How to deal with special diseases in medical insurance

The medical insurance process for special diseases is as follows:

1. Take the past medical records (discharge records, laboratory tests, disease-related inspection reports, etc.). ) Go to the outpatient doctor. For eligible patients, the doctor shall fill in the Certificate of Special Diseases of Basic Medical Insurance and the Approval Form for Outpatient Treatment;

2. The examination and approval form for special diseases must be filled out by the attending physician of the designated medical institution at or above the second level;

3. After discharge, patients or their families should bring medical history data, medical insurance cards, ID cards (minors hold household registration books) and 1 inch photos. The relevant medical history data of the hospital shall be applied to the social security office where the household registration is located, and the application form shall be collected and filled in. The approval form shall be examined and sealed by the local social security office.

The information required to apply for medical insurance for special diseases is as follows:

1, medical insurance certificate: I need to provide my medical insurance certificate;

2. Diagnosis certificate: A diagnosis certificate issued by a hospital or doctor is required to prove that I have a specific disease;

3. Treatment plan: it is necessary to provide a treatment plan prescribed by a hospital or a doctor, including treatment methods and drug use;

4. Identity certificate: I need to provide my identity certificate, such as ID card and household registration book;

5. Proof of medical expenses: it is necessary to provide relevant proof of medical expenses, such as a list of medical expenses and receipts;

6. Other relevant supporting materials: such as insurance documents and medical records.

To sum up, the application process of medical insurance for special diseases may be different in different regions and diseases. In the application process, you can consult the local medical insurance bureau or relevant departments to understand the specific application requirements and procedures. At the same time, medical insurance cards and personal information of special diseases should also be properly kept to avoid unnecessary risks and losses.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Regulations on the supervision and administration of the use of medical insurance funds

Article 8

The use of medical insurance funds shall conform to the scope of payment stipulated by the state.

The scope of medical insurance fund payment shall be formulated by the administrative department of medical insurance in the State Council according to law. The people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall, in accordance with the authority and procedures prescribed by the state, supplement the specific items and standards paid by medical security funds within their respective administrative areas and report them to the administrative department of medical security of the State Council for the record.