibility: visible;"></span></p><p style="text-align:center;letter-spacing: 0.544px;max-inline-size: 100%;cursor: text;caret-color: rgb(255, 0, 0);outline: 0px;visibility: visible;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%;cursor: text;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;line-height: 2.27em;visibility: visible;"><span leaf="">大家会不会有这样的困扰</span></span></p><p style="text-align:center;letter-spacing: 0.544px;max-inline-size: 100%;cursor: text;caret-color: rgb(255, 0, 0);outline: 0px;visibility: visible;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%;cursor: text;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;line-height: 2.27em;visibility: visible;"><span leaf="">只知道医保可以报销</span></span></p><p style="text-align:center;letter-spacing: 0.544px;max-inline-size: 100%;cursor: text;caret-color: rgb(255, 0, 0);outline: 0px;visibility: visible;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%;cursor: text;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;line-height: 2.27em;visibility: visible;"><span leaf="">但是具体报销多少并不清楚</span></span></p><p style="text-align:center;letter-spacing: 0.544px;max-inline-size: 100%;cursor: text;caret-color: rgb(255, 0, 0);outline: 0px;visibility: visible;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%;cursor: text;outline: 0px;color: rgb(89, 89, 89);font-size: 15px;letter-spacing: 1px;line-height: 2.27em;visibility: visible;"><span leaf="">今天，宝就给大家讲讲</span></span></p><p style="text-align: center; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; visibility: visible; line-height: 2em; font-family: system-ui, -apple-system, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="color: rgb(192, 0, 0);font-size: 15px;letter-spacing: 1px;caret-color: red;-webkit-tap-highlight-color: transparent;outline: 0px;max-width: 100%;visibility: visible;font-family:Helvetica, Arial, sans-serif;"><span leaf="">福州医保报销比例（居民医保+职工医保）</span></strong></p><p style="text-align: center; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; visibility: visible; line-height: 2em; font-family: system-ui, -apple-system, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="color: rgb(89, 89, 89); text-shadow: none; letter-spacing: 1px; font-size: 15px; font-family: Helvetica, Arial, sans-serif;">大家快快收藏码住！</span></p><p style="text-align: center; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; visibility: visible; line-height: 2em; font-family: system-ui, -apple-system, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p></p><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;letter-spacing: 0.544px;visibility: visible;"><section data-role="title" data-tools="135编辑器" data-id="34405"><section style="border: none;margin: 0.8em auto 0.3em;box-sizing:border-box;"><section style="font-size: 1em;text-align: center;text-decoration: inherit;color: #fefefe;border-color: #4492eb;display: inline-block;width: 100%;box-sizing:border-box;max-width:100% !important;" data-width="100%"><section data-brushtype="text" style="padding: 0.5em; line-height: 1.2em; font-size: 1em; background-color: rgb(68, 146, 235); box-sizing: border-box;"><strong>福州职工医保</strong></section><section style="width: 0px;margin-right: auto;margin-left: auto;border-top-width: 0.6em;border-top-style: solid;border-bottom-color: #4492eb;border-top-color: #4492eb;height: 10px;border-left-width: 1em !important;border-left-style: solid !important;border-left-color: transparent !important;border-right-width: 1em !important;border-right-style: solid !important;border-right-color: transparent !important;box-sizing:border-box;"><span leaf=""><br/></span></section></section></section></section><section data-role="title" data-tools="135编辑器" data-id="126302"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="margin: 0 0 -20px;"><section style="width: 30px;box-sizing:border-box;transform: translateX(13px);-webkit-transform: translateX(13px);-moz-transform: translateX(13px);-o-transform: translateX(13px);"><svg xmlns="http://www.w3.org/2000/svg" width="100%" height="100%" viewbox="0 0 55 58" style="display: block;" data-height="100%" xml:space="default"><path style="fill: #ffcb2d;fill-rule: evenodd;" d="M847.222,1463l-1.111,20.63L830,1486.42l11.111,8.92-10,13.39,15-5.02,3.333,17.29,10-15.62,19.445,7.25-10.556-15.61L885,1493.67l-13.933-9.74,7.822-11.45-17.223,6.69Z" transform="translate(-830 -1463)"></path></svg></section></section><section style="border: 3px solid #82c3ff;border-radius: 50%;background-color: #fffffe;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="font-size: 16px;color: #3f3f3f;text-align: center;padding: 5px 20px;box-sizing:border-box;"><strong data-brushtype="text">待遇范围</strong></section></section></section></section></section></section><p></p><h1 style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; font-size: 