Job Recruitment Website - Social security inquiry - What are the top ten chronic diseases in medical insurance?
What are the top ten chronic diseases in medical insurance?
1, hypertension complications;
2, cerebrovascular accident hemiplegia (cerebral hemorrhage or cerebral infarction);
3. Coronary heart disease (old myocardial infarction or cardiac insufficiency above grade 3);
4. Diabetes (combined with arterial disease, nephropathy or retinopathy of limbs);
5, decompensated stage of liver cirrhosis;
6, blood (peritoneal) dialysis outpatient treatment;
7. Anti-rejection therapy after liver and kidney transplantation:
8. Non-severe aplastic anemia;
9. Pulmonary heart disease (chronic heart failure);
10, rheumatic heart disease (cardiac function level 3).
The reimbursement process of chronic medical insurance is as follows:
1. Confirm the types of chronic diseases: choose the appropriate medical insurance for chronic diseases according to your own situation, and clarify the types of chronic diseases and the scope of insurance coverage;
2. Seek medical treatment: seek medical treatment after illness, choose contracted medical institutions or designated hospitals, and be diagnosed as patients with chronic diseases;
3. Reimbursement voucher: When the patient is hospitalized, it is necessary to keep the policy of purchasing chronic medical insurance and the details of medical expenses for subsequent reimbursement;
4. Reimbursement application: After seeing a doctor, the patient submits an application for reimbursement to the insurance company or social security bureau and other relevant institutions with the insurance policy and medical expenses details;
5. Audit: the insurance company or social security bureau and other relevant institutions conduct an audit to confirm the patient's reimbursement qualification and reimbursement amount;
6. Reimbursement: After the approval, the insurance company or social security bureau and other relevant institutions will transfer the reimbursement amount to the bank account designated by the patient or directly reimburse in cash;
7. Records: Patients need to keep reimbursement records for future inquiry and use.
To sum up, the reimbursement scope of medical insurance refers to the hospitalization expenses and medical expenses incurred by the insured in the designated hospitals agreed by medical insurance, and the specific reimbursement ratio shall be subject to the medical expenses incurred by the insured.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
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