What are the chronic diseases of medical insurance reimbursement?

The regulations vary from place to place. For consultation, please call the local social security bureau at 12333. Take Shijiazhuang as an example:

Chronic diseases are divided into two categories:

One is the annual reimbursement limit of 2000 yuan, and the specific diseases are:

1. Hypertension (high risk stage Ⅲ and above);

2. Rheumatic heart disease;

3. Pulmonary heart disease;

4. Chronic obstructive pulmonary disease;

5. Angina pectoris;

6. Myocardial infarction;

7. Chronic atrial fibrillation;

8. Various chronic heart failure;

9 sequelae of cerebrovascular disease (with severe dysfunction);

10. Chronic hepatitis;

1 1. Chronic nephritis;

12. Nephrotic syndrome;

13. Rheumatoid arthritis (accompanied by severe limb dysfunction or serious organ damage);

14 epilepsy;

15 active pulmonary tuberculosis;

16 femoral head necrosis;

17 primary aldosteronism;

18 leukopenia and granulocytopenia.

Another kind of annual reimbursement limit is 3000 yuan, and the specific diseases are:

1. Diabetes (with serious complications);

2. Chronic renal failure (not up to dialysis level);

3. Mental disorder;

4. Systemic lupus erythematosus;

5. Liver cirrhosis;

6. Parkinson's disease;

7. Myasthenia gravis;

8. Myelodysplastic Syndrome;

9. Systemic sclerosis;

10. Thrombocytopenic purpura;

1 1. Chronic osteomyelitis;

12.

Suffering from two or more chronic diseases, the deductible is not accumulated, and the annual payment limit is accumulated. The annual maximum payment limit is 5000 yuan.

Extended data:

Settlement of medical insurance for chronic diseases

The outpatient medical expenses for chronic diseases are paid directly by individuals and agreed medical institutions, and the medical insurance fund is paid by medical institutions. Accounting medical expenses shall be settled by the insurance agency and the agreed medical institution, and the specific settlement measures shall be formulated by the insurance agency.

References:

Shijiazhuang social security bureau-chronic diseases have been identified, and you should know that.

China social security department-national unified consulting service special telephone