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每天限额50元,防医保欺诈不能成了刁难民众
Xin Jing Bao· 2025-11-11 05:48
Core Viewpoint - The recent announcement by the Xinxiang Medical Insurance Bureau to impose daily reimbursement limits of 50 yuan for residents and 150 yuan for employees has raised concerns about its impact on patients' access to necessary medical care [1][2][3] Group 1: Policy Announcement - The Xinxiang Medical Insurance Bureau issued a notice limiting daily reimbursement for medical expenses to 50 yuan for residents and 150 yuan for employees, citing concerns over the sustainability of the medical insurance fund [1] - The bureau's rationale for this limit is to prevent fraudulent practices by hospitals and pharmacies, although the effectiveness of this measure is questioned [1][3] Group 2: Impact on Patients - The low reimbursement limits effectively restrict access to medical care for many patients, particularly those with chronic conditions who require ongoing treatment and medication [2][3] - Patients may face difficult choices, such as either covering the excess costs out of pocket or reducing their medication intake, which could compromise their health [2][3] Group 3: Criticism of the Approach - The approach taken by the local medical insurance department has been criticized for being inflexible and not considering the actual medical needs of patients, leading to a situation where patients feel trapped between adhering to rules and seeking necessary care [3] - The "one-size-fits-all" limit does not effectively target fraudulent activities and instead creates unnecessary barriers for legitimate patients seeking medical attention [3]