[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-JP2025121721331588011":3,"related-JP2025121721331588011":29},{"pageSize":4,"id":5,"productLine":6,"status":7,"articleCode":8,"articleType":9,"showStyle":7,"mediaType":10,"articleTitle":11,"coverImage":12,"listImage":12,"introduction":13,"description":14,"nonVipDescription":15,"postTime":16,"viewTime":16,"sortNumber":17,"isFree":18,"isShowList":7,"isRecommend":18,"linkType":7,"isOriginal":6,"hasMiniUrl":18,"hasAdvertising":18,"createBy":19,"updateBy":19,"createTime":20,"visitCount":21,"isLiked":18,"realSearch":22,"isRead":18,"productId":23,"isCollected":18,"collectCount":18,"vipExclusive":18,"allowComment":7,"style":24,"canCopy":18,"likeCount":7,"seoKeywords":15,"articleModuleVoList":25,"extendContentList":26,"noteCount":7,"categoryList":27,"dailyKeywordList":28},10,7774,"1",1,"JP2025121721331588011","1041018",3,"1个医保新变化，影响每个人","https:\u002F\u002Fimage.jane7.com\u002F2a13ad8a-22ac-40f9-9231-3ff42db8e3ae.jpg","医保「双轨制」，普通人多了1个选择","\u003Cdiv>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">大家好，我是简保君。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">最近，国家医保局发布了《2025年国家医保药品目录》，新增了114种药品。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">很多「天价药」变成了「平民价」的好消息，瞬间刷屏。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这让很多人都松了一口气，感觉「心里有底了」。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">但与此同时，另一个更现实的问题，可能也会在我们心头浮现：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cstrong>\u003Cspan leaf=\"\">医保已经这么给力了，我们花钱买的那些商业保险，还有用吗？\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这恰恰是今天，我想和你一起深入探讨的核心。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">因为这次新政除了「降价」的好消息，更重要的是，它还首次推出了一个全新的《商业健康保险创新药品目录》：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Csection nodeleaf=\"\" style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;text-align: center;\">\n  \u003Cimg src=\"https:\u002F\u002Fimage.jane7.com\u002Fa6dfbc55-b7ed-4881-996e-3e98dc20cd4f.jpg\">\n \u003C\u002Fsection>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size:14px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;text-align: center;\">\u003Cspan style=\"color:#646a73;font-size: 14px;\">\u003Cspan leaf=\"\">图源：国家医保局官网\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这个「双目录」的出现，以一种前所未有的、清晰的方式，为我们划出了医保的「能力边界」。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">今天，想跟大家聊一聊「医保双轨制」究竟会怎么走？普通人该如何做准备？\u003C\u002Fspan>\u003C\u002Fp>\n \u003Csection nodeleaf=\"\" style=\"margin: 0 16px;padding: 0px;\">\n  \u003Cimg alt=\"图片\" src=\"https:\u002F\u002Fimage.jane7.com\u002F1b319f0a-4a97-4c20-be22-9b978b646d36.jpg\">\n \u003C\u002Fsection>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin: 0 16px 16px 16px;line-height: 2em;text-align: center;color: #de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">01\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">要理解「商保创新药目录」为什么重要，我们得先从一个问题说起：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">为什么明明有医保，我们还是会遇见\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">「买药难、用药难」\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan leaf=\"\">的困境？\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">医保目录，就是国家规定「哪些药能报销」的清单，它的本意是为了保障 所有人 的基本用药，因此：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cblockquote style=\"margin-right: 16px;margin-left: 16px;line-height: 2em;border-left: 2px solid #bbbfc4;color:#646A73;margin-inline-start: 16px;\">\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">便宜、基础的药物会进入目录（甲类）；价格较高的药物进入目录时，报销比例会因地不同（乙类）。\u003C\u002Fspan>\u003C\u002Fp>\n \u003C\u002Fblockquote>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">医保谈判会把一些新药谈进来，也会把不再适用的药淘汰出去。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">即便如此，也有一个很难解决的现实问题：\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">医保要照顾到14 亿人，但资金池有限。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">于是，我们会发现，很贵、很新的创新药，往往因为成本太高难以进入医保目录；\u003C\u002Fspan>\u003Cstrong>\u003Cspan leaf=\"\">即使进了医保，医院里也未必能买得到。