How to reimburse for special diseases?

I. Procedures for reimbursement of medical insurance for special diseases

1, the applicant brings the information to the medical insurance center in the district where the insured unit is located; Flexible employees directly submit the information to the medical insurance center of the insured place. The medical expenses incurred by the insured in the designated medical institutions within the jurisdiction shall be directly settled by the social security card.

2. The medical expenses incurred by the insured in non-designated medical institutions or designated medical institutions outside the city shall be paid by the insured himself, and the required information can be used to go through the reimbursement procedures in Jinan social security institutions.

Second, you should bring the following information with you when you submit an expense account.

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. The original unified invoice and computer printed list of taxable goods sold by designated pharmacies;

7. If it is an agent, you need to provide the original ID card of the agent.

Extended data

Outpatient special diseases refer to chronic diseases that can be treated in outpatient clinics without hospitalization and still need to rely on drugs for a long time to maintain their stability. It usually refers to malignant tumors that need radiotherapy and chemotherapy, renal insufficiency that needs long-term renal dialysis treatment, and diseases that need long-term anti-rejection drugs after kidney transplantation.

Because many special diseases need outpatient treatment or long-term medication, after the examination and approval of special diseases, one can be selected as a designated hospital for special diseases, and the expenses of outpatient special diseases can be reimbursed according to the proportion of hospitalization as a whole, and medical treatment can be carried out by bookkeeping to reduce the personal burden of patients.