How to apply for chronic diseases in 2021?

How to apply for chronic diseases in 2021?

1. Scope of declaration:

Participate in the basic medical insurance for urban workers and urban and rural residents.

Including: the first page of the medical record, admission records, discharge records, long-term medical orders, temporary medical orders, main examination results, surgical records, pathology reports, etc.);

2. Three one-inch color **;

3. A copy of social security card;

4. Application form for outpatient prescribed diseases.

3. There are a total of 26 types of outpatient prescribed diseases and serious diseases included in the declaration of basic medical insurance for urban employees and urban and rural residents, and the specific diseases are as follows:

1. Diabetes mellitus with serious complications;

2. Cirrhosis (decompensated cirrhosis);

3. Systemic lupus erythematosus;

4. Ankylosing spondylitis;

5. Parkinson's disease;

6. Sequelae of acute cerebrovascular disease;

7. Coronary heart disease;

8. High blood pressure.

with target organ damage);

9. Rheumatoid arthritis;

10. Chronic bronchitis emphysema;

11. Chronic cor pulmonale;

12. Pulmonary interstitial fibrosis;

13. Chronic heart failure;

14. Myelodysplastic syndrome.

15. Retinal vein occlusion;

16. Hyperlipidemia;

17. Prostatic hyperplasia.

moderate and severe);

18. Vascular dementia;

19. Nephrotic syndrome;

20. Depression.

moderate and severe);

21. Inflammatory colitis (chronic ulcerative colitis.

Crohn's disease);

22. Hemophilia;

23. Type I diabetes mellitus;

24. Hyperthyroidism.

25. Phenylketonuria;

26. Aplastic anemia.

According to the relevant provisions of the "Regulations on the Supervision of the Use of Medical Security**", the illegal acts of defrauding medical insurance ** through forgery, alteration of medical documents or fictitious medical services shall be strictly investigated and dealt with in accordance with laws and regulations, and the treatment qualifications will be cancelled. It shall not be re-applied within two years, and shall be the key monitoring object and notified in writing to the insured units, communities, health centers, etc. If the loss of medical insurance is caused, the medical insurance will be recovered.

If the circumstances are serious, they will be transferred to the judicial organs for investigation of criminal responsibility in accordance with law.

March, June, September, December 20-30 (except holidays) 2. Place of application acceptance:

Medical insurance business window.

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.

4. The above materials are required to be in public hospitals above the second level and within two years.

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.

For outpatient chronic diseases, the process is different in different places, so it is recommended that you consult directly with the medical insurance agency in the place where you are insured.

Bring a copy of your ID card, social security card, discharge summary, disease diagnosis certificate and other materials to the local medical insurance bureau for review, and you can get the chronic disease certificate in about 15 days.

When, where, and how will Songwon City handle chronic diseases in 2021?

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.

The handling process for chronic diseases in 2023 is as follows:

1. Application time: 15 working days after the application is submitted to the medical insurance center;

2. Application conditions, there are 25 diseases in China that are included in the category of chronic diseases, as long as there are these chronic diseases, you can apply;

3. Prepare materials, to apply for a chronic disease card, you need to prepare a social security card, a copy of your ID card, a copy of your inpatient medical record, a discharge summary, and a diagnosis certificate;

4. Fill in the application form, if it is an employee, you can ask the person in charge of the medical insurance of the unit for the application form;

5. Submission, the submission is generally submitted by the unit or neighborhood committee, and the result will be available within 15 working days, and the meeting conditions can be issued.

The materials required for chronic disease management in 2023 are as follows:

1. Original and photocopy of ID card;

2. Medical insurance card;

3. Inspection report;

4. Inpatient medical records of secondary and above medical institutions;

5. Application form for chronic diseases;

6. 2 inch photos.

To sum up, to apply for a chronic disease card, you need to prepare a social security card, a copy of your ID card, inpatient medical records, discharge summary, diagnosis certificate, and relevant examination materials; Fill out the application form, if you are an employee, you can ask the person in charge of the unit's medical insurance for the application form.

