Beijing issued a policy notice on optimizing the medical insurance for patients infected with Covid-19.

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Beijing issued a policy notice on optimizing the medical insurance for patients infected with Covid-19.

"Beijing Medical Insurance" WeChat WeChat official account issued the "Policy Notice on Optimizing the Medical Insurance for the Treatment Expenses of Infected Patients in novel coronavirus". In order to conscientiously implement the decision-making arrangements of the CPC Central Committee, the State Council, the Municipal Party Committee and the Municipal Government, and according to the requirements of the Notice of the National Medical Insurance Bureau, the Ministry of Finance, the National Health and Wellness Commission and the National Disease Control Bureau on Optimizing the Medical Insurance Related Policies for the Treatment Expenses of Infected Patients in novel coronavirus after the Implementation of "Class B Management" (No.1 of Medical Insurance Fa [2023]), this Municipality has optimized and adjusted the medical insurance related policies to ensure that the people can spend the peak period of infection smoothly.

  First, hospitalization reimbursement

  Novel coronavirus infected patients in all medical institutions, in line with the novel coronavirus infection diagnosis and treatment plan formulated by the health department of hospitalization medical expenses, the implementation of the pre-cost security policy, by the basic medical insurance, serious illness insurance, medical assistance and other reimbursement, personal burden part of the financial subsidies. This policy is based on the time of admission of patients and will be implemented until March 31, 2023.

  Second, outpatient and emergency reimbursement

  Novel coronavirus infection and 11 kinds of suspected symptoms (fever, dry cough, fatigue, pharyngalgia, decreased sense of smell/taste, stuffy nose, runny nose, conjunctivitis, myalgia and diarrhea) of the insured patients occurred in the designated medical institutions at or below the second level in this city, and the related emergency expenses were specially guaranteed, with no deductible line and no capping line, and the reimbursement ratio was 90%, which was implemented first until March 31, 2023.

  Due to the policy adjustment, when the insured patients seek medical treatment in the outpatient and emergency departments of the designated medical institutions at or below the second level in this city, the medical expenses incurred will be reimbursed first according to the previous medical insurance policy, and the reimbursement difference will be automatically made up through the information system in April according to the medical information of the insured patients uploaded by the medical institutions (from January 8 to March 31). The make-up fee will be directly paid to the personal entrusted bank account registered by the insured, and the insured personnel need not declare it by themselves.

  Third, others

  The outpatient and emergency expenses of novel coronavirus infection treatment for insured patients in other medical institutions shall be implemented in accordance with the medical insurance policies for other Class B infectious diseases.

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