What do I generally need to do if I want to apply for chronic disease medical insurance?

Updated on healthy 2024-03-21
15 answers
  1. Anonymous users2024-02-07

    For many people with chronic diseases, the long-term** cost of medicine is a huge expense. Even if some drugs can be settled through medical insurance, it is still difficult for patients with financial difficulties to support this expenditure. As a result, the high cost of medical treatment and medicine has become the most headache for many patients with chronic diseases.

    Many people are always entangled in how to use the money in their hands to be able to use it reasonably for life and disease.

    With the good economic development of our country, the state wants to make all the people afford to get sick. More and more medical benefits have been introduced, especially for patients with chronic diseases. So how should I apply for it?

    Today, I will briefly talk about it to you.

    1. The first condition is that the patient must have participated in the local basic medical insurance or urban medical insurance.

    2. Write an application and submit it to the social security administration office where the household registration is located.

    3. Outpatient medical records of the disease should be provided, preferably in the near future.

    4. The original and photocopy of the hospitalization record and discharge summary due to the disease. Make a copy of the discharge medical record and affix the official seal of the hospital.

    5. Go to the Social Security Department to fill in the application form for severe illness and submit all relevant information for review.

    6. After the social security department passes the review, it will notify the designated hospital for identification and sealing. After the review is passed, it will be successfully handled.

    Of course, the chronic diseases covered by medical insurance vary from place to place, so it is best to go to the local social security office for consultation first. Or choose to participate in the insurance according to the 24 chronic diseases. After the application is successful, you can go to the designated hospital to enjoy the medical insurance treatment of chronic diseases, which can basically solve the problem of expensive medical treatment.

    Moreover, the card is settled once a year, and if you can't use it, you can transfer it to the next year. However, it is common for patients to use it up that year.

    As long as the patients who have passed the review and obtained the chronic disease medical insurance card, the reimbursement process after use is also very simple, which brings convenience to patients to a large extent. It also makes it easier to see a doctor and take medicine. This benefit is indeed from the perspective of the common people and is properly implemented.

  2. Anonymous users2024-02-06

    First of all, we have to go to the hospital for a check-up, and then see what symptoms we have, and then apply for a medical card for the symptoms.

  3. Anonymous users2024-02-05

    You can go to the local authorities to handle it, and you also need to bring your own personal identification and relevant formalities to apply.

  4. Anonymous users2024-02-04

    First of all, you should go to the local government affairs hall to submit the corresponding materials, and then wait for the approval of the government affairs hall, so that you can do it, and if there is a problem, the other party will definitely inform you in time.

  5. Anonymous users2024-02-03

    Chronic diseases need to have medical insurance, whether it is a resident or an employee, first prepare materials, including a discharge summary of a disease, or three outpatient diagnoses, the diagnosis certificate is at least a county-level hospital, 2 recent no-hats, and a copy of the social security card to the local township health center to manage medical insurance.

    The procedures required to apply for chronic disease medical insurance are:

    1. Write an application in the name of the insured and write it to the social security management office of the area where the household registration belongs;

    2. **Outpatient medical records of this disease;

    3. Hospitalization records must be made within two years due to this disease, including discharge summary, original and photocopy.

    Extended information: Chronic diseases can generally be handled in the hospital, and after the diagnosis is made clear in the hospital, the doctor will recommend the chronic disease, fill in the chronic disease application form, provide relevant supporting materials, and hand it over to the comrade in charge of medical insurance in the hospital, and the hospital will send it to the local medical insurance bureau for review and reimbursement.

    Although the outpatient clinic for chronic diseases is more about taking medicines, some ** and examinations can also be reimbursed, such as malignant tumor drugs are often radiotherapy and chemotherapy, and some diseases are often checked. Chronic disease outpatient clinics are different from hospitalization in that hospitalization can be reimbursed as long as it is in the catalog, and chronic diseases have a chronic disease catalog, and only those who meet the reimbursement conditions can be reimbursed.

    Chronic disease outpatient clinics have not yet realized direct settlement for medical treatment in other places, and people who have been working abroad for a long time or living abroad for a long time cannot directly get medicine reimbursement locally, and chronic disease medicine can generally only be taken for a month at most, which is not very convenient.

  6. Anonymous users2024-02-02

    The procedures required to apply for chronic disease medical insurance are: 1. Write an application form in the name of the insured and write it to the social security management office of the area where the household registration belongs; 2. **Outpatient medical records of this disease; 3. Hospitalization records must be made within two years due to this disease, including discharge summary, original and photocopy. Wait a minute.

  7. Anonymous users2024-02-01

    Answer: Chronic disease is not a separate insurance, the so-called chronic disease insurance is part of the medical insurance in social insurance. Because chronic diseases will consume a lot of money to treat diseases, the state has special subsidies for this part of the medical insurance personnel.

