What is the reimbursement rate of chronic disease card?

The reimbursement rate of chronic disease card is 70%.

The reimbursement process for chronic diseases is as follows:

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 cost of identification shall be borne by the individual or unit;

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.

Requirements for reimbursement of chronic diseases are as follows:

1. Diagnostic requirements: A formal diagnosis certificate issued by a doctor or a professional medical institution is usually required to confirm that the client has a specific chronic disease. This usually requires specific medical examination, medical records and doctor's diagnosis;

2. Requirements for medical expenses: According to different medical insurance plans, there may be specific requirements for expenses. For example, it may be necessary to provide relevant medical expense invoices, prescription drug expense lists and other documents as the basis for reimbursement;

3. Insurance requirements: the parties may need to meet the requirements of the medical insurance plan, such as having a valid medical insurance certificate or insurance identity;

4. Reimbursement ratio and limit: Different medical insurance plans may have different reimbursement ratios and limits for chronic diseases. You need to know the specific provisions of the medical insurance plan you participate in, including the reimbursement ratio and limit, so as to know the specific scope of reimbursement;

5. Application procedure: The parties may need to fill in the specified reimbursement application form and provide necessary documents and supporting materials according to the requirements of the medical insurance plan. Ensure that accurate and complete application materials are provided as required.

To sum up, within the scope of medical insurance, the medical insurance fund pays 70%, and each person who applies for chronic diseases can declare up to three kinds, and the examination and approval is twice a year. Generally, you should apply for reimbursement.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.