新乡取消医保门诊最高200元日支付限额,此前被网友吐槽“拍个片子都不够”
Xin Lang Cai Jing·2025-11-12 12:16

Core Viewpoint - The New Xiang City Medical Security Bureau announced the cancellation of the daily payment limit for outpatient insurance starting from November 12, which was previously set at 50, 150, and 200 yuan for different groups [1][3]. Group 1: Policy Changes - The daily payment limit for outpatient insurance was introduced in June, with maximum limits of 50 yuan for urban residents, 150 yuan for employed workers, and 200 yuan for retirees [3]. - In August, the city decided to suspend outpatient insurance services for urban residents at tertiary medical institutions [5]. Group 2: Public Reaction - Many residents expressed dissatisfaction on social media, stating that the 50 yuan limit is insufficient for basic medical needs, with some noting that it only covers registration fees [9]. - Comments included frustrations about the low reimbursement amounts, with one user highlighting that a 4,000 yuan outpatient procedure only received a 150 yuan reimbursement, questioning the value of insurance [9]. Group 3: Comparison with Other Cities - The daily payment limit is considered unusual compared to practices in other cities, where such low limits are rarely seen [11]. - National average outpatient costs at tertiary and secondary public hospitals were reported at 380.9 yuan and 241.3 yuan, respectively, indicating that the limits in New Xiang may place financial pressure on insurance expenditures [11]. Group 4: Local Healthcare Context - New Xiang has a total of 6198 healthcare institutions, with 175 hospitals and 5974 grassroots medical institutions, indicating a higher demand for services at the grassroots level [16]. - The city has been under pressure to control medical insurance costs, as highlighted by the local medical security bureau's acknowledgment of issues such as non-compliant medical practices and the need for stricter cost control measures [16].

新乡取消医保门诊最高200元日支付限额,此前被网友吐槽“拍个片子都不够” - Reportify