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Systemic lupus erythematosus is subsidized by supplementary medical insurance**, systemic lupus erythematosus is a specific type of outpatient disease under medical insurance, and outpatient medical expenses are paid according to the hospitalization reimbursement treatment, most of which are reimbursed by medical insurance, and a small part is paid by themselves.
Article 28 of the Social Insurance Law stipulates that medical expenses that meet the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
According to the basic requirements for the payment of basic medical insurance benefits in China, the insured shall go to the medical insurance institution to reimburse the medical expenses incurred by himself for medical treatment, and generally meet the following conditions:
1) The insured person must go to the designated medical institution of the basic medical insurance to seek medical treatment and purchase drugs, or hold the medical prescription issued by the doctor of the designated hospital to the designated retail pharmacy determined by the social insurance institution to purchase drugs.
2) The medical expenses incurred by the insured in the process of seeing a doctor must meet the scope and payment standards of the basic medical insurance insurance drug catalog, diagnosis and treatment items, medical service facility standards, and can be paid by the basic medical insurance ** according to the regulations.
3) Among the medical expenses of the insured persons who meet the scope of payment of basic medical insurance, the part of the expenses above the minimum payment standard of social medical co-ordination and below the maximum payment limit shall be paid by the social medical co-ordination ** in a unified proportion.
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Is the state subsidy of 4000 saying that I buy 5000 and return back to 4000, right?
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How to apply for the national chronic disease subsidy, the details are as follows:
1. Review whether you are eligible for chronic disease subsidies;
2. Prepare medical insurance card, copy of ID card, inpatient medical record, discharge summary, diagnosis certificate and other relevant materials;
3. Fill in the "Application Form for Chronic Disease Medical Card" and submit it to the municipal or county human resources office for declaration.
We may not be familiar with lupus erythematosus, but it is very ugly, so many people can't accept this fact and want to check it as soon as possible.
So, what are the conditions for lupus erythematosus to apply for a subsidy? Before lupus erythematosus, patients should first go to the hospital to clarify**, and then treat the symptoms**, and let the relevant experts formulate a suitable **plan according to their own condition. Because there are dozens of causes of its onset, and the causes of the disease have not yet been clarified, patients who blindly ** lupus erythematosus without examination cannot effectively ** make their condition **.
The difference in the condition is that there are different cell transplantation treatment plans or results for lupus erythematosus, and it can also be said that the degree of treatment is divided into the severity of the disease, if the patient's disease is milder, the more helpful it will be for ** and later prevention. On the contrary, not only is lupus erythematosus very difficult, but the prevention effect will also be very poor, so the cost is also more.
When the patient has lupus erythematosus, if there is a good effect, the dosage of the drug can be appropriately reduced, so the treatment is also divided into the degree of the disease, because the situation of different patients is different, the factors of lupus erythematosus, when the onset of the disease, and the degree of damage will affect the cost to a certain extent, and it will also affect the difference when choosing hospitals and experts.
Lupus erythematosus is a more serious immune disease, when the patient is in the first place, the first choice is to start digging to consider where to treat the rough side of the mausoleum, the cost of treating lupus erythematosus in different regions is also not used, think that some large cities may be relatively high, but the treatment is a big deal, or it is recommended that the patient go to a regular hospital **lupus erythematosus is guaranteed. The intermediaries of large hospitals are charged according to national standards, and they are all transparent, so patients can rest assured.
Legal basis
Social Insurance Law of the People's Republic of China
Article 23.
Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state. Article 24.
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 ***.
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Legal analysis: systemic lupus erythematosus has no subsidies in the state and is not a special disease. After suffering from lupus erythematosus, there is no state subsidy.
Lupus erythematosus is a disease of the immune system that requires both oral and topical medications, but lupus erythematosus medications are partially reimbursed. If you have the problem of the immune system proves that your own resistance is poor, so you will get sick, at the same time, you must exercise more to enhance your resistance to the code, so that the body's ability to resist the disease will be stronger, although the disease is difficult, but also to have a certain degree of confidence, Tongmo Bureau to find experts in this area for detailed consultation. Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
Legal basis: Social Insurance Law of the People's Republic of China
Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the State, and they will 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 the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.
Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.
Article 29 of the Bureau of the medical expenses of the insured persons should be paid by the basic medical insurance**, by the social insurance agency and medical institutions, drug business units directly settled.
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