New Policy of Chronic Disease Dialysis in 2023

1, the Qifubiaozhun for chronic diseases in designated community health service institutions is in 200 yuan. The Qifubiaozhun for chronic diseases in designated first-level specialized hospitals is 200 yuan, and that for designated second-level specialized hospitals is 400 yuan. Outpatient chronic disease Qifubiaozhun above, below the annual maximum payment limit of medical expenses, according to the proportion of reimbursement, outpatient co-ordination fund to pay 50%.

2, suffering from more than two kinds of chronic outpatient diseases, in accordance with the principle of "high is not low", to determine the annual payment limit, the annual payment limit per person increased by 200 yuan.

3, outpatient chronic disease patients can not enjoy outpatient medical treatment at the same time during hospitalization, accounting for the highest payment limit of basic medical insurance, outpatient medical expenses and hospitalization medical expenses combined calculation.

4, outpatient special disease medical treatment according to the hospitalization standard, an insured year only calculate deductible, Qifubiaozhun according to the hospitalization level standard.

(2) reimbursement ratio

1, reimbursement rate for chronic diseases: 50% for adult residents who pay according to the low standard; The reimbursement rate for minor residents and adult residents who pay according to the high-grade standard is 60%.

2, malignant tumor radiotherapy and chemotherapy, uremia dialysis treatment, tissue and organ transplantation after taking anti-rejection drugs for outpatient treatment expenses reimbursement without deductible, adult residents according to the low standard reimbursement ratio is 70%, minor residents and adult residents according to the high standard reimbursement ratio is 80%.

3. Annual expense reimbursement standard for taking anti-rejection drugs after uremia dialysis treatment and organ transplantation: adult residents pay according to the low standard limit of 60,000 yuan. The limit for underage residents and adult residents who pay according to high-grade standards is 80,000 yuan.

4, enterprises and institutions insured, flexible employment of individual insured can enjoy subsidies for chronic diseases.

(C) Rural chronic disease card processing process

1. The patient himself applies to the social security center and fills in the formal application form.

2, will be more than two hospital diagnosis proof materials submitted to the social security center, after the expert committee appraisal audit, for chronic disease card calendar. The expert committee of chronic disease identification is held once every quarter, and the expenses required for identification shall be borne by individuals or units.

3, patients in the designated hospital outpatient department to see a doctor to buy medicine.

4. Within the specified time, go to the social security center to reimburse the medical expenses for chronic diseases, and at the same time file the list of medical expenses for outpatient clinics for chronic diseases together with prescriptions, invoices, chronic disease certificates, medical records and various inspection reports. It should be noted that when applying for reimbursement of chronic diseases, each person can declare up to three chronic diseases.