V? v?n ?? ny, BHXH tr? l?i nh? sau:
Tr??ng h?p b? c?a b ???c B?nh vi?n Th?ng Nh?t chuy?n tuy?n ??n b?nh vi?n Bnh Dn ?? tn s?i qua n?i soi th s? ???c h??ng 100% chi ph khm ch?a b?nh ?ng tuy?n nhn m?c quy?n l?i ???c h??ng (80%, 95%, 100% ty theo ??i t??ng tham gia BHYT). Cc chi ph d?ch v?, chi ph ngoi quy ??nh, chi ph ??ng chi tr? b? c?a b ph?i t? thanh ton v?i c? s? khm ch?a b?nh.
V? v?n ?? ny, BHXH Vi?t Nam tr? l?i nh? sau:
Khi v??t qu kh? n?ng chuyn mn, c? s? khm, ch?a b?nh c trch nhi?m ph?i chuy?n ng??i b?nh ln c? s? tuy?n trn ?? ???c khm v ?i?u tr?.
Vi?c chuy?n tuy?n thu?c th?m quy?n v trch nhi?m c?a c? s? khm, ch?a b?nh v ng??i b?nh khng ph?i chi tr? b?t c? chi ph no. ??i v?i b?nh vi?n thu ph khi c?p gi?y chuy?n tuy?n, ?? ngh? ng ph?n nh v?i S? Y t? ?? ???c gi?i quy?t.
?? ???c h??ng ??y ?? quy?n l?i BHYT khi ?i?u tr? t?i H N?i, ng??i b?nh c?n xu?t trnh Gi?y chuy?n tuy?n c?a c? s? khm, ch?a b?nh tuy?n d??i chuy?n ??n.
Tr??ng h?p b c?a ng t? ?i m? t?i H N?i khng c gi?y chuy?n tuy?n th ch? ???c h??ng 60% chi ph ?i?u tr? n?i tr t?i c? s? khm, ch?a b?nh tuy?n t?nh v 40% chi ph ?i?u tr? n?i tr t?i c? s? khm, ch?a b?nh tuy?n trung ??ng.