What are the criteria for applying for medical insurance for chronic diseases?

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Chronic disease is a general term for diseases that have accumulated for a long time to form morphological damage. Therefore, chronic diseases are harmful, and medical expenses will be higher than other diseases. If the application for medical insurance for chronic diseases written according to the specifications is approved by the Social Security Bureau, it will save a lot of expenses for patients.

How to apply for reimbursement for chronic disease medical insurance? When applying for medical insurance for chronic diseases, you need to fill in a form and get the approval of the Social Security Bureau. Details are as follows:

How to handle medical insurance for chronic diseases?

Insured persons suffering from diseases classified as chronic diseases can receive and truthfully fill out the Application Form for Chronic Disease Visiting Card in the local social neighborhood committee, and provide their own authentic and effective medical records, laboratory tests, inspection reports and other information, and then the municipal medical insurance agency will issue the chronic disease visiting card after confirmation by the municipal medical insurance expert committee. Insured residents can enjoy the prescribed outpatient subsidy treatment with the card from the date of receiving the chronic disease treatment card; The uninsured urban residents can receive and truthfully fill out the Application Form for Chronic Disease Visiting Card when they go through the insurance registration formalities in the local social neighborhood committee, and finally they need to be confirmed by the municipal medical insurance expert committee.

Chronic disease application process

1. Those who have already enjoyed the treatment of chronic diseases of 20 15 will continue to enjoy the treatment of chronic diseases of 20 16 according to the original diseases, and there is no need to fill in the application form of chronic diseases of 20 16; 20 15 residents who have enjoyed the treatment of chronic diseases and need to apply for new diseases will be treated as new applicants, that is, new and old diseases need to be applied at the same time. All the applied diseases should fill in an application form and prepare the medical records of the applied diseases respectively;

2, 2065438+2006 hospitalized chronic disease applicants are limited to fill in an application form, and fill in all the diseases that need to be filled in the column of applying for diseases; New applicants are required to provide the original medical records and diagnosis certificates of hospitalization in hospitals above Grade II within two years, and the medical records should be stamped with a red stamp. Among them: ankylosing spondylitis, systemic lupus erythematosus and Parkinson's disease need to provide medical records of top three hospitals; Schizophrenia needs to provide medical records of specialized hospitals.

3. When filling in the application form, you must fill in the column of designated medical institutions to be selected (the designated medical institutions that carry out chronic disease business for residents are: municipal hospitals, traditional Chinese medicine hospitals and Kangrui hospitals). After the application is passed, it will be directly entered into the chronic disease management system of medical insurance according to the contents filled in, which cannot be changed within one year. Please fill in carefully.

4. The opinions of the medical institutions in the application form shall be filled in and sealed by the hospitals above the second level in our city.

5, designated medical institutions handling personnel will apply for personnel information summary, in the form of spreadsheet (see annex) submitted to the chronic disease management department.

What are the new chronic diseases?

In 20 16 years, the number of serious chronic diseases in urban residents' medical insurance clinics increased from 3 to 10. Seven new diseases are: serious complications of diabetes, schizophrenia (drug maintenance treatment), hemophilia, liver cirrhosis (decompensated period), systemic lupus erythematosus, ankylosing spondylitis and Parkinson's disease. The original three diseases were malignant tumor and decompensated chronic renal insufficiency.

To write an application form for medical insurance for chronic diseases, it is necessary to fill in the application form for chronic diseases received by local community residents' committees and provide other relevant materials, and then carry out related activities according to the prescribed application process, truthfully fill in Ge Hong's application form, and after being approved, the handling personnel of medical institutions will summarize the application materials and send them to the Chronic Diseases Management Department.

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