17px; letter-spacing: 0.544px; text-align: center; line-height: 2em; caret-color: rgb(255, 0, 0); cursor: text; visibility: visible; max-width: 100%; max-inline-size: 100%; font-family: system-ui, -apple-system, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;line-height: 2em;cursor: text;visibility: visible;max-width: 100%;max-inline-size: 100%;"><section style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;line-height: 2em;cursor: text;visibility: visible;max-width: 100%;max-inline-size: 100%;"><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;line-height: 2em;cursor: text;visibility: visible;max-width: 100%;max-inline-size: 100%;"><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;visibility: visible;"><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;visibility: visible;font-family:Helvetica, Arial, sans-serif;"><span leaf="">1.个人账户划拨；</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;visibility: visible;font-family:Helvetica, Arial, sans-serif;"><span leaf="">2.普通门诊医疗费用统筹基金支付；</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;visibility: visible;font-family:Helvetica, Arial, sans-serif;"><span leaf="">3.门诊特殊病种医疗费用统筹基金支付；</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">4.住院医疗费用统筹基金支付；</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">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></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">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></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="126302"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="margin: 0 0 -20px;"><section style="width: 30px;box-sizing:border-box;transform: translateX(13px);-webkit-transform: translateX(13px);-moz-transform: translateX(13px);-o-transform: translateX(13px);"><svg xmlns="http://www.w3.org/2000/svg" width="100%" height="100%" viewbox="0 0 55 58" style="display: block;" data-height="100%" xml:space="default"><path style="fill: #ffcb2d;fill-rule: evenodd;" d="M847.222,1463l-1.111,20.63L830,1486.42l11.111,8.92-10,13.39,15-5.02,3.333,17.29,10-15.62,19.445,7.25-10.556-15.61L885,1493.67l-13.933-9.74,7.822-11.45-17.223,6.69Z" transform="translate(-830 -1463)"></path></svg></section></section><section style="border: 3px solid #82c3ff;border-radius: 50%;background-color: #fffffe;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="font-size: 16px; color: rgb(63, 63, 63); padding: 5px 20px; box-sizing: border-box;"><strong data-brushtype="text">01 普通门诊报销比例</strong></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">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></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section style="-webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;" nodeleaf=""></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="font-weight: 400;color: #757576;text-shadow: none;letter-spacing: 1px;font-size: 12px;font-family:Helvetica, Arial, sans-serif;">图源：福州市医疗保障局（下同）</span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">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></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="126302"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="margin: 0 0 -20px;"><section style="width: 30px;box-sizing:border-box;transform: translateX(13px);-webkit-transform: translateX(13px);-moz-transform: translateX(13px);-o-transform: translateX(13px);"><svg xmlns="http://www.w3.org/2000/svg" width="100%" height="100%" viewbox="0 0 55 58" style="display: block;" data-height="100%" xml:space="default"><path style="fill: #ffcb2d;fill-rule: evenodd;" d="M847.222,1463l-1.111,20.63L830,1486.42l11.111,8.92-10,13.39,15-5.02,3.333,17.29,10-15.62,19.445,7.25-10.556-15.61L885,1493.67l-13.933-9.74,7.822-11.45-17.223,6.69Z" transform="translate(-830 -1463)"></path></svg></section></section><section style="border: 3px solid #82c3ff;border-radius: 50%;background-color: #fffffe;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="font-size: 16px; color: rgb(63, 63, 63); padding: 5px 20px; box-sizing: border-box;"><strong data-brushtype="text">02 门诊特殊病种待遇</strong></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;clear: both;min-height: 1em;" nodeleaf=""></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="126302"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="margin: 0 0 -20px;"><section style="width: 30px;box-sizing:border-box;transform: translateX(13px);-webkit-transform: translateX(13px);-moz-transform: translateX(13px);-o-transform: translateX(13px);"><svg xmlns="http://www.w3.org/2000/svg" width="100%" height="100%" viewbox="0 0 55 58" style="display: block;" data-height="100%" xml:space="default"><path style="fill: #ffcb2d;fill-rule: evenodd;" d="M847.222,1463l-1.111,20.63L830,1486.42l11.111,8.92-10,13.39,15-5.02,3.333,17.29,10-15.62,19.445,7.25-10.556-15.61L885,1493.67l-13.933-9.74,7.822-11.45-17.223,6.69Z" transform="translate(-830 -1463)"></path></svg></section></section><section style="border: 3px solid #82c3ff;border-radius: 50%;background-color: #fffffe;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="font-size: 16px; color: rgb(63, 63, 63); padding: 5px 20px; box-sizing: border-box;"><strong data-brushtype="text">03 住院报销比例和待遇</strong></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">1.