Job Recruitment Website - Social security inquiry - What materials do I need to apply for a special disease certificate?
What materials do I need to apply for a special disease certificate?
1. Take the past medical records (discharge records, laboratory tests, disease-related inspection reports, etc.). ) Go to the outpatient doctor. For eligible patients, the doctor shall fill in the Certificate of Special Diseases of Basic Medical Insurance and the Approval Form for Outpatient Treatment;
2. The examination and approval form for special diseases must be filled out by the attending physician of the designated medical institution at or above the second level;
3. After discharge, patients or their families should bring medical history data, medical insurance cards, ID cards (minors hold household registration books) and 1 inch photos. And above the hospital medical history data to the social security office where the household registration is located, receive and fill in the application form, and submit the approval form to the local social security bureau for approval and seal.
Relevant provisions on bidding for special disease outpatient service:
1, the payment amount of outpatient medical expenses for special diseases shall be approved on an annual basis and managed on a monthly basis, and shall not be used cumulatively across years. Every year from 65438+February 25th to 65438+1October 10, the insured person shall apply for renewal of insurance at the medical insurance department of people's hospital or traditional Chinese medicine hospital with the Approval Form for Special Disease Outpatient Subsidies of Medical Insurance for Urban Workers and Urban and Rural Residents and relevant medical history data;
2. Chemotherapy and radiotherapy for malignant tumor, chronic renal failure (outpatient dialysis treatment) and anti-rejection treatment after transplantation of hematopoietic stem cells from liver, kidney and heart valves are renewed twice a year (June 25th to July 10 and February 25th 10 respectively). Failing to handle it within the time limit;
3, because of illness need to choose outside the county for medical treatment, drug purchase or increase the number of hospitals must be approved by the expert group and issue opinions, outside the county for medical treatment or drug purchase of medical institutions must be more than two public hospitals.
To sum up, the insured residents go to the designated diagnostic medical institutions for examination and diagnosis with their application forms, ID cards, medical insurance cards, medical records (including the original examination materials) and relevant medical records after the initial examination by the Social Security Bureau.
Legal basis:
"Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law" Article 8.
The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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