What are the procedures for getting a serious illness? What are the requirements for severe illness

The procedures and information for the declaration of medical insurance for severe illness are:

1.First, 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 for the disease (two years or the most recent period);

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

4.Copies of relevant materials in the discharge medical record (the person who helped the hospital to copy the contents knows) must be stamped with the red seal of the hospital;

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, it will be sent to the Medical Insurance Section 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.

Wuhan Medical Insurance Outpatient Severe and Chronic Disease Declaration Process:

1. The patient shall apply to the unit (the patient who handles it at the personal window shall report directly to the social security office of the jurisdiction), and submit the original information such as the medical records, relevant examination reports, and discharge summaries for the past two consecutive years (the resettled insured persons need to submit the medical certificate issued by the local hospital), and the unit shall register it uniformly, and report to the social security office of the jurisdiction for application together with the list of critically ill persons and the relevant information provided.

2. If the social security department of the jurisdiction accepts the preliminary examination, it will be issued with the "Wuhan Medical Insurance Center Outpatient ** Part of the Serious Disease Approval Registration Form", and the insured personnel shall fill in the corresponding columns according to the regulations.

3. The insured persons who have passed the preliminary examination shall go to the hospital designated by the Social Security Department of the jurisdiction for relevant examinations with the "Approval Registration Form", identify the diagnosed condition, and make recommendations. After the identification of the insured person in the designated hospital, the "Approval Registration Form" shall be submitted to the Social Security Department, and after approval, the critical medical record will be issued.

Legal Analysis: The conditions for handling severe cases are:

1.The applicant's severe illness is within the scope of the policy.

2.The applicant can provide the corresponding written application and proof, such as medical records, diagnosis certificates, etc.

3.The applicant has paid Wuhan medical insurance in accordance with the relevant regulations and is still in the payment status.

4.The hospital where the applicant was treated is a designated hospital specified by the Wuhan Municipal Social Security Bureau.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China Article 28 Medical expenses that meet the standards of basic medical insurance drug lists, diagnosis and treatment items, medical service facilities, and emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations.

Legal analysis: Go to the local medical insurance bureau, and then go to the critical care window, and after explaining the situation to the staff, the staff will send 3 identical severe application forms, and will also explain the steps to handle it. Paste the prepared 3 2-inch ** sheets on the application form, and then fill in some basic information, the type of disease you are applying for, and the hospital you are applying for.

Legal basis: Article 29 of the Social Insurance Law of the People's Republic of China Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.