[Exclusivo]Shipwreck and land, 2 deaths and 1 comma Medical insurance does not pay the bill! More than 4 million medical expenses explode in hospitals | Apple News Network | Apple Daily



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On July 3 this year, the Hanguang Marine Corps exercise conducted “beach landing and grabbing training” in front of Zuoying Taoziyuan, causing 7 people to fall into the sea, 2 dead and 1 coma. The medical expenses related to the accident were at least 4 million yuan, but the medical insurance did not pay for them! Rumor was circulating within the military medical community that the head of the Zuoying Section of the Kaohsiung General Hospital of the National Army, who was in charge of treatment, was preparing to be promoted to general. He did not dare to urge the direct officer to “swallow” the yellow lotus. The Ministry of National Defense clarified this accident. Medical Expenses “If you do not apply for health insurance benefits, the Military Medical Office will pay in full!”

This capsizing accident resulted in the deaths of Sergeant Chen Zhirong (34 years old) and Sergeant Cai Boyu (26 years old), Sergeant Amal. Daokadu (34) is still unconscious in the intensive care unit at Zuoying Branch Hospital. Medical expenses are considerable, but the military did not disclose the actual amount. The military medical profession roughly estimated that at least 4 million yuan would not escape.

“Apple News” recently received the news that the National Health Insurance Agency sent a letter to the Ministry of National Defense for compensation for medical expenses due to accidental medical expenses exceeding 100,000 yuan. The hospital informants were dumbfounded and quite unfair, and even general doubts Accidents such as car accidents, “What is not human negligence? But as long as it comes to medical treatments, medical insurance is available! Why this accident is not can you apply for health insurance benefits and does the hospital have to absorb it? ” In addition, the Qiaotou District Prosecutor’s Office investigated the ship capsizing accident. No one is determined to be negligent and the entire case has been signed this Wednesday (2/9)!

“Apple” consulted with the Gaoping Business Team of the National Department of Health Insurance. The other party confirmed that the team had seen accidental media reports about the Hanguang exercise on July 3, and that the wounded were sent to the Zuoying Branch of the Kaohsiung General Hospital of the National Army. They voluntarily published an article on July 28. The Ministry of National Defense asks you to provide relevant medical information, in order to obtain compensation from the Ministry of National Defense for the relevant medical expenses in accordance with the “Application of national health insurance in cases of public safety accidents, accidents of major traffic and food poisoning incidents. “

However, a response from the Ministry of National Defense on August 7 indicated that the aforementioned wounded who sought medical attention at the Zuoying Section of the Kaohsiung General Hospital of the National Army did not apply for health insurance benefits, so it was not necessary to provide to the Department of Health Insurance medical information about these people.

In response to the “domineering” response from the Ministry of National Defense to the National Health Insurance Agency, Apple continued to investigate. According to the practice of paying medical expenses to medical institutions by the Gaoping Business Group of the National Health Insurance Administration, hospitals request rates from the business group before the 20th of the following month; Hanguang Exercise accident occurred on July 3, and the Zuoying Division of the Kaohsiung General Hospital of the National Army did not request this health insurance payment until August 20, and did not request it before the deadline for “Apple”, and there was no claim for subrogation of health insurance. problem.

The high-screen business group of the National Health Insurance Agency pointed out that health insurance is public property of all the people and the business group is obliged to verify it. According to the “Implementation of the national health insurance for public safety accidents and major traffic accidents and subrogation measures for food poisoning incidents”, due to the same major traffic accident, public danger or food poisoning incident, the total medical expenses paid for this insurance exceed 100,000 Taiwanese dollars. Otherwise, the insurer may claim the subrogation. This measure was enacted and implemented as early as 2006, and the National Health Insurance Agency has had many successful claims cases.

The Ministry of National Defense has stated that it will not request medical insurance benefits, but who will pay for medical expenses? Is it true that the military hospital as a subordinate “swallowed it alone”? “Apple” consulted with the Ministry of National Defense, and the military personnel hastily shouted “The Military Medical Bureau of the Ministry of National Defense will pay the full amount!”

The day before yesterday, the Military Medical Directorate of the Ministry of National Defense solemnly declared that the Military Medical Directorate of the Ministry of National Defense prepares a budget every year and that the Ministry of National Defense pays all medical expenses for military personnel injured on the job. Therefore, there is no “surrogacy problem”.

The office further emphasized that all treatment expenses sent to the Zuoying branch for the brothers who drowned due to rushing on the beach will be paid by the office in full, and the Kaohsiung Zuoying branch will not have to absorb them itself. themselves.

For Sergeant Amal. Dokadu is still in hospital for all treatment costs, the Military Medical Bureau will also pay in full. Defense Minister Yan Defa also emphasized in an interview the day before yesterday that it is impossible for the national army to let the brothers go.

As for the rumor that the Zuoying branch did not say anything, it was because the dean was about to be promoted to general. “Apple” called Chen Yingkai, the dean of the Zuoying branch a few days ago, who immediately replied: “Thank you, thank you, we all prioritize saving lives, and everything is handled according to regulations.” “It was extremely discreet.

Chen Yingkai took the initiative to call “Apple” yesterday to explain that the corresponding medical expenses are paid by the Military Medical Bureau. “This is not a special case. The Military Medical Bureau always pays the corresponding medical expenses. The outside world does not need to speculate.”

His friend privately complained about Chen Yingkai, saying that General Chen Sheng’s staff case had actually been released and that he did not request payment of health insurance due to promotion concerns. This is a bullshit. However, military sources indicated that the promotion of generals in the national army is stipulated in January and July of each year. Chen Yingkai is currently in the rank of colonel. Until January next year it will not be confirmed whether to promote to general.

The Kaohsiung National Military General Hospital declared today (5) that the National Military Hospital has an inescapable responsibility to treat all officers and soldiers who were injured in service. All expenses are borne by the Military Medical Office of the Ministry of National Defense. (Local Center, Wang Jionghua, Chen Peihuang / Kaohsiung-Taipei Online Report)

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