Why is this? Zhou, director of Huai 'an Medical Insurance Center, said in an interview that it is a common phenomenon that some drugs that have been included in medical insurance cannot be purchased in hospitals.
Life-saving drugs included in medical insurance? You can only buy it at your own expense
Since 1 year-old, Jiang has been suffering from minor ailments, but the cause has not been found. 1 1 In the morning, in the pediatric ward of the First People's Hospital of Huai 'an, his mother Wang Tingting said that they took Xiao Fan to Huai 'an local hospital, Nanjing, Shanghai, Beijing and other hospitals, and it was not until last April that they had a genetic test in Nanjing Children's Hospital and were diagnosed with congenital neutropenia.
At the suggestion of Nanjing Children's Hospital, they took Xiao Fanfan to Shanghai for treatment. In Shanghai, the hospital let them contact their son's life-saving medicine for the first time: Nokefei, 4905 yuan a bottle. "This is imported medicine. When it was used in Shanghai, it was entirely at its own expense. A small bottle of medicine, drink three times a day in less than 20 days. " Wang Tingting said that his son not only suffered from congenital neutropenia, but also suffered from congenital heart disease and pulmonary fungal infection. This life-saving medicine is mainly used to treat his systemic anti-infection. After a period of treatment in Shanghai and returning to Huai 'an, they regularly went to this hospital in Shanghai to buy Novozymes at their own expense.
Those who do atomization are less than those who take medicine for a long time and suffer from malnutrition.
According to Wang Tingting, before that, she was responsible for taking care of the children at home. Her husband and in-laws earn about 65,438+10,000 yuan a year, which is ok in rural areas of Huaiyin District, Huai 'an City. However, the cost of life-saving drugs of more than 7,000 yuan a month makes their originally well-off families a little overwhelmed. In order to treat his son, the carpenter's husband had to do odd jobs near his home. Fortunately, she learned from that group of patients that the price of this medicine in Beijing has dropped to more than 2,800 yuan. Since the beginning of this year, they have mailed from Beijing through acquaintances.
By chance, the precision poverty alleviation personnel in Huaiyin District went to his home to understand the situation. After receiving the feedback, Wang Tingting learned that his son's life-saving medicine had been included in medical insurance in Huai 'an.
"When I heard the news, I was so excited that I almost cried," Wang Tingting said, but soon, after inquiring in the medical insurance windows of many hospitals in the province, she learned that this was indeed included in medical insurance, but the hospitals had no medicine and had to buy it at their own expense.
Director of Huai 'an Medical Insurance Center:
This is a "strange and common" phenomenon. In order to verify Wang Tingting's statement, the reporter went to several 3A hospitals in Huai 'an. As a result, Posaconazole oral suspension belongs to Class B drug of medical insurance, and 80% of medical insurance can be reimbursed, but there is no medicine. A person in charge of the hospital, who asked not to be named, told the reporter that the oral suspension of Posaconazole, which is actually less than that used by everyone, was listed in the medical insurance catalogue in Ministry of Human Resources and Social Security as early as last July, and the fundamental reason for the lack of medicine was that the number of patients used it was small, and the hospital did not include the medicine in the procurement plan. The person in charge also said that hospitals can directly purchase drugs used by Xiaoyu online, which means that all public hospitals do not need to go through bidding procedures when purchasing these high-priced life-saving drugs that have been included in medical insurance.
Although high-priced life-saving drugs are included in medical insurance, why don't hospitals have drugs so that patients can't enjoy the preferential policies of the government? "This medicine has definitely been included in medical insurance and is not within the scope of special drugs." After seeing the photos taken, Zhou, director of Huai 'an Medical Insurance Center, said with great certainty that the drug belongs to Class B medical insurance and patients can enjoy the reimbursement policy.
As for why the hospital didn't have this medicine, Director Zhou said that it was in the medical insurance catalogue, but the hospital didn't. "This is a very strange and common phenomenon." Personally, he thinks it is mainly because there are fewer patients using this medicine and the price is expensive. Once the hospital purchases this medicine, it involves storage and expiration date. As for how to solve this phenomenon, director Zhou said that this is a problem that needs to be considered by the upper level.