统筹基金支付规定（按病种收付费和按 DRG 收付费除外）</span></span></strong></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 15px; text-shadow: none; letter-spacing: 1px; font-family: Helvetica, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""></span></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">2.按病种收付费管理的病种支付规定 </span></span></strong></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">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></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">①省属医院按以下标准结算</span></span></strong></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf=""></span></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">②市属医院按以下标准结算</span></span></strong></p><section style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;clear: both;min-height: 1em;" nodeleaf=""></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">③按DRG收付费的支付规定 </span></span></strong></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">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></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="126302"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="transform-style: preserve-3d;"><section style="margin: 0 0 -20px;"><section style="width: 30px;box-sizing:border-box;transform: translateX(13px);-webkit-transform: translateX(13px);-moz-transform: translateX(13px);-o-transform: translateX(13px);"><svg xmlns="http://www.w3.org/2000/svg" width="100%" height="100%" viewbox="0 0 55 58" style="display: block;" data-height="100%" xml:space="default"><path style="fill: #ffcb2d;fill-rule: evenodd;" d="M847.222,1463l-1.111,20.63L830,1486.42l11.111,8.92-10,13.39,15-5.02,3.333,17.29,10-15.62,19.445,7.25-10.556-15.61L885,1493.67l-13.933-9.74,7.822-11.45-17.223,6.69Z" transform="translate(-830 -1463)"></path></svg></section></section><section style="border: 3px solid #82c3ff;border-radius: 50%;background-color: #fffffe;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="font-size: 16px; color: rgb(63, 63, 63); padding: 5px 20px; box-sizing: border-box;"><strong data-brushtype="text">04 大病保险待遇</strong></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">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><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #c00000;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span leaf="">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</span></strong></span><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">，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></span></p></section></section></section></section></h1><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p></p><section data-role="title" data-tools="135编辑器" data-id="34405"><section style="border: none;margin: 0.8em auto 0.3em;box-sizing:border-box;"><section style="font-size: 1em;text-align: center;text-decoration: inherit;color: #fefefe;border-color: #4492eb;display: inline-block;width: 100%;box-sizing:border-box;max-width:100% !important;" data-width="100%"><section data-brushtype="text" style="padding: 0.5em; line-height: 1.2em; font-size: 1em; background-color: rgb(68, 146, 235); box-sizing: border-box;"><strong>福州城乡居民医保</strong></section><section style="width: 0px;margin-right: auto;margin-left: auto;border-top-width: 0.6em;border-top-style: solid;border-bottom-color: #4492eb;border-top-color: #4492eb;height: 10px;border-left-width: 1em !important;border-left-style: solid !important;border-left-color: transparent !important;border-right-width: 1em !important;border-right-style: solid !important;border-right-color: transparent !important;box-sizing:border-box;"><span leaf=""><br/></span></section></section></section><section data-role="title" data-tools="135编辑器" data-id="126301"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="display: flex;justify-content: center;transform-style: preserve-3d;"><section style="flex-shrink: 0;background-color: #ffcb2d;display: flex;justify-content: space-around;flex-direction: column;padding: 3px 2px;border-radius: 3px 0 0 3px;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section></section><section style="background-color: #82c3ff;padding: 4px;box-sizing:border-box;"><section style="font-size: 16px;color: #3f3f3f;text-align: center;padding: 1px 10px;background-color: #ffffff;border-radius: 6px;box-sizing:border-box;"><strong data-brushtype="text">01 普通门诊报销比例和待遇</strong></section></section></section></section></section><section data-role="paragraph"><p><span leaf=""><br/></span></p></section><section style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;clear: both;min-height: 1em;" nodeleaf=""></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">说明：家庭签约参保人员在基层社区卫生服务中心、乡镇卫生院就诊时，在原有医保报销比例基础上提高五个百分点。