In­ter­na­tional hos­pi­tal now takes city in­sur­ance

Shanghai Daily - - METRO - Cai Wen­jun

LO­CAL res­i­dents will be able to use the city’s med­i­cal in­sur­ance at a pri­vate in­ter­na­tional hos­pi­tal for the first time.

Pa­tients can now have their med­i­cal bill set­tled in Shang­hai Ji­ahui In­ter­na­tional Hos­pi­tal for the part cov­ered by the city’s in­sur­ance, and pay the re­main­der in cash or with their com­mer­cial in­sur­ance.

The mea­sure is in ac­cor­dance with a new health pol­icy is­sued in July to speed up lo­cal health re­form and de­velop high-end health ser­vices, the Shang­hai Com­mis­sion of Health and Fam­ily Plan­ning an­nounced yes­ter­day.

“This new pol­icy can push for­ward a di­ver­si­fied and more in­ter­na­tional health sys­tem,” said Wu Jin­glei, direc­tor of the com­mis­sion.

A 32-year-old fe­male pa­tient, sur­named Li, went to Ji­ahui hos­pi­tal for asthma treat­ment yes­ter­day.

She has vis­ited the hos­pi­tal since July and it was the first time that she used her med­i­cal in­sur­ance to have part of the med­i­cal bill cov­ered.

The bill for her out­pa­tient ser­vice, blood test, X-ray and med­i­ca­tion to­taled 1,250 yuan (US$180.64), in­clud­ing 424 yuan cov­ered by the med­i­cal in­sur­ance.

“I pre­fer a pri­vate hos­pi­tal, which has fewer peo­ple, bet­ter en­vi­ron­ment and bet­ter ser­vice,” said Li.

“The cov­er­age of med­i­cal in­sur­ance means more peo­ple will go to pri­vate hos­pi­tals, in­stead of crowded pub­lic hos­pi­tals.” Shang­hai Ji­ahui In­ter­na­tional Hos­pi­tal, which has 500 beds and is run in col­lab­o­ra­tion with Amer­i­can-based Mass­a­chu­setts Gen­eral Hos­pi­tal, is the first in­ter­na­tional hos­pi­tal to im­ple­ment the new pol­icy.

Sta­tis­tics found about 10 to 20 per­cent of the bill can be cov­ered by the med­i­cal in­sur­ance for nor­mal med­i­cal ser­vices, and those with se­ri­ous dis­eases like can­cer can have up to 40 per­cent of their bill cov­ered by med­i­cal in­sur­ance.

About 5 per­cent of pa­tients at Ji­ahui are lo­cal res­i­dents us­ing med­i­cal in­sur­ance, the hos­pi­tal said.

Pri­vate hos­pi­tals can set pric­ing them­selves but the pol­icy en­cour­ages high-end pri­vate health fa­cil­i­ties to adopt a sim­i­lar price stan­dard to pub­lic hos­pi­tals.

Ac­cord­ing to the hos­pi­tal, it is charg­ing al­most the same as VIP ser­vices in city-level pub­lic hos­pi­tals, which is about three times the ba­sic health ser­vice cost.

A 32-year-old fe­male pa­tient uses the city’s in­sur­ance to have part of her med­i­cal bill paid at Shang­hai Ji­ahui In­ter­na­tional Hos­pi­tal yes­ter­day. — Jiang Xiaowei

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