Legal basis]:

Article 4 of the Social Security Law of the People's Republic of China.

Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with the law have the right to inquire about payment records and records of individual rights and interests, and to request social insurance agencies to provide social insurance consultation and other related services. Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.

Article 24 of the Social Insurance Law of the People's Republic of China.

The State shall establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***. Article 25 of the Twenty-fifth Section.

The State shall establish and improve a basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly and minors over the age of 60 from low-income families, etc., will be subsidized by **.

Summary. Hello, according to your question, is needed. 1. Patients applying for outpatient chronic diseases should fill in the "Anshan Urban Residents Medical Insurance Outpatient Chronic Disease Patient Review and Identification Form" in duplicate with medical insurance card, original and copy of ID card, copy of "Inpatient Medical Record" of related diseases within two years, and relevant examination reports (such as laboratory tests, electrocardiogram, color ultrasound, fundus imaging, CT, etc.) to the designated medical institutions that undertake outpatient chronic disease services.

2. The Municipal Residents' Medical Insurance Center will enter the list of qualified personnel into the computer system, and send it to the designated medical institutions together with the "Examination and Identification Form for Outpatient Chronic Diseases of Urban Residents' Medical Insurance" and "Certificate of Chronic Diseases in Outpatient Clinics of Urban Residents' Basic Medical Insurance".

3. Patients should go to designated medical institutions to receive the "Outpatient Chronic Disease Certificate of Basic Medical Insurance for Urban Residents", and go to the selected medical institution for outpatient treatment with the medical insurance card and the "Outpatient Chronic Disease Certificate of Basic Medical Insurance for Urban Residents".

Need. Hello, according to your question, is needed. 1. Patients applying for outpatient chronic diseases should go to the designated medical institutions that undertake outpatient chronic disease services to fill in the "Anshan Urban Residents Medical Insurance Outpatient Chronic Disease Patient Review and Identification Form" with medical insurance card, original and photocopy of ID card, copy of "Inpatient Medical Record" for related diseases within two years, and relevant examination reports within one year (such as laboratory tests, electrocardiogram, color ultrasound, fundus imaging, CT, etc.) to the designated medical institutions that undertake outpatient chronic disease services.

2. The Municipal Residents' Medical Insurance Center will enter the list of qualified personnel into the computer system, and send it to the designated medical institutions together with the "Examination and Identification Form for Outpatient Chronic Diseases of Urban Residents' Medical Insurance" and "Certificate of Chronic Diseases in Outpatient Clinics of Urban Residents' Basic Medical Insurance". 3. The patient should go to the designated medical institution to receive the "Outpatient Chronic Disease Certificate of Basic Medical Insurance for Residents of Chenggebi Town", and go to the selected medical institution for outpatient treatment with the medical insurance card and the "Outpatient Chronic Disease Certificate of Basic Medical Insurance for Urban Residents".

Summary. Take Hebei as an example, chronic disease outpatient clinics: the outpatient chronic diseases of basic medical insurance for urban and rural residents are divided into two categories of 34 diseases.

General chronic disease payment: The medical expenses that meet the requirements shall be paid by the outpatient fund in accordance with the proportion of 60%, and the maximum payment limit is 3,000 yuan per year.

There are a total of 34 types of chronic diseases: malignant tumor outpatient clinic** (including leukemia) and hemophilia (other diseases are omitted).

Are there any specific provisions for the implementation of the new medical insurance system for chronic diseases in 2022?

Hello, the reimbursement is basically different in each region.

Take Hebei as an example, the outpatient clinic of chronic diseases in the outpatient clinic of the basic medical insurance for residents in urban and rural areas is divided into two categories and 34 diseases. General Chronic Disease Payment:

The medical expenses that meet the requirements shall be paid by the outpatient pooled fund in accordance with the proportion of 60%, and the maximum payment limit shall be 3,000 yuan per year. There are a total of 34 chronic diseases: malignant tumor outpatient clinic** (including leukemia), hemophilia (other diseases are omitted) and buried potatoes.