苯丙酮尿症患者保障对象扩大至全年龄段

Core Viewpoint - The Yunnan Provincial Health Commission has expanded the coverage for phenylketonuria (PKU) patients from children aged 0-6 to all age groups, aiming to alleviate the economic burden on patients by increasing payment standards [1][2]. Group 1: Coverage Expansion - The notification extends the coverage for PKU patients to include individuals of all ages, previously limited to those aged 0-6 [1]. - Patients diagnosed with PKU (including mild, classic types, and tetrahydrobiopterin deficiency) who are enrolled in basic medical insurance are now eligible for this expanded coverage [1]. Group 2: Payment Standards - The payment standard has been increased, with the basic medical insurance fund covering 70% of the costs within the price limit, while patients are responsible for 30% [1]. - The reimbursement limits are set at 15,000 yuan per year for patients under 1 year old, 30,000 yuan for those aged 1 to under 10, and 40,000 yuan for patients aged 10 and above, with lifetime coverage [1]. Group 3: Special Medical Foods - The special medical foods required for PKU treatment (1st, 2nd, and 3rd stage formula milk) will be listed on the Yunnan medical insurance information platform [2]. - Patients can purchase these special medical foods at designated healthcare institutions with valid prescriptions and can claim reimbursements through their local medical insurance departments [2].