Rural hypertension subsidy policy

Meet certain conditions of hypertension insured, in a specific hospital outpatient or pharmacy to buy hypertension-related drugs, can enjoy hospitalization treatment, and according to a certain proportion of reimbursement. The reimbursement rate varies from region to region, generally between 60% and 80%.

Qifubiaozhun and annual reimbursement amount are different in different regions. In general, the upper limit of the region is around 3,000 yuan per year. Please consult the local medical insurance center for the specific reimbursement amount.

To apply for chronic hypertension medical insurance, you should go to a hospital above level 3 and hang up the cardiovascular department for relevant examination. After the diagnosis of hypertension, the doctor will issue a medical record certificate of hypertension and prescribe antihypertensive drugs for one month. 2. After getting the medical insurance card, you can choose hospitals above Grade III and large hospitals at designated community health service stations, and you can enjoy the monthly antihypertensive drug subsidy of 100- 150 yuan.

Not all patients with hypertension can enjoy the chronic disease policy of hypertension clinic. Because it is paid by the medical insurance department, social security personnel, units or individuals must participate.

After meeting the primary conditions of insurance, the condition of hypertension itself must meet certain requirements:

First of all, there is primary hypertension above grade 2, that is, the blood pressure is above 160/ 100mg;

In addition, there are generally one of the following six items:

1, cardiac examination showed left ventricular hypertrophy;

2. Widespread or local stenosis of fundus artery, hemorrhage and exudation of fundus.

3. Laboratory tests showed that protein and plasma creatinine concentration increased slightly;

4. Cerebral hemorrhage, cerebral infarction or hypertensive encephalopathy;

5. Left heart failure;

6. Renal failure.

Rural chronic disease subsidy policy standards are as follows:

1, Qifubiaozhun:

(1) The payment standard for chronic diseases in designated community health service institutions is 200 yuan. In designated specialized hospitals, the deductible standard for chronic diseases in the first-level hospitals is 200 yuan, and the deductible standard for chronic diseases in the second-level 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%;

(two) suffering from two or more chronic outpatient diseases, determine the annual payment limit according to the principle of high or low, and increase the annual payment limit per person by 200 yuan;

(3) Outpatients with chronic diseases cannot enjoy outpatient medical treatment at the same time during hospitalization. When calculating the maximum payment limit of basic medical insurance, outpatient medical expenses and inpatient medical expenses are calculated together;

(4) outpatient medical treatment for special diseases shall be carried out according to the hospitalization standard, and the deductible line shall be calculated only once in an insurance year, and the deductible line standard shall be carried out according to the hospital grade standard.

2. Subsidies for chronic diseases. Including the insured, including enterprises, institutions and institutions. Individual insured persons with flexible employment can enjoy chronic disease subsidies;

3, chronic disease subsidy standard:

(1) 2065438+ Qifubiaozhun 1000 yuan; 800 yuan.

(2) the subsidy ratio of coronary heart disease (angina pectoris, myocardial infarction):

Community health service institutions are 70%;

Non-community health service institutions are 60%.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

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.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

Notice of State Taxation Administration of The People's Republic of China, Ministry of Finance, National Health Insurance Bureau, on Doing a Good Job in Basic Medical Insurance for Urban and Rural Residents 202 1 II. Consolidate and improve the medical insurance benefits for urban and rural residents.

It is necessary to do a good job in the list of medical security benefits, resolutely establish the awareness of list and scientific decision-making, and strictly implement the scope and standards of basic medical security payment. It is necessary to strengthen the connection of the triple security system of basic medical insurance, serious illness insurance and medical assistance, and give full play to the comprehensive security function. Further consolidate and stabilize the level of hospitalization treatment, stabilize the proportion of fund payment within the policy range at around 70%, improve the treatment guarantee for chronic diseases and special diseases in outpatient clinics and make overall plans for general outpatient clinics, and do a good job of treatment convergence. Continue to do a good job in the implementation of outpatient medication security policies for patients with hypertension and diabetes, carry out special actions, and uniformly organize demonstration city activities in various provinces (autonomous regions and municipalities directly under the Central Government). Conditional areas can explore the inclusion of chronic diseases such as cardiovascular and cerebrovascular diseases in the scope of chronic disease protection, give play to the role of medical insurance in promoting early diagnosis and treatment of chronic diseases, and improve the level of health management. We will speed up the improvement of the medical insurance assistance system for major diseases. The medical insurance for major diseases will continue to implement the policy of giving priority to the extremely poor, the low-income recipients and those returning to poverty, improve the unified and standardized medical assistance system, reasonably determine the standard of assistance treatment according to the actual situation, and consolidate the medical assistance guarantee function.

It is necessary to standardize the setting of waiting period for treatment enjoyment (hereinafter referred to as "waiting period"), and there is no waiting period for residents who participate in medical insurance during centralized insurance, residents who participate in employee medical insurance within 3 months after medical insurance is interrupted, and special groups such as newborns and rural low-income people.