</span></span></p><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="126301"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="display: flex;justify-content: center;transform-style: preserve-3d;"><section style="flex-shrink: 0;background-color: #ffcb2d;display: flex;justify-content: space-around;flex-direction: column;padding: 3px 2px;border-radius: 3px 0 0 3px;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section></section><section style="background-color: #82c3ff;padding: 4px;box-sizing:border-box;"><section style="font-size: 16px;color: #3f3f3f;text-align: center;padding: 1px 10px;background-color: #ffffff;border-radius: 6px;box-sizing:border-box;"><strong data-brushtype="text">02 特殊病种门诊待遇</strong></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;clear: both;min-height: 1em;" nodeleaf=""></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">说明: </span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">1.家庭签约参保人员在签约的基层社区卫生服务中心、乡镇卫生院就诊时，</span></span><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #c00000;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span leaf="">在原有医保报销比例基础上提高五个百分点</span></strong></span><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">。</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">2.抑郁症设置两年过渡期，2025年3月1日后自动取消。</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">3.“学生意外伤害”包括中小学生 (含托儿所、幼儿园的儿童)在校期间因突发的、外来的、非本人意愿的意外事故造成的非疾病伤害或伤残，依法应由特定责任人承担的除外。</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">4.“儿童康复治疗”包括儿童性瘫痪、孤独症、发育迟缓、智力障碍、听力障碍或运动障碍等。</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">5.“尘肺病”限“已经诊断为尘肺病，但没有参加工伤保险且相关用人单位已不存在，以及因缺少职业病诊断所需资料、仅诊断为尘肺病的患者”</span></span></p><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="126301"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="display: flex;justify-content: center;transform-style: preserve-3d;"><section style="flex-shrink: 0;background-color: #ffcb2d;display: flex;justify-content: space-around;flex-direction: column;padding: 3px 2px;border-radius: 3px 0 0 3px;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section></section><section style="background-color: #82c3ff;padding: 4px;box-sizing:border-box;"><section style="font-size: 16px;color: #3f3f3f;text-align: center;padding: 1px 10px;background-color: #ffffff;border-radius: 6px;box-sizing:border-box;"><strong data-brushtype="text">03 住院报销比例和待遇</strong></section></section></section></section></section><section data-role="paragraph"><p><span leaf=""><br/></span></p></section></section><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="font-size: 15px;letter-spacing: 1px;-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;color: #595959;text-shadow: none;box-sizing: border-box !important;overflow-wrap: break-word !important;font-family:Helvetica, Arial, sans-serif;"><span leaf="">(一) 按项目收费</span></span></strong></p><section style="text-align:justify;-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;clear: both;min-height: 1em;letter-spacing: 0.544px;line-height: 2em;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;" nodeleaf=""></section><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;letter-spacing: 1px;caret-color: red;font-family:Helvetica, Arial, sans-serif;"><span leaf="">说明:</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;letter-spacing: 1px;caret-color: red;font-family:Helvetica, Arial, sans-serif;"><span leaf="">1、参保人员年度内多次住院按上述起付标准依次递减100元，直至降至零为止。参保人员在县域内医共体成员单位间转院，经转出、转入医院在医保信息系统中审核确认的，取消二次住院起付线。</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">2、</span></span><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #c00000;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span leaf="">城乡居民医保生育住院按城乡居民住院待遇报销</span></strong></span><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">。