How much is the annual subsidy for special diseases?

The annual subsidy amount for special diseases varies with regions, diseases, policies and patients' work units.

Usually, subsidies for special diseases are formulated by local governments according to local economic conditions and medical security level, and the specific amount of subsidies needs to refer to the latest local medical security policies or consult local medical security departments. Set up special disease subsidies to reduce the economic burden of patients with specific diseases. This kind of subsidy is usually aimed at diseases with high treatment cost, long course of disease and great influence on the quality of life of patients. The amount and payment method of subsidies are determined by local policies, aiming at helping patients cope with high medical expenses through financial support.

Medical insurance reimbursement process for special diseases:

1, determine the applied disease. The insured shall determine the diseases that need to be applied according to his own situation and the diagnosis of the attending doctor. Guangdong province has expanded the scope of outpatient specific diseases to 52, and the insured can make medical diagnosis in designated medical institutions with corresponding outpatient specific disease diagnosis qualifications.

2. Choose the institution that handles the application procedures. In Guangdong province, the decision-making power of outpatient treatment of specific diseases has been delegated to medical institutions. Insured persons need to hold their ID card, social security card or medical insurance electronic certificate to the designated medical institutions for medical diagnosis, and for outpatient treatment and identification of specific diseases.

3. Submit application materials. Including medical insurance electronic certificate or valid ID card or social security card, application form for outpatient treatment of specific diseases, medical records or inspection materials.

4. Change the selection point within the treatment period. After the designated medical institutions for outpatient specific diseases are selected in principle, they may not be changed within one year. However, some places stipulate that the insured can make changes from 12 to 1 25 at the Medical Insurance Office of the People's Social Security Bureau every year.

To sum up, the annual subsidy for special diseases needs to refer to the local medical security policy, and patients or their families should take the initiative to understand and apply for corresponding subsidies.

Legal basis:

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

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.