Is depression a chronic disease? Can community medical insurance apply for reimbursement of medical expenses for chronic diseases?

Depression is a chronic disease, and medical expenses can be reimbursed by applying for chronic diseases through community medical insurance. Depression, also known as depressive disorder, is characterized by obvious and persistent depression and is the main type of mood disorder. Clinically, it can be seen that depression is not commensurate with its situation. Emotional depression can range from moping to grief-stricken, self-abased and depressed, even pessimistic and world-weary, and there may be suicide attempts or behaviors;

Even appear stiff; Some cases have obvious anxiety and restlessness; In severe cases, mental symptoms such as hallucinations and delusions may occur. Each attack lasts at least 2 weeks, and even years for the elderly. Most cases tend to recur, most can be relieved, and some can have residual symptoms or become chronic.

Community medical insurance belongs to urban residents' medical insurance, that is, for people whose urban hukou cannot participate in employee medical insurance (general medical insurance), the fees paid are relatively small, and the reimbursement ratio and total reimbursement amount are not as high as employee medical insurance. In addition, when choosing a hospital, we must start with a community hospital, and we can go to a big hospital only if we meet the conditions for transfer. If you go directly to a big hospital, you may not be reimbursed.

Extended data:

Clinical manifestations of depression:

1, depressed

Mainly manifested as significant and lasting depression, depression and pessimism. Lighter people are unhappy, have no sense of happiness, and their interest declines. Heavy people are miserable, pessimistic, desperate and dying. The typical patient's depression mood has the rhythm change of morning weight and night light.

On the basis of depression, patients will have a low self-evaluation, resulting in a sense of uselessness, hopelessness, helplessness and worthlessness, often accompanied by self-blame, severe paranoia and hypochondria, and some patients will also have hallucinations.

Step 2 think slowly

The patient's thinking association speed is slow, the reaction is slow, the thinking is blocked, and he consciously "the brain is like a rusty machine" and "the brain is like a layer of paste". Clinically, we can see that the active speech is reduced, the speech speed is obviously slowed down, the voice is low, and it is difficult to answer. In severe cases, communication cannot be carried out smoothly.

3. The activity will decrease.

The patient's will activity was significantly and permanently inhibited. Clinical manifestations are slow behavior, passive and lazy life, unwilling to do things, unwilling to contact with people around, often sitting alone, or staying in bed all day, living alone behind closed doors, alienating relatives and friends, and avoiding social interaction. In severe cases, even the physiological needs such as eating and drinking, personal hygiene, etc. are ignored, sloppy, and even develop into reticence, silence, and no eating.

It is called "depressive stupor", but after careful mental examination, the patient still shows pain and depression. Anxiety patients may have symptoms such as fidgeting, scratching their fingers, rubbing their hands and stamping their feet or pacing back and forth. Severe patients are often accompanied by negative suicidal thoughts or behaviors.

According to the survey, 287,000 people in China die of suicide every year, of which 63% suffer from mental disorder and 40% suffer from depression. Many celebrities committed suicide due to depression, including Van Gogh, Hemingway, San Mao, Leslie Cheung, Xu Xing, Li Xiao, robin williams and Jimmy.

Negative and pessimistic thoughts, self-blame and guilt, and lack of self-confidence will all sprout desperate thoughts. They believe that "ending one's own life is a relief" and "living in the world is a redundant person", which will make suicide attempts develop into suicide. This is the most dangerous symptom of depression, so be vigilant.

4. Cognitive impairment

Studies have shown that people with depression have cognitive impairment. Mainly manifested in recent memory decline, attention disorder, prolonged reaction time, increased alertness, poor abstract thinking ability, learning difficulties, poor language fluency, spatial perception, hand-eye coordination and poor thinking flexibility. Cognitive impairment leads to social dysfunction and affects the long-term prognosis of patients.

5. Physical symptoms

There are mainly sleep disorders, fatigue, loss of appetite, weight loss, constipation, pain in any part of the body, loss of libido, impotence, amenorrhea and so on. Physical complaints can involve various organs, such as nausea, vomiting, palpitation, chest tightness, sweating and so on. Symptoms of autonomic nervous dysfunction are also common. The chief complaint of physical illness before illness is usually aggravated.

Sleep disorder is mainly manifested as waking up early, generally 2 ~ 3 hours earlier than usual, and can't sleep again after waking up, which is of characteristic significance to the onset of depression. Some show difficulty in falling asleep and lack of sleep; A few patients showed too much sleep. Weight loss is not necessarily proportional to loss of appetite, and a few patients may have increased appetite and weight gain.

Baidu Encyclopedia-Interim Measures of Hefei Municipality on Basic Medical Insurance for Urban Residents

Baidu encyclopedia-depression

Baidu encyclopedia-community medical insurance