Is there a reimbursement policy for special diseases?

The reimbursement policy is as follows:

Taking Shijiazhuang as an example, starting from March 1, Shijiazhuang will implement zero-threshold reimbursement for seven outpatient special diseases such as malignant tumor, leukemia and chronic renal failure, which is expected to benefit 37 1000 urban and rural residents in the city.

According to the person in charge of Shijiazhuang Medical Insurance Bureau, outpatient special diseases refer to diseases that require long-term outpatient treatment and high outpatient medical expenses. Seven diseases, including malignant tumor, leukemia, chronic renal failure, organ transplant anti-rejection therapy, hemophilia, aplastic anemia and severe psychosis, have been included in special outpatient diseases in Shijiazhuang.

At the beginning of the year, the Municipal Party Committee and the Municipal Government decided to cancel the original 200 yuan deductible line of medical insurance for urban and rural residents with seven outpatient special diseases, and implement zero-threshold reimbursement to effectively reduce the medical burden of insured patients. Shijiazhuang medical insurance department acted quickly, organized forces to debug the medical insurance information system in time, and debugged the reimbursement procedures of medical institutions' settlement agencies to ensure the implementation of the policy of benefiting the people.

According to reports, if there is no outpatient medical expenses for special diseases before 20 1 March 9/KLOC-0, the medical expenses will be reimbursed directly according to the zero deductible standard. From February 26, 20 18 to March 26, 20 19, if the medical expenses for outpatient special diseases have occurred, the minimum medical expenses will be reimbursed according to the prescribed proportion, and the reimbursement will be paid directly to the individual bank account of the residents.

Extended data:

For people who live in different places for a long time in Shanxi Province, they can choose to be treated nearby. It is clear in the document that patients with phenylketonuria should go to the screening center for neonatal genetic and metabolic diseases for medical treatment and examination according to regulations, and the payment scope is limited to the expenses incurred by using low phenylalanine formula diet, carnitine and trace elements, tetrahydrofolate and neurotransmitters, and regular testing.

The demand of patients' families, the appeal of the media, and the concern of provincial people's congress, provincial CPPCC and community organizations have included the issues of how to reimburse the treatment fee for phenylketonuria and how to limit the reimbursement amount into the special research plan. The "special food" eaten by patients does not belong to drugs, and the problem that missing patients can't take care of themselves, such as brain injury, has been solved in this document.

People's Daily Online-Shijiazhuang: Zero-threshold reimbursement for 7 outpatient special diseases 1 from March.

People's Daily Online-Shanxi Provincial Department of Human Resources and Social Security issued a new policy? Adjust the medical insurance benefits for some special diseases.