[{"gicategorycode":"","giinfoid":"323117","giindentifier":"11532329015178442p-/2024-1031013","giuuid":"6240FE29861C48DCAE361FC0BF53BFC0","gititle":"职工医保普通门诊统筹起付线（门槛费）、报销比例、报销额度是多少？","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"武定县政府办","gidate":"2024-10-31 15:38:14","gidocno":"","gisubterm":"职工医保普通门诊","gipubcode":"wdx","summary":"根据2024年11月1日起实施的《云南省职工基本医疗保险门诊共济保障实施办法》"},{"gicategorycode":"","giinfoid":"323100","giindentifier":"11532329015178442p-/2024-1031011","giuuid":"9E4784EF8FD74BA0BC96C18128F26EDB","gititle":"什么是职工医保门诊共济保障改革?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"武定县政府办、","gidate":"2024-10-31 15:30:47","gidocno":"","gisubterm":"什么是职工医保门诊共济保障改革?","gipubcode":"wdx","summary":"建立健全职工医保门诊共济保障机制是党中央、国务院关于深化医疗保障制度改革明确的重要任务。门诊共济保障改革是一项综合性改革，主要包括三项内容:\r\n一是建立普通门诊保障机制，将普通门诊费用纳入医保报销。\r\n二是调整个人账户计入办法，增加医保统筹基金规模，增强参保人患病治疗的支付能力。\r\n三是拓宽个人账户使用范围，可以在本人近亲属之间共济使用。"},{"gicategorycode":"","giinfoid":"304320","giindentifier":"11532329015178442p-/2024-0514010","giuuid":"A5D097A6CE2C4B7092EE25CA6FA4F932","gititle":"6个医保认知误区——异地就医忘记备案，医疗费用就只能自费？","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"武定县政府办、","gidate":"2024-05-14 17:31:15","gidocno":"","gisubterm":"6个医保认知误区——异地就医忘记备案，医疗费用就只能自费？","gipubcode":"wdx","summary":""},{"gicategorycode":"","giinfoid":"302870","giindentifier":"11532329015178442p-/2024-0426010","giuuid":"140EE4FEAE2A49959A04E409B16084B4","gititle":"异地就医直接结算中遇到问题怎么办?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"武定县政府办、","gidate":"2024-04-26 16:35:23","gidocno":"","gisubterm":"","gipubcode":"wdx","summary":"异地就医直接结算中遇到问题由医药机构处理，必要时联系参保地经办机构协助处理，请注意留存出现问题时系统报错的提示图片。"},{"gicategorycode":"","giinfoid":"302868","giindentifier":"11532329015178442p-/2024-0426008","giuuid":"DCF787925DC64221A848212CB278FF65","gititle":"异地就医结算的报销政策是什么?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"武定县政府办、","gidate":"2024-04-26 16:34:30","gidocno":"","gisubterm":"","gipubcode":"wdx","summary":"跨省和省内异地就医直接结算，执行“就医地目录，参保地政策”。跨省和省内异地就医手工报销，执行“参保地目录，参保地政策”。简单来说，异地就医直接结算时，医保哪些能报，按照就医地规定，报销比例是多少,按照参保地的规定;如果是在参保地申请手工报销，则都按参保地的规定执行"},{"gicategorycode":"","giinfoid":"302867","giindentifier":"11532329015178442p-/2024-0426007","giuuid":"BF755227D3214651ADC260F50C7969A8","gititle":"异地就医入院前未办理备案登记手续怎么办?","subcatcode":"","gitcatcode":"","giccatcode":"","gipubcodes":"武定县政府办、","gidate":"2024-04-26 16:33:00","gidocno":"","gisubterm":"","gipubcode":"wdx","summary":"方式1:补备案后联网直接结算参保人员需在异地就医出院前完成备案登记，并且补办备案登记时间要在当次入院时间前，就医地联网定点医疗机构可以为参保人员办理医疗费用联网直接结算。方式2:自费结算后申请手工报销如果参保人员自费结算后出院的，可补办备案登记手续后，按参保地的规定申请手工报销。"}]