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">尤其这几年，大家就诊时能明显感觉到，\u003C\u002Fspan>\u003Cstrong>\u003Cspan leaf=\"\">原研药开不出来、进口药更少了、有时想自费开也不行。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">其实，并非是医生不想开，而是医院也有压力。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这几年，医保DRG改革后，我们采用\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">「按病种打包付费」\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan leaf=\"\">的模式，可以简单理解为——\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">每一类病种都会有一个价格区间，医院自负盈亏，在这个打包价里把病治好，省下的钱医院赚，如果费用超了则要医院贴钱。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">医院直接分配到科室，超出的费用，由医护团队分担；所以原研药、创新药，即便医生知道疗效更好，也会因为费用问题，开得很谨慎。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这样做的好处是，\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">让医疗费用更透明，避免过度医疗。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">在趋于老龄化的人口结构中，我们正在经历，交医保的人逐渐减少，用医保的人逐渐增加。医保基金的压力与日俱增，不得不开始「精打细算」过日子了。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这就是演变成了近几年常讨论的一个现象：\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">有药，但开不出来。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cstrong>\u003Cspan leaf=\"\">你想自费？\u003C\u002Fspan>\u003C\u002Fstrong>\u003Cspan leaf=\"\">不行，因为医院要优先完成集采药的使用量。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cstrong>\u003Cspan leaf=\"\">你想院外买？\u003C\u002Fspan>\u003C\u002Fstrong>\u003Cspan leaf=\"\">要跑流程、垫高额现金，再自己找商业保险报销。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">对于慢病、癌症、罕见病患者来说，时间就是命；而这个被困住的循环，让很多人深感无力。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">商保创新药目录的落地，打破了这个循环，它把医保「报不了」和医院「开不了」的好药，单独划出来，由商业保险来负责。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Csection nodeleaf=\"\" style=\"margin: 0 16px;padding: 0px;\">\n  \u003Cimg alt=\"图片\" src=\"https:\u002F\u002Fimage.jane7.com\u002Fe0c5b442-7839-422d-a7ff-f4ec05a6dc26.jpg\">\n \u003C\u002Fsection>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin: 0 16px 16px 16px;line-height: 2em;text-align: center;color: #de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">02\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">8月份时，商保创新药目录初审121种药品，目录的正式版只批下来了19种，看下来后，发现每一项都是救命药：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cblockquote style=\"margin-right: 16px;margin-left: 16px;line-height: 2em;border-left: 2px solid #bbbfc4;color:#646A73;margin-inline-start: 16px;\">\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">比如CAR-T 疗法\u003C\u002Fspan>\u003Cspan style=\"color:#646a73;\">\u003Cspan leaf=\"\">（单针上百万元）；\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">罕见病「戈谢病」酶替代疗法\u003C\u002Fspan>\u003Cspan style=\"color:#646a73;\">\u003Cspan leaf=\"\">（年治疗费 80–250 万）；\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">阿尔茨海默病创新药：仑卡奈单抗、多奈单抗\u003C\u002Fspan>\u003Cspan style=\"color:#646a73;\">\u003Cspan leaf=\"\">（年费用 24–36 万）。\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n \u003C\u002Fblockquote>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Csection nodeleaf=\"\" style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;text-align: center;\">\n  \u003Cimg src=\"https:\u002F\u002Fimage.jane7.com\u002F9ad19cfd-1050-4c38-bb6e-52a895676a26.jpg\">\n \u003C\u002Fsection>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size:14px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;text-align: center;\">\u003Cspan style=\"color:#646a73;font-size: 14px;\">\u003Cspan leaf=\"\">图源：商保创新药目录清单\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这些药的共同点是，\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">有效，但价格昂贵，\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan leaf=\"\">普通人负担不起，医保也负担不起。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">所以我们不难看出，未来的医疗体系会逐渐分层；\u003C\u002Fspan>\u003Cstrong>\u003Cspan leaf=\"\">医保负责基础、兜底项目，商保负责严重、花费高的项目。