    If you want to get this kind of preferential treatment, you can only participate in social insurance, which is a medical security of the nature of the state as a whole, and has a strong welfare nature, as for commercial insurance, it is completely unable to meet this requirement, and commercial insurance is for the purpose of profit.

    Therefore, if you can apply for social security, whether it is pension or medical care, you must participate in social security.

  8. Anonymous users2024-01-31

    Hello, you must go to your local health insurance department for a detailed consultation.

  9. Anonymous users2024-01-30

    The procedures are as follows:3. The outpatient expenses of 12 chronic diseases exceed 800 yuan, and the payment ratio of supplementary medical insurance** is 70%, and the maximum payment limit is 2,500 yuan; If the self-payment exceeds 600 yuan for those over 70 years old, the supplementary medical insurance ** payment ratio is 80%, and the maximum payment limit is 3,000 yuan.

    4. Coordinate the part with a maximum payment limit of more than 40,000 yuan, and pay 90% of the supplementary medical insurance, with a maximum payment limit of 160,000 yuan.

    5. Bring the required materials to the local social security department for processing, and consult the local social security department for details.

    6. Application materials to be prepared: original and photocopy of resident ID card, social security card, a recent one-inch bareheaded color **, a copy of the inpatient medical record related to the declared disease (stamped with the special seal for the photocopying of the hospital's inpatient medical record) and related imaging data (such as X-ray, CT film and examination report, etc.).

    7. Wait for the reimbursement to be issued.

  10. Anonymous users2024-01-29

    The frequency of outpatient chronic disease handling is adjusted to once a quarter, and the specific application acceptance time is from the 20th to the 30th of the last month of each quarter, and the insured persons with malignant tumors (including leukemia), uremia, organ transplantation and other diseases can be accepted at any time, except holidays.

    20-30 March, June, September, and December (excluding holidays).

    Second, the place of application acceptance:

    The medical insurance business window in the east area on the second floor of the Zhoucun District Citizen's Home.

    3. Materials required for declaration:

    1) For hospitalization, the following items shall be provided:

    1. Copy of inpatient medical record; 2. Social security card or ID card.

    2) Those who have not been hospitalized need to provide:

    1. Certificate of diagnosis; 2. Copies of continuous outpatient medical records within two years; 3. Copies of recent laboratory documents or inspection reports.

    The information that should be provided for the 12 chronic diseases of the supplementary medical outpatient clinic: the social insurance card (IC card) of the insured person, the medical record certificate of the medical insurance, the computer settlement bill and the list of expenses of the outpatient medical expenses borne by the individual account after the personal account is used up, the disease certificate issued by the attending physician or above of the municipal hospital and stamped by the medical department, and the ID card of those over 70 years old.

    After receiving the application form, the insured person shall participate in the physical examination and appraisal at the time and place specified in the form, and if he fails to participate in the appraisal on time, he or she shall be deemed to have automatically given up the application.

  11. Anonymous users2024-01-28

    Hello, 1. Write an application in the name of the insured and write it to the social security management office of the area where the household registration belongs;

    2. **Outpatient medical records of this disease (two years or a period of time);

    3. Hospitalization records must be made within two years due to this disease, including discharge summary, original and photocopy.

    4. Copies of the relevant materials in the discharge medical record (the person who helps the hospital to copy knows what contents) must be stamped with the 1. Application form (with the official seal and signature of the village committee).

    2. A copy of the ID card (front and back), the first page of the household registration book and a copy of the person.

    3. Copy of medical card (front and back).

    4. Certificate of illness (stamped with the official seal of the hospital).

    5. Auxiliary examination materials (stamped with the official seal of the hospital).

    6. 2 one-inch photos.

    7. Integrity family planning certificate.

    8. The chronic disease card is valid for 2 years, and the extension should be submitted to the Township Joint Management Office in advance and sent to the Joint Management Center for verification.

    9. There are the following diseases:

    1. Malignant tumors.

    2. High blood pressure.

    3. Coronary heart disease.

    4. Diabetes.

    5. Chronic renal failure.

    6. Chronic viral hepatitis.

    7. Stroke (cerebral hemorrhage, cerebral embolism, cerebral thrombosis), cerebral palsy.

    8. Systemic lupus erythematosus. 9. Leukemia (including aplastic anemia).

    10. Necrosis of the femoral head. 1

    1. Cor pulmonale. 1

    2. Tuberculosis with complications. the hospital's red badge;

    5. Fill in the "Severe Illness Application Form" at the Social Security Office of the jurisdiction of the household registration;

    6. Together with the above information, send it to the Medical Insurance Department of the Regional Social Security Management Office for review;

    7. After the regional social security audit is passed, a table will be given and then the designated hospital will be identified;

    8. After the identification hospital is stamped, go to the regional social security review, submit a one-inch registration**, and tell the hospital to be designated for treatment. Buy medical records, stamp them, and you're done.

