Chronic nephritis has a subsidy policy.

(1) The payment standard for chronic diseases in designated community health service institutions is 200 yuan. In designated specialized hospitals, the deductible standard for chronic diseases in the first-level hospitals is 200 yuan, and the deductible standard for chronic diseases in the second-level hospitals is 400 yuan. Outpatient chronic disease Qifubiaozhun above, below the annual maximum payment limit of medical expenses, according to the proportion of reimbursement, outpatient co-ordination fund to pay 50%.

(2) For patients suffering from two or more chronic outpatient diseases, the annual payment limit shall be determined according to the principle of "high is not low", and the annual payment limit per person shall be increased by 200 yuan.

(3) Outpatients with chronic diseases cannot enjoy outpatient medical treatment at the same time during hospitalization. When calculating the maximum payment limit of basic medical insurance, outpatient medical expenses and inpatient medical expenses are calculated together.

(4) outpatient medical treatment for special diseases shall be carried out according to the hospitalization standard, and the deductible line shall be calculated only once in an insurance year, and the deductible line standard shall be carried out according to the hospital grade standard.

What chronic diseases can be subsidized?

National chronic disease subsidies 3 1 species. They are hypertension, diabetes, cirrhosis, rheumatic diseases, cor pulmonale, chronic viral hepatitis, tuberculosis, lymphadenopathy, hyperthyroidism, hypothyroidism, rheumatoid arthritis, hemolytic anemia, leukemia, recurrent aphthous oral ulcer, coronary heart disease (including myocardial infarction and angina pectoris only), chronic obstructive pulmonary disease (COPD), aplastic anemia and primary fibrosis. Stage III and above, myasthenia gravis, systemic lupus erythematosus, severe osteoporosis with multiple fractures, Behcet's disease, aggressive periodontitis, oral lichen planus, psoriasis, varicose veins of lower limbs, femoral head necrosis, Parkinson's disease, malignant tumor and schizophrenia.

Subsidy policy for chronic diseases

I. Qifubiaozhun

1. The payment standard for chronic diseases in designated community health service institutions is 200 yuan. In designated specialized hospitals, the deductible standard for chronic diseases in the first-level hospitals is 200 yuan, and the deductible standard for chronic diseases in the second-level hospitals is 400 yuan. Outpatient chronic disease Qifubiaozhun above, below the annual maximum payment limit of medical expenses, according to the proportion of reimbursement, outpatient co-ordination fund to pay 50%.

2, suffering from more than two kinds of chronic outpatient diseases, in accordance with the principle of "high is not low", to determine the annual payment limit, on this basis, the annual payment limit per person increased by 200 yuan.

3, outpatient chronic disease patients can not enjoy outpatient medical treatment at the same time during hospitalization, accounting for the highest payment limit of basic medical insurance, outpatient medical expenses and hospitalization medical expenses combined calculation.

4, outpatient special disease medical treatment according to the hospitalization standard, an insured year only calculate deductible, Qifubiaozhun according to the hospitalization level standard.

Second, the chronic disease subsidy object

Including the insured, including enterprises, institutions and institutions; Individual insured persons with flexible employment can enjoy subsidies for chronic diseases.

Third, the subsidy standard for chronic diseases

Chronic disease subsidy standard

Disease subsidy standard

On-the-job retired workers and retirees over 70 who participated in revolutionary work before the founding of People's Republic of China (PRC).

Class I, 1, hypertension stage II, hypertension stage III, minimum threshold 1200 yuan, minimum threshold 1000 yuan, minimum threshold 800 yuan.

2, coronary heart disease (angina pectoris, myocardial infarction) subsidy ratio: community health service institutions: 70%.

Non-community health service institutions: 60%

Maximum subsidy limit: 2000 yuan, subsidy ratio: community health service institutions: 85%.

Non-community health service institutions: 75%

Maximum subsidy limit: 3,000 yuan; Proportion of subsidy: community health service institutions: 95%.

Non-community health service institutions: 85%

Maximum subsidy limit: 3500

3. Type 1 diabetes and type 2 diabetes

4. Chronic hepatitis B and chronic hepatitis D..

5. Chronic hepatitis C.

6. Decompensation of cirrhosis

7. Recovery and sequelae of cerebral infarction, cerebral hemorrhage and subarachnoid hemorrhage.

8. Parkinson's disease and Parkinson's syndrome

9. Chronic bronchitis with obstructive emphysema and pulmonary heart disease

10, bronchial asthma

1 1, active pulmonary tuberculosis

12, chronic nephritis, chronic renal insufficiency (non-dialysis treatment)

13, rheumatoid arthritis

14, ankylosing spondylitis

15, scleroderma/systemic sclerosis

16, Behcet's disease

17, hemophilia

18, myasthenia gravis

19, multiple sclerosis

20, autoimmune hepatitis

2 1, polycythemia vera

22. Polymyositis/Dermatomyositis

23. Primary thrombocytosis

Type ⅱ: 24 cases. The qifubiaozhun and subsidy ratio of systemic lupus erythematosus are the same as above, but the maximum subsidy limit is 1 10,000 yuan, but the maximum subsidy limit is 1 10,000 yuan.

25, chronic aplastic anemia

26, intracranial benign tumor

27 years old, * * fibrosis.

Suffering from two or more chronic diseases at the same time (subject to the disease serial number), the minimum threshold and subsidy ratio are the same as above, and the original maximum subsidy limit is increased by 1000 yuan.

Four, chronic disease subsidy reimbursement process

Consumers can go to local institutions to handle copies of hospitalization medical records (hospitalization home page, etc.). ), outpatient medical records, rescue medical records, diagnosis certificate. When handling, you need to provide the following materials:

1. Fill in the evaluation form of outpatient chronic disease subsidy application (in duplicate) and affix the official seal of the social security department of the company;

2. The above data are all medical data of hospitals above Grade II in recent two years;

3. Receive the application materials for outpatient chronic disease subsidies on June 1, April 7, June 1-5 every year, and do not accept the application business in the rest of the year.

4. The first diagnosis certificate of hospitalization must be the chronic disease that I applied for.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-third employees should participate in the basic medical insurance for employees, and the employer 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.

Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.