</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="font-size: 15px;letter-spacing: 1px;-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;color: #595959;text-shadow: none;box-sizing: border-box !important;overflow-wrap: break-word !important;font-family:Helvetica, Arial, sans-serif;"><span leaf="">(二) 按病种收费</span></span></strong></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;letter-spacing: 1px;caret-color: red;font-family:Helvetica, Arial, sans-serif;"><span leaf="">在定点医疗机构发生的列入按病种收费管理的病种费用，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></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">①省属医院按以下标准结算：</span></span></strong></p><section style="text-align:justify;-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;clear: both;min-height: 1em;letter-spacing: 0.544px;line-height: 2em;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;" nodeleaf=""></section><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><strong style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">②市属医院按以下标准结算：</span></span></strong></p><section style="text-align:justify;-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;clear: both;min-height: 1em;letter-spacing: 0.544px;line-height: 2em;font-family:system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;" nodeleaf=""></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="title" data-tools="135编辑器" data-id="126301"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="display: flex;justify-content: center;transform-style: preserve-3d;"><section style="flex-shrink: 0;background-color: #ffcb2d;display: flex;justify-content: space-around;flex-direction: column;padding: 3px 2px;border-radius: 3px 0 0 3px;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section></section><section style="background-color: #82c3ff;padding: 4px;box-sizing:border-box;"><section style="font-size: 16px;color: #3f3f3f;text-align: center;padding: 1px 10px;background-color: #ffffff;border-radius: 6px;box-sizing:border-box;"><strong data-brushtype="text">04 大病保险赔付比例</strong></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">一个参保年度内，城乡居民医保参保人员因患大病发生的个人负担的医保目录内住院及门诊特殊病种医疗费用，超过19360元部分，保额30万元，</span></span><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #c00000;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><strong>10万以内赔付比例70%、10万至30万赔付比例80%。</strong></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><section data-role="paragraph" style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-role="title" data-tools="135编辑器" data-id="126301"><section style="margin: 10px auto;display: flex;justify-content: center;"><section style="display: flex;justify-content: center;transform-style: preserve-3d;"><section style="flex-shrink: 0;background-color: #ffcb2d;display: flex;justify-content: space-around;flex-direction: column;padding: 3px 2px;border-radius: 3px 0 0 3px;box-sizing:border-box;transform: translateZ(10px);-webkit-transform: translateZ(10px);-moz-transform: translateZ(10px);-o-transform: translateZ(10px);"><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section><section style="width: 4px;height: 4px;border-radius: 100%;background-color: #ffffff;box-sizing:border-box;"><span leaf=""><br/></span></section></section><section style="background-color: #82c3ff;padding: 4px;box-sizing:border-box;"><section style="font-size: 16px;color: #3f3f3f;text-align: center;padding: 1px 10px;background-color: #ffffff;border-radius: 6px;box-sizing:border-box;"><strong data-brushtype="text">05 医疗救助待遇</strong></section></section></section></section></section><p style="-webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p></section><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf=""></span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span leaf=""><br/></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="-webkit-tap-highlight-color: transparent;margin: 0px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;color: #595959;font-size: 15px;text-shadow: none;letter-spacing: 1px;font-family:Helvetica, Arial, sans-serif;"><span leaf="">说明：对符合条件的新增救助对象，经相关部门认定后予以资助参保，相关待遇从认定之日下月起执行；认定前个人当年已参保的，不再资助参保。</span></span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 1.5em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="color: rgb(117, 117, 118); text-shadow: none; letter-spacing: 1px; font-size: 12px; font-family: Helvetica, Arial, sans-serif;">政策来源：福州市医保局</span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 1.5em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="color: rgb(117, 117, 118); text-shadow: none; letter-spacing: 1px; font-size: 12px; font-family: Helvetica, Arial, sans-serif;">https://ybj.fuzhou.gov.cn/zwgk/zczn/202406/P020240606549749082735.pdf</span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; line-height: 1.5em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="color: rgb(117, 117, 118); text-shadow: none; letter-spacing: 1px; font-size: 12px; font-family: Helvetica, Arial, sans-serif;">https://ybj.fuzhou.gov.cn/zwgk/zczn/202406/t20240606_4837823.htm</span></p><p style="text-align: justify; -webkit-tap-highlight-color: transparent; margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; letter-spacing: 0.544px; line-height: 2em; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;">▌图文来源：福州市医疗保障局</p></section><p></p><p><br/></p><link rel="stylesheet" href="//www.fqlook.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_LDm" id="wcn_editor_css"/> 全心全意为人民服务， 希望可以再高一点比例 可以向医保部门建议。
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