    Insured persons suffering from 24 kinds of chronic diseases can receive and truthfully fill in the "Application Form for Chronic Disease Medical Card" from the local social and residential committee, and provide their true and effective medical records, laboratory tests and examination reports, etc., after being confirmed by the Municipal Medical Insurance Expert Committee, the Municipal Medical Insurance Agency will issue the "Chronic Disease Medical Card". Insured residents can enjoy the prescribed outpatient subsidy treatment with the card from the date of receipt of the "Chronic Disease Medical Card"; When the uninsured urban residents go through the registration procedures for insurance participation in the local social and residential committees, they can also receive and truthfully fill in the "Application Form for Chronic Disease Medical Treatment Card", which must also be confirmed by the Municipal Medical Insurance Expert Committee.

    The types of diseases included in the management of outpatient chronic diseases in different places are different, so you should first understand which outpatient chronic diseases are included in the medical insurance. If there is treatment for outpatient chronic disease in the local area, you can directly consult with the local medical insurance agency and go through the outpatient chronic disease admission procedures as required.

    Legal basis

    Social Insurance Act

  12. Anonymous users2024-01-27

    The steps to apply for chronic disease medical insurance are as follows: 1. Write a laughing application in the name of the insured; 2. **Outpatient medical record of the disease (two years or a recent period of time); 3. Hospitalization record within two years due to this disease; 4. Copies of relevant materials in the discharge medical record; 5. Go to the social security office of the household registration jurisdiction to fill in the application form for severe illness; 6. Send the above information to the Medical Insurance Department of the Regional Social Security Management Office for review and upgrade; 7. After the review, a table will be given, and then the designated hospital will be identified; 8. After the hospital is stamped, go to the regional social security for review; 9. Pay a one-inch ** and tell the hospital to be designated.

  13. Anonymous users2024-01-26

    What are the procedures required to apply for chronic disease medical insurance copy 01

  14. Anonymous users2024-01-25

    Answer: Hello, procedures are required for chronic diseases: 1. Application form (with the official seal and signature of the village committee); 2. A copy of the ID card (front and back), the first page of the household registration book and a copy of the person. 3. Copy of medical card (front and back). 4. Certificate of illness (stamped with the official seal of the hospital). 5. Auxiliary examination materials (stamped with the official seal of the hospital). 6. 2 one-inch photos. 7. Integrity family planning certificate. 8. The chronic disease card is valid for 2 years, and the extension should be submitted to the Township Joint Management Office in advance and sent to the Joint Management Center for verification.

  15. Anonymous users2024-01-24

    1. Handling conditions: Participating in the supplementary insured personnel, including:

    1. Suffering from 12 chronic diseases: diabetes, hypertension (stage), chronic hepatitis (except for early liver destruction of the nail spine), malignant tumors, coronary heart disease, Parkinlin's disease, sequelae of stroke (including cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage), chronic bronchitis (including bronchial asthma), chronic nephritis (including renal insufficiency), rheumatoid arthritis, systemic erythema, chronic aplastic anemia.

    2. Co-ordinate the medical expenses with a maximum payment limit of more than 40,000 yuan.

    II. Handling Procedures:

    1) The outpatient expenses of 12 chronic diseases exceed 800 yuan, and the supplementary medical insurance** payment ratio is 70%, and the maximum payment limit is 2020 yuan; If the self-payment exceeds 600 yuan for those over 70 years old, the supplementary medical insurance ** payment ratio is 80%, and the maximum payment limit is 3,000 yuan.

    2) Co-ordinate the part with a maximum payment limit of more than 40,000 yuan, and 90% of the supplementary medical insurance**, with a maximum payment limit of 160,000 yuan.

    3. Bring the required materials to the local department for processing, and consult the local social security department for details. Application materials: original and photocopy of social security card, a recent one-inch bareheaded color **, a copy of the inpatient medical record related to the declared disease (stamped with the special seal for the photocopy of the hospital's inpatient medical record) and related imaging data (such as X-ray, CT film and examination report, etc.).

    4. Wait for the reimbursement to be issued. Article 26 of the Social Insurance Law of the People's Republic of China stipulates that the standards for the treatment of employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations. Article 27 Individuals who participate in the basic medical insurance for employees and reach the statutory retirement age when the cumulative contributions reach the limit prescribed by the state, shall no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the state; If you have not reached the national regulations, you can pay until the national regulations.

    Social Insurance Law of the People's Republic of China

    Article 1 This Law is formulated in accordance with the Constitution in order to regulate social insurance relations, safeguard the legitimate rights and interests of citizens to participate in social insurance and enjoy social insurance benefits, enable citizens to share the fruits of development, and promote social harmony and stability.

    Article 2 The State shall establish a social insurance system of basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance, and so on, to ensure citizens' right to receive material assistance from the State and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

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