What kind of reimbursement can I enjoy for slow maintenance?

Chronic disease insurance (referred to as "slow insurance") refers to the insurance system for people with chronic diseases funded by the government and society and implemented through commercial insurance institutions. The scope and standard of reimbursement for slow maintenance vary with different regions and policies, and generally include the following aspects:

1. outpatient reimbursement: including outpatient registration fee, outpatient treatment fee, outpatient special examination fee, outpatient special treatment fee, etc.

2. Hospitalization reimbursement: including hospitalization expenses, hospitalization food subsidies, etc. ;

3. Drug reimbursement: including western medicine, Chinese patent medicine, Chinese herbal pieces and other drugs that meet the medical insurance catalogue;

4. Reimbursement of rehabilitation treatment: including rehabilitation treatment fee, rental fee of rehabilitation equipment, rehabilitation evaluation fee, etc.

5. Reimbursement of chronic disease management services: including health education, health assessment, health intervention and other service expenses.

The reimbursement conditions for chronic disease insurance are as follows:

1, chronic disease diagnosis: it must be diagnosed as chronic disease in the hospital and have corresponding medical records;

2. Prescribed disease range: diseases that must fall within the prescribed disease range may be different in different regions;

3. Hospitalization: you must see a doctor in a designated hospital, and the hospital must be a social security designated hospital;

4. Payment period: The stipulated payment period must be met, which may be different in different regions;

5. Reimbursement ratio: According to different regions and policies, the reimbursement ratio of chronic disease insurance may be different.

To sum up, the specific conditions and proportion of reimbursement of chronic disease insurance may be different in different regions, and the specific reimbursement conditions can be inquired and operated according to local regulations. At the same time, the reimbursement of chronic disease insurance needs to provide corresponding supporting documents and medical expense invoices, so it is recommended to keep them in time for smooth reimbursement.

Legal basis:

"Several Provisions on the Implementation of the Social Insurance Law of People's Republic of China (PRC)" 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.