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There are 18 types of cancer, hypertension, sequelae of stroke, coronary heart disease, severe diabetes, chronic renal failure (advanced uremia), kidney transplant anti-rejection, chronic active hepatitis or cirrhosis, leukemia, Parkinson's disease, rheumatic heart disease, hyperthyroidism, rheumatoid arthritis (active), cor pulmonale, tuberculosis (active), hemophilia, systemic lupus erythematosus, and ankylosing myelitis (moderate to severe inflammation).
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Chronic diseases mainly refer to a group of diseases represented by cardiovascular and cerebrovascular diseases (hypertension, coronary heart disease, stroke, etc.), diabetes, malignant tumors, chronic obstructive pulmonary diseases (chronic bronchitis, emphysema, etc.), mental abnormalities and psychosis.
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Does chronic illness reimbursement have to be reimbursed locally on the ID card? What is the reimbursement rate? My husband has bipolar disorder. Are there any other grants?
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1. How to apply for a chronic disease card.
1. The process of applying for a chronic disease card is:
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 to submit the materials, and the results will be available within 15 working days, and those who meet the conditions can be issued.
2. 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.
2. How to pay social security.
The method of social security payment is as follows:
1. If a worker purchases social insurance through an employer, the employer shall withhold and pay it on behalf of him/her, and the employer shall inform him of the details of the social insurance premium paid on a monthly basis after withholding it;
2. If a worker voluntarily participates in social insurance, he or she can directly pay social insurance premiums to the social insurance premium collection agency, and the worker can directly go to the social security institution center to pay social insurance premiums.
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Hello dear, I am happy to serve you: to apply for a chronic disease card, you need a medical insurance card, to apply for a chronic disease card, you first need to stamp a copy of the hospital's inpatient medical record, a copy of the medical insurance card, a copy of the ID card and a copy of the relevant laboratory report, two one-inch color **, diagnosis certificate, file bag. Just prepare these documents and go to the hospital under your jurisdiction to handle them.
However, these are only some of the previous preparation materials, and we need to look at the relevant policies in recent years. Patients who want to declare outpatient chronic diseases need to provide inpatient medical records, medical certificates, medical insurance cards, ID cards, etc. from secondary hospitals or above within two years to apply to the local social security bureau within the specified time frame. 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 the medical insurance card, the original and copy of the ID card, the copy of the "Inpatient Medical Record" for related diseases within two years, and the relevant physical examination report within 2 years (such as laboratory tests, electrocardiogram, color ultrasound, fundus imaging, CT, etc.) to the designated medical organization receiving outpatient chronic disease services.
2. The Municipal Residents' Medical Insurance Center will record the list of qualified personnel into the measuring machine system, and send the "Examination and Identification Form for Outpatient Chronic Disease Patients of Urban Residents' Medical Insurance" and "Certificate of Chronic Diseases in the Outpatient Clinics of Urban Residents' Basic Medical Insurance" to the designated medical organizations. 3. The patient shall go to the designated medical organization to obtain the "Outpatient Chronic Disease Certificate of Basic Medical Insurance for Urban Residents", and go to the selected medical organization for outpatient treatment with the medical insurance card and the "Outpatient Chronic Disease Certificate of Basic Medical Insurance for Urban Residents". In addition, the annual review of outpatient chronic disease patients with resident medical insurance will begin for the first time from now on:
1. Each designated medical organization shall report the results of the patient's reexamination to the resident medical insurance center together with the information before October 20. 2. The Municipal Resident Medical Insurance Center shall review the review results and related materials of each designated medical organization before November 20. 3. The list of patients who have passed the review will be fed back to the given medical organization before the end of December.
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Application materials: 1. Social security card
2. ID card
3. Recent one-inch color photos (1 medical insurance for employees and 2 medical insurance for urban and rural residents).
4. Diagnosis certificate and diagnosis basis (various examination reports, discharge summaries, medical records, etc.) of the highest-level designated medical institutions in the insured place
5. Diagnosis and treatment data of the applied diseases in the past six months.
If the application information is outpatient information, the original copy of the pickpocketing tour must be provided;
If the application materials are inpatient or outpatient materials that have been included in the hospital's medical record management, a copy can be provided, but the case number must be marked and stamped with the official seal of the treating hospital. Undiagnosed diseases cannot be applied for outpatient special chronic diseases.
Application Procedures. 1. Common chronic diseases:
Declare twice a year (first half of the year: February 1 - May 24; Second half of the year: August 1 - November 24);
May 25 and November 25 of each year are the deadlines for the hospital to submit the application materials to the medical insurance agency, and the agency organizes relevant experts to conduct a review (physical examination if necessary), and those who meet the standards are included in the management scope of outpatient chronic leakage disease. On the specified date (mid-July, mid-January of the following year), bring the medical card, social security card and related ** plan to the outpatient clinic to prescribe medicine, and enjoy the slow door treatment.
2. Special chronic diseases:
Serial numbers 1-4 shall be declared before the 25th of the month, and the treatment can be enjoyed in the next month if the standards are met;
Serial No. 5-11 can be declared at any time, and those who meet the standards can enjoy the treatment first.
For the insured persons who enjoy the treatment first after the preliminary examination, the medical insurance agency in the jurisdiction of the jurisdiction will organize relevant experts to conduct a review in June and December each year, and for those who do not meet the standards, the outpatient chronic disease treatment they enjoy in advance will be terminated.
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Chronic Disease Medical Insurance Reimbursement Process:
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".
In addition, the annual review of outpatient chronic disease patients with resident medical insurance will begin for the first time from now on:
1. Each designated medical institution shall report the results of the patient's review to the resident medical insurance center together with the information before October 20.
2. The Municipal Resident Medical Insurance Center shall review the review results and related materials of each designated medical institution before November 20.
3. The list of patients who have passed the review will be fed back to the given medical institutions before the end of December.
4. Those who fail to pass the review will stop enjoying the treatment of outpatient chronic diseases.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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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.
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