How to deal with chronic medical insurance

Legal analysis: 1, acceptance: 2, expense review: (1) 800 yuan, the proportion of supplementary medical insurance fund is 70%, and the maximum payment limit is 2,500 yuan; Over the age of 70, the conceit exceeds that of 600 yuan, and the proportion of supplementary medical insurance fund payment is 80%, with a maximum payment limit of 3,000 yuan. (2) The maximum payment limit of the overall fund is more than 40,000 yuan, and the supplementary medical insurance fund pays 90%, with the maximum payment limit of 6,543.8+0.6 million yuan. 3. Go to the local social security department to handle the required information and consult the local social security department specifically. Application materials: original and photocopy of resident ID card, social security card, recent one-inch bareheaded color photos, photocopy of hospitalization medical records related to declared diseases (stamped with special seal for copying hospitalization medical records) and related image materials (such as X-ray photos, CT photos, inspection reports, etc.). ) .4. Waiting for reimbursement payment.

Insured persons who need to handle outpatient special diseases can bring application materials to the window of the medical insurance center of the insured place on weekdays, and in some areas, medical insurance service stations can be set up in designated public hospitals that undertake outpatient special disease services, and they can enjoy outpatient special disease treatment after registration.

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.