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用保险全额支付 国行:同一病症贵三四倍!
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1 year ago
新闻报报看 | 国行今天在国会闭门汇报会上展示资料显示,私人医院的医药费参差不齐和不透明,在同一种病症下,拥有保险公司全额支付担保信(guarantee letter)的保客,与那些选择“先支付后索赔”(pay-and-claim)的保客,需要缴付的医药费差距高达3、4倍那么多。(主播:梁宝仪、黄界錤)
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00:00
Before watching the video, let me remind you that there is more content on the Hotpoint website.
00:30
Is it because of the rising interest rates that led to the increase in insurance fees?
00:34
Or is it due to some other reason?
00:37
After all the questions and doubts from the members of Congress,
00:40
the National Bank of China has finally held a closed-door briefing in Congress
00:45
to answer the doubts of the members of Congress on the issue of insurance fees for next year's increase in insurance fees.
00:50
Members attending the related briefing revealed to the media that
00:53
the National Bank of China said during the briefing that
00:55
the insurance company increased the insurance fees without the approval of the National Bank of China.
01:00
In addition, the data shown by the National Bank of China also shows that
01:03
the medical insurance fees of private hospitals are not transparent.
01:07
For example, if it is the same disease,
01:09
the insurance company's full payment guarantee letter
01:13
is three to four times higher than those who choose to pay first and then pay and claim.
01:22
The example given by the National Bank of China in the data includes that
01:25
if you choose to pay first and then pay,
01:30
you only need to pay a medical fee of RMB 1,288.
01:33
But if you choose to pay through the insurance company,
01:38
you need to pay RMB 4,978 to the hospital,
01:42
which is four times higher.
01:44
If you choose to pay first and then pay,
01:48
you need to pay RMB 2,654.
01:51
But if you choose to pay the full medical fee through the insurance company,
01:56
you need to pay RMB 6,859,
02:00
which is three times higher.
02:02
So why is there such a big gap between the two payment methods?
02:08
The acting party secretary of the briefing,
02:10
Member of Parliament, Nick Han, said that
02:12
the National Bank of China did not explain this.
02:15
In addition to paying in different ways in private hospitals,
02:18
which is three to four times more expensive,
02:21
the National Bank of China also pointed out in the briefing to the members today
02:24
that due to the increasing prices and the increasing number of treatments,
02:29
the medical fees of private hospitals are higher.
02:34
In 2020, the average medical fee was RMB 8,800.
02:38
But in 2023, it rose to RMB 10,700.
02:43
In terms of insurance compensation,
02:45
due to the increasing number of people using private hospitals,
02:48
the medical insurance compensation has also continued to increase.
02:51
In 2020, 6.8 out of 100 people applied for insurance compensation.
02:56
In 2023, it rose to 8.6 people and increased by 26%.
03:02
In addition, the acting party secretary of the briefing,
03:05
Member of Parliament, Qiu Peidong, also told the media.
03:09
Secretary-General Amir Khanzha said at the meeting that
03:11
the government is now discussing the possibility of supplementing medical insurance
03:16
for target groups, such as B40 or M40.
03:21
In any case, he revealed that at the closing meeting,
03:24
the members unanimously agreed that the insurance company should be frozen
03:28
and the insurance fee should be adjusted for one year.
03:30
But the response from the National Bank of China is that it needs to be studied first.
03:33
It cannot be announced to be frozen in a hurry,
03:35
otherwise it will affect the insurance market.
03:37
The insurance company may also withdraw from the Chinese market.
03:41
As for the proposal to freeze the insurance fee and adjust it,
03:43
Member of Parliament, Qiu Peidong, also said at the meeting that
03:47
the government will not temporarily consider postponing the medical insurance fee,
03:51
but will take excessive measures to ensure that the medical insurance fee
03:55
is a small and reasonable increase.
03:57
The National Bank of China and the Ministry of Health will develop regulatory measures
04:00
to ensure that the medical insurance fee will not be too high,
04:04
so as not to cause inconvenience to investors and lead to inflation.
04:07
The government will issue an important directive on this matter
04:11
within this week.
04:13
At the same time, Anhua also pointed out at the National Assembly that
04:16
according to the insurance company's explanation,
04:18
the increase in the medical insurance fee is due to the increase in medical expenses
04:21
and service costs.
04:23
The reasons for the increase in medical expenses include
04:26
the increase in the price of medicines, new medical equipment,
04:29
and the salary of medical personnel.
04:31
Anhua said,
04:32
due to the lack of supervision,
04:34
our country's drug purchases over the past few decades have been monopolized.
04:38
Therefore, the government has asked the Ministry of Health
04:40
to follow the practices of some countries
04:42
and go to several countries to purchase cheaper and more affordable anti-inflammatory drugs.
04:47
These anti-inflammatory drugs are very popular in Brazil, India and China,
04:51
and have all been verified.
04:53
In the future, our country may not need to rely on
04:57
high-cost drugs produced in the United States or Europe.
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