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">对于商保目录，官方明确给出「三除外」原则：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cblockquote style=\"margin-right: 16px;margin-left: 16px;line-height: 2em;border-left: 2px solid #bbbfc4;color:#646A73;margin-inline-start: 16px;\">\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">不纳入医保自费率考核；\u003C\u002Fspan>\u003C\u002Fp>\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">不计入医院自费指标；\u003C\u002Fspan>\u003C\u002Fp>\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">不受集采可替代品种限制。\u003C\u002Fspan>\u003C\u002Fp>\n \u003C\u002Fblockquote>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这个「三除外」原则，精准地治好了我们医疗支付体系的三个「硬伤」\u003C\u002Fspan>\u003Cspan style=\"color:#646a73;\">\u003Cspan leaf=\"\">（医院不敢用、医生不敢开、商保不敢报）。\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">也就是说，医院可以放心用、医生可以放心开、\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">费用交给商业保险来付\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan leaf=\"\">。这就实现了「医保+商保」真正意义上的协同。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">很多朋友都对「商保创新药目录」怎么用感兴趣；以百万医疗险为例，我们分2种情形来说。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">1）药品可以在医院里直接用\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">如果未来这些创新药，能够像普通治疗用药一样，在医院内直接使用，那么在报销逻辑上，它们就属于「住院医疗费用」。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这时，大多数百万医疗险都能报，差别主要体现在两点：\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">有没有免赔额；报销比例是多少。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">也就是说，只要是「院内用药」，绝大多数医疗险都能兜住。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">商保创新药目录的最大意义，就是给医院开了一道合法合规\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">「用好药」\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan leaf=\"\">的口子。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">2）药品仍需要院外购买\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">如果某些创新药，医院暂时没有配备，需要到院外药房购买，那才会真正用到「特药清单」和「外购药责任」。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这时要看两点：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cstrong>\u003Cspan leaf=\"\">你的保单里，是否涵盖「特药\u002F院外药」；\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cstrong>\u003Cspan leaf=\"\">保险公司的特药清单，是否覆盖到具体药品名称。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">从目前市场情况来看，多数商业医疗险的特药清单，仍然以肿瘤药为主；对罕见病、阿尔茨海默病等创新药，覆盖还比较有限。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">这并不是坏消息，而是一个很明确的信号：这 19 种药，会成为未来医疗险升级的方向。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Csection nodeleaf=\"\" style=\"margin: 0 16px;padding: 0px;\">\n  \u003Cimg alt=\"图片\" src=\"https:\u002F\u002Fimage.jane7.com\u002Ff6f67afa-646a-46c9-a0ab-9094e8188c34.jpg\">\n \u003C\u002Fsection>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin: 0 16px 16px 16px;line-height: 2em;text-align: center;color: #de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">03\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">看到这里，大家应该逐渐捋清这事儿了——\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">过去，在高价创新药面前，普通家庭往往买不到、用不起；现在，制度层面至少已经明确：\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">有商业医保的群体，可以放心用。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">那么，未来医疗体系会越来越清晰地分成两层：\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cblockquote style=\"margin-right: 16px;margin-left: 16px;line-height: 2em;border-left: 2px solid #bbbfc4;color:#646A73;margin-inline-start: 16px;\">\n  \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;font-size: 14px;\">\u003Cspan leaf=\"\">医保负责基础医疗，保证大多数人「有药可用」；商保负责重病、大额医疗支出，防止一次疾病拖垮一个家庭。\u003C\u002Fspan>\u003C\u002Fp>\n \u003C\u002Fblockquote>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">有些朋友会觉得买一份商业医保压力很大，比如\u003C\u002Fspan>\u003Cstrong>\u003Cspan leaf=\"\">年纪大保费很贵\u003C\u002Fspan>\u003C\u002Fstrong>\u003Cspan leaf=\"\">，比如\u003C\u002Fspan>\u003Cstrong>\u003Cspan leaf=\"\">身体状况不佳要加费承保\u003C\u002Fspan>\u003C\u002Fstrong>\u003Cspan leaf=\"\">甚至被拒保。