How to apply for chronic disease health insurance for the elderly

The process of applying for chronic disease health insurance for the elderly is as follows:

1. Understand their own situation: the elderly should first understand whether they suffer from chronic diseases, and understand the health insurance policy and coverage in their own localities;

2. Choose the type of medical insurance: the elderly can choose basic medical insurance, commercial medical insurance or residents' health insurance, of which residents' health insurance is a kind of medical insurance system provided for urban and rural residents. Resident health insurance is a kind of medical insurance system for urban and rural residents, and the coverage of chronic diseases is wider;

3. Apply for enrollment in the chronic disease medical insurance: the elderly can apply to the local social security department or resident health insurance agency, and submit their basic personal information and medical supporting documents. The medical documents include diagnostic certificates of chronic diseases, doctors' diagnostic certificates, hospital medical records, etc.;

4. Waiting for review and approval: the social security departments or resident health insurance agencies will review and approve the applications submitted by the elderly, which usually takes a few working days to a few weeks;

5. Paying premiums: after the elderly are approved to join the Chronic Disease Insurance, they need to pay the premiums in accordance with the regulations;

6. Premium payment:

6. Enjoyment of protection: After joining the chronic disease medical insurance, the elderly can enjoy corresponding medical protection services, such as reimbursement of expenses for outpatient services, hospitalization, special examinations and medicines, etc.

Applying for the chronic disease medical insurance will take a few working days to a few weeks.

The conditions for applying for the chronic disease health insurance are as follows:

1. Suffering from chronic diseases in accordance with the local health insurance policies and regulations: the types and number of chronic diseases are determined according to the local health insurance policies and regulations, and the elderly need to provide the corresponding medical certificates;

2. Meeting the age and residence conditions in accordance with the local health insurance policies and regulations: the requirements of different regions and types of health insurance may vary, and the elderly need to provide the local social security department with the appropriate medical certificates;

3. The requirements of different regions and types of health insurance may vary, and the elderly need to learn about the specific conditions from the local social security department or resident health insurance agency;

3. Enrollment in the local health insurance or resident health insurance: the elderly need to enroll in the local health insurance or resident health insurance before they can enjoy the chronic disease health insurance service.

The information needed to apply for chronic disease health insurance includes the following:

1, basic personal information: including name, ID card number, gender, age, contact information, etc.

2, medical documents: including diagnostic certificates of chronic diseases, doctors' diagnostic certificates, and hospital medical records. The type and number of chronic diseases depend on local health insurance policies and regulations;

3. Resident health records: including basic health information, treatment of chronic diseases, medication, etc.

4. Other supporting documents: other supporting documents may be required, such as accommodation certificates, income certificates, etc.

5.

In summary, health insurance policies and regulations may vary from region to region, and seniors should comply with local regulations when applying for and enjoying chronic disease health insurance services. The application for chronic disease health insurance should be made after the participant suffers from the chronic disease designated by the health insurance and is diagnosed, the attending physician of the designated medical institution with corresponding diagnostic qualification in this city fills in the "Diagnostic Certificate of Chronic Disease Designated by the Health Insurance", which is signed by the deputy chief physician or above, and is examined and stamped by the health insurance department of the designated medical institution. Entered into the health insurance information system, health insurance information system for outpatient designated chronic disease program to be automatically registered treatment.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses in line with the basic medical insurance drug directory, diagnostic and treatment items, standards of medical services and facilities, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.