How to report serious illness reimbursement?

Legal analysis: reimbursement process of medical insurance for serious illness: 1. After the seriously ill patients are hospitalized, they must send the medical certificate, my basic medical insurance diagnosis and treatment manual and other materials to the medical insurance department of the hospital where they live for registration and verification, so as not to affect the reimbursement of hospitalization medical expenses. 2. Outpatient medical expenses need to be reimbursed according to the specified time. There are two outpatient reimbursement opportunities at the end of each quarter for 23 diseases such as liver cirrhosis and 7 diseases such as leukemia. A. To apply for outpatient reimbursement for 23 diseases such as liver cirrhosis, the insured residents should go to the medical insurance department of the designated hospital to fill in the relevant forms in May, June and165438+1October every year for preliminary examination; Designated hospitals will report the information of insured residents who have passed the preliminary examination to the urban medical insurance agency for review. The insured residents who finally pass the examination and approval shall be organized by the urban medical insurance agency to issue the "Outpatient Medical Certificate of xx Basic Medical Insurance for Specific Diseases", which will take effect after being sealed, and they will enjoy the outpatient treatment of chronic diseases from July and June of 5438+ 10. B. To apply for outpatient reimbursement for seven diseases, such as leukemia, the insured residents need to hold their own basic medical insurance diagnosis and treatment manual, and at the end of each quarter, bring the materials needed to apply for diseases to the medical insurance department of the first-visit hospital for preliminary examination, and fill out relevant forms after passing the preliminary examination. Issue "xx Basic Medical Insurance Outpatient Specific Disease Medical Certificate" to eligible outpatients with chronic diseases, and enjoy relevant treatment according to the corresponding time.

Legal basis: Article 28 of the Social Security Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.

Article 29 of the Social Security Law, the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical trading units.