What are the procedures for employee medical insurance to handle chronic diseases?

Legal analysis: 1. First, write an application in the name of the insured person and write it to the social security management office in the area where the account belongs;

2, the treatment of this disease outpatient medical records (two years or recently);

3, must be hospitalized for this disease within two years, including discharge summary, original and copy;

4. A copy of the relevant information in the discharge medical record (known by the person who helped to copy it in the hospital) must be stamped with the red seal of the hospital;

5. Fill in the Application Form for Serious Illness by the social security department where the household registration is located;

6, together with the above information, send it to the medical insurance department of the regional social security management office for review;

7. After the regional social security is approved, give a form and then identify it in the designated hospital;

8. After the appraisal hospital is stamped, go to the regional social security review, hand in one-inch registration photos, and inform the designated hospital for treatment. Just buy the medical record and stamp it.

Insured persons suffering from 24 kinds of chronic diseases can receive and truthfully fill in the Application Form for Chronic Disease Visiting Card at the local social housing committee, and provide their own authentic and effective medical records, laboratory tests, inspection reports and other information, and then the municipal medical insurance agency will issue the chronic disease visiting card after confirmation by the municipal medical insurance expert committee. Insured residents can enjoy the prescribed outpatient subsidy treatment with the card from the date of receiving the chronic disease treatment card; The uninsured urban residents can receive and truthfully fill out the Application Form for Chronic Disease Visiting Card when they go through the insurance registration formalities in the local social neighborhood committee, and finally they need to be confirmed by the municipal medical insurance expert committee. The diseases that are included in the management of chronic diseases in medical insurance clinics are different from place to place. First of all, you need to know what chronic diseases are included in the medical insurance in the local clinic. If there is chronic disease treatment in the local outpatient department, you can directly consult the local medical insurance agency and go through the chronic disease access procedures in accordance with the regulations.

Legal basis: Notice on Further Improving Outpatient Medical Insurance Policy for Chronic Diseases 1. Establish and improve the management system for special (prescribed) diseases of chronic diseases.

(a) the scope of special (prescribed) chronic diseases. According to the chronic disease spectrum of our province, the special (prescribed) diseases of chronic diseases are tentatively defined as hypertension, diabetes, Alzheimer's disease, Parkinson's disease, coronary heart disease, chronic kidney disease, bronchial asthma, tuberculosis, peritoneal dialysis, chronic obstructive pulmonary disease, schizophrenia and affective psychosis. According to the affordability of the medical insurance fund, all localities can supplement the special diseases of chronic diseases on the basis of the above-mentioned special diseases of chronic diseases.

(2) Reimbursement ratio. For the diseases that are included in the special (prescribed) diseases of chronic diseases, the proportion of reimbursement of basic medical insurance for outpatients should be appropriately increased, and the conditional co-ordination areas should be implemented with reference to the hospitalization reimbursement policy of basic medical insurance.

(3) Applicable objects. The basic medical insurance for employees in our province and the basic medical insurance for urban and rural residents can enjoy the relevant policies for special (prescribed) diseases of chronic diseases.