The woman meets the ruffian on the way and is cut and treats at one's own expense The medical insurance does not submit an expense account and claim anti-cheating is protected

The woman meets the ruffian on the way and is cut and treats at one's own expense The medical insurance does not submit an expense account and claim anti-cheating is protected
Pang XiaoJuan lying on the sick bed, can not want to understand a thing.
Will it be the beginning July one night, she cut down ruffian wounded at road, so far hospital treatment.
She who has medical insurance obviously, but all therapeutic fee must all pay the bill by oneself.
Because there are regulations: Such a situation of hers is a criminal case, not in the range that the medical insurance is enjoyed, after police catch ruffians, should be compensated for all hospitalization costs by the ruffian.
However, if the ruffian has never caught?
Yesterday, she called for the hot line of this newspaper, wanted to ask one to know through the reporter.
The innocent are cut, because has owed the fee and has already been stopped medicine 7 times
Pang XiaoJuan, 58 years old this year, live on Hangzhou Ma Cheng road.
At 20 past 10 pm on July 3, when she passed day at the gate of Ningbo Building of mountain path of eye, a ruffian rushed over behind suddenly, rob the bag on her hand hard. When she just wanted to turn round, a knife was assassinated to her neck. Later, the ruffian stabed to her for two times continuously, then stalked off by motorcycle.
Huge the beautiful family circumstances are general dawn, will go to Beijing to educate in the university at the end of August if sons are all and all, the tuition of more than 13,000 yuan has not been got ready yet.
Have never expected a sudden unexpected calamity, and also face a sum of big medical fee. Pang XiaoJuan of hospital treatment, is in arrears with the medical fee being already forced to stop medicines 7 times, have not still resumed using medicine so far.
Look at the intersection of mother and the intersection of neck and wound of, all to say while being all: "Having lost one's life only lack of a littling, it is lymphocytic to already sting to. Medicines stop each time, my mother will have a fever, lie in bed bearing the huge pain "
Pang XiaoJuan is keeping treating difficultly. It is the relative that helps to mend some expenses for medicine sometimes, it is district governments that sends money of some condolence sometimes, this is just supported reluctantly.
But distant water can not quench present thirst, have also owed the hospital medical fee of more than 2000 yuan till now.
It is a criminal case, it is unable to enjoy the medical insurance
Pang XiaoJuan takes office in Hangzhou Building before retiring. The intersection of human resources department and staff member, Building of Hangzhou, say, beautiful to buy the intersection of Hangzhou and the intersection of city and medical insurance during the tenure of office in huge dawn.
After being injured, Pang XiaoJuan had thinking all the time that could enjoy the treatment of medical insurance by oneself, needn't worry about the hospitalization cost. What let people not think of is, Hangzhou works and ensures the reply that the department gives to her, because huge beautiful dawn and is cut wounded by the ruffian and in hospital, it is a criminal case, not in the range that the medical insurance is enjoyed, should pay from compensating the responsible person.
As to this, Pang XiaoJuan is unable to understand. She understand if ruffian find never, medical fee want medical fee recognize, impose?
Grandmother Feng living with Pang XiaoJuan together in a ward, tell reporters: "She is afraid every day medical fee only sleeps for more than two hours, why can't be protected can't think over, she is a victim. "
Such a regulation, it is for preventing someone from deceiving and protecting
Yesterday, the reporter came to municipal social security round of working of Hangzhou to find out about the situation.
Manage the fee of Deputy Director of office of service bureau to tell reporters quickly and greatly in municipal medical insurance: "Though similar situation is not numerous, will happen sometimes. Because of the situation such as the huge lady, is a criminal case, after should be caught the ruffian by police, the ruffian compensates for all hospitalization costs. The reason why carry out like this, it is for preventing some people from deceiving protecting, namely has obtained and compensated for and got the medical insurance again. "
The reporter asks, if can not catch ruffians, can't solve a case, or even catch ruffians, there is no money to compensate, what shall we do about?
Director Fei says, there is not a better solution at present.
It is reported, " the basic medical treatment of Hangzhou ensures the method " the eighth paragraph of article 63 has clear regulations, " the others should be compensated the responsible person to pay " . According to this method, Pang Xiao's beautiful injury situation within the range of medical insurance, if want and is compensated, can only claim from ruffian after police find ruffians.
The reporter found division chief Jin of the medical insurance of the city shortly afterwards, division chief Jin said: "We have studied this too, two handle the scheme at present, first, find the other specialty fund of Hangzhou, can replenish the situation like Pang XiaoJuan; Another one to hold the intersection of city and medical treatment, succour joint conference, discuss medical treatment in special circumstances go on, succour while being difficult while being difficult. "
If has become " The unsolved mystery " ,The injured side can only think unluckily
Reporter find, have go through similar with XiaoJuan Pang such people are by no means rare in interview.
Zhang Yuan (assumed name) It is a white collar woman in some office building of Hangzhou, one night in last summer, she and buddy are when going shopping, two guys took her bag by motorcycle suddenly, not only has wrapped up and has been robbed, the health is also scratched. Because the robber has never brought to justice, so, all of Zhang Yuan's medical fee can only be born by oneself.
According to the introduction of police on duty of local police station of west small stream of West Lake district of Hangzhou, many are injured similar situation every year, they are only responsible for arresting, whether the suspect could pay and compensate, they are powerless too.
According to the stipulations of medical insurance policy, and the injured effects an insurance the medical fee of personnel can't be paid by Medical Benefits Funds because of being robbed, should be paid by the responsibility side robbed. If the case does not break becoming even after stalling for a long time " The unsolved mystery " ,The injured side can only think unluckily.
The ones that study Zhuhai " Human touch " ,OK
To this kind of phenomenon, there were regulations as far back as 2003 in Zhuhai of Guangdong Province: Because responsibility is square (ruffian) At large, the public security department has placed in the second half on file the above fails to solve a case, the victim has not been compensated yet, and accord with, have health insurance the intersection of treatment and terms, the intersection of treatment and expenses that injure because of being robbed it can include medical insurance coverage in, solve. After the public security organ solves a case, the one that is injured and joined sponsors and won corresponding compensation, should tell the local social insurance to handle the organization in time, and return this expenses.
The short biography thinks, keep a lot of injured persons of the innocent outside of the door in order to prevent deceiving protecting, worth discussing. Whether can consult the method of Zhuhai, make the regulation a bit more careful, there is some of human touch even more. (Li YangYang Wu TingJia)
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