Management Process of Chronic Diseases in Taiyuan City

Taiyuan chronic disease treatment process is as follows:

1, apply for a medical card (to ensure the accuracy of the information, please use my ID card to apply for a medical card);

2. Take the medical card to the medical insurance office on the first floor of the administrative building, and bind the medical card as a special chronic disease card (the words special disease will be marked in the upper right corner of the bound medical card);

3. Register with a bound medical card;

Please see a doctor after registration, and the doctor will prescribe medicine and a checklist.

5. If the patient pays with the medical card, please sign the invoice to confirm the reimbursement amount and submit the invoice reimbursement to the toll collector;

6. Take medicine, do relevant tests, etc.

7. Please keep the prescriptions, lists, etc. Correct, and this repayment is completed.

The conditions for dealing with chronic diseases are:

1. If the insured suffers from one of the chronic diseases listed in the local medical insurance and meets the basic diagnostic criteria, he/she shall fill out the Application Form for Identification of Severe Chronic Diseases in the prescribed format, which shall be summarized by the employer and reported to the medical insurance institution;

2, the unemployed during the period of enjoying the basic medical insurance benefits, suffering from serious chronic diseases, by individuals or relatives directly to the medical insurance institutions to declare;

3, medical insurance institutions organize expert committees to identify serious and chronic diseases, the identification work is generally carried out once every quarter, the cost of identification shall be borne by individuals or units.

Medical insurance institutions shall issue medical cards for serious and chronic diseases to insured persons who meet the conditions for determining serious and chronic diseases.

To sum up, the insured with 24 kinds of chronic diseases can receive and truthfully fill in the Application Form for Chronic Disease Visiting Card at the local social housing committee, and provide their true and effective medical records, laboratory tests, inspection reports and other materials. After being confirmed by the municipal medical insurance expert committee, the municipal medical insurance agency will issue the chronic disease treatment card. Insured residents can enjoy the prescribed outpatient subsidy treatment with the card from the date of receiving the chronic disease treatment card. The uninsured urban residents can get it together when they go through the insurance registration formalities in the local social neighborhood committee, and truthfully fill out the Application Form for Chronic Disease Treatment Card, which will be finally confirmed by the municipal medical insurance expert committee.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. .