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">其实，商业医疗险距离我们没有那么遥远，像\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">不限年龄、不限职业、不限健康情况，一年一两百块的惠民保产品，\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003Cspan leaf=\"\">也是商业医疗险。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">以北京的普惠健康保为例，涵盖57种\u003C\u002Fspan>\u003Cstrong>\u003Cspan leaf=\"\">国内特药\u003C\u002Fspan>\u003C\u002Fstrong>\u003Cspan leaf=\"\">、65种\u003C\u002Fspan>\u003Cstrong>\u003Cspan leaf=\"\">海外特药\u003C\u002Fspan>\u003C\u002Fstrong>\u003Cspan leaf=\"\">，覆盖肿瘤、罕见病、免疫类等高额用药场景。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Csection nodeleaf=\"\" style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;text-align: center;\">\n  \u003Cimg src=\"https:\u002F\u002Fimage.jane7.com\u002Fb323ddf2-c704-4527-9af1-f359d77e7f7a.jpg\">\n \u003C\u002Fsection>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size:14px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;text-align: center;\">\u003Cspan style=\"color:#646a73;font-size: 14px;\">\u003Cspan leaf=\"\">图源：北京普惠健康保服务号\u003C\u002Fspan>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">当然，惠民保也有它的短板：\u003C\u002Fspan>\u003Cspan style=\"color:#de7802;\">\u003Cstrong>\u003Cspan leaf=\"\">报销比例，没有百万医疗险高。\u003C\u002Fspan>\u003C\u002Fstrong>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">但放在整个医疗体系里看，它给了普通人一个最低成本的「备选方案」。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">年轻、身体好的朋友建议尽早配置百万医疗险；慢性病、既往症、大龄人群不妨花小钱，买一份托底的惠民保。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">我们当然希望，这些动辄几十万、上百万的药，一辈子都用不上。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">但如果真有那么一天，提前做准备的人，就能更从容。\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">如果你想进一步了解医疗险产品，欢迎扫码加入\u003Cspan style=\"background-color: rgb(255, 218, 169);font-weight: bold;\" textstyle=\"\">【\u003C\u002Fspan>\u003C\u002Fspan>\u003Cspan leaf=\"\">\u003Cspan style=\"background-color: rgb(255, 218, 169);font-weight: bold;\" textstyle=\"\">家庭\u003C\u002Fspan>\u003C\u002Fspan>\u003Cspan leaf=\"\">\u003Cspan style=\"background-color: rgb(255, 218, 169);font-weight: bold;\" textstyle=\"\">保险训练营】\u003C\u002Fspan>一起讨论。\u003C\u002Fspan>\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Csection nodeleaf=\"\" style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;text-align: center;\">\n  \u003Cimg src=\"https:\u002F\u002Fimage.jane7.com\u002Ff84ad641-a2ef-48c5-94f2-afa606f4ddaf.jpg\">\n \u003C\u002Fsection>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">\u003Cbr>\u003C\u002Fspan>\u003C\u002Fp>\n \u003Cp style=\"font-family: Optima-Regular, PingFangTC-light;font-size: 16px;letter-spacing: 1px;caret-color: rgb(51, 51, 51);visibility: visible;margin-top:0;margin-bottom:0;margin-right: 16px;margin-left: 16px;line-height: 2em;\">\u003Cspan leaf=\"\">晚安~\u003C\u002Fspan>\u003C\u002Fp>\n\u003C\u002Fdiv>","","2025-12-17 21:31:00",100,0,"py自动生成","2025-12-17 21:33:15",69,false,17962,"1038002",[],[],[],[],[30,42],{"pageSize":4,"articleWikiId":31,"wikiName":32,"articleCode":33,"locationType":34,"sortNumber":35,"articleTitle":36,"introduction":37,"coverImage":38,"likeCount":18,"realSearch":22,"createTime":39,"seoUrl":40,"seoKeywords":41},95,"保险知识","JP2020061918403878913",2,20200619,"买完保险后，有哪些注意事项？这1点不能忽视","投保后非常关键的一件事，就是进行保单管理！一起来看看~","https:\u002F\u002Fimage.jane7.com\u002F45eb7c4f-fc09-4aff-81b2-b379c8cd63d4.png","2020-06-19 18:40:38","https:\u002F\u002Fwww.jane7.com\u002Farticle-financing-JP2020061918403878913-95.html","保险",{"pageSize":4,"articleWikiId":31,"wikiName":32,"articleCode":43,"locationType":34,"sortNumber":35,"articleTitle":44,"introduction":45,"coverImage":46,"likeCount":18,"realSearch":22,"createTime":47,"seoUrl":48,"seoKeywords":41},"JP2020061918353644287","用1000万保单，顶30万彩礼，这能行吗？","这1000万的保障，到底对女方有什么实在的好处？一起来聊聊~","https:\u002F\u002Fimage.jane7.com\u002F07d4fcb3-81ee-42b5-9a58-410c74054eda.png","2020-06-19 18:35:36","https:\u002F\u002Fwww.jane7.com\u002Farticle-financing-JP2020061918353644287-95.html"]