1. The insured person brings the required information to the social security institution to apply for a serious outpatient illness.
2. Fill in the Application Form of Qingdao Basic Medical Insurance Outpatient Serious Illness in the processing window, and submit the outpatient medical records, discharge records, laboratory tests, social security cards or medical insurance cards and recent 1 inch photos of the applied diseases.
3. The staff accepts the materials and reviews them. If the materials are complete, notify the insured to complete them.
4, after the audit meets the conditions, collect information, and in 10 working days for outpatient illness card.
Social function of serious illness clinic in Qingdao;
1, reducing the economic burden: for the insured with chronic diseases or major diseases, long-term outpatient treatment will generate large medical expenses, and the outpatient service system for serious diseases can reduce the economic burden.
2. Convenient medical treatment: the outpatient service system for serious illness implements designated medical management, and the insured can choose designated medical institutions independently according to the actual situation, which provides convenience for medical treatment.
3. Improve the level of medical security: The serious illness outpatient service system provides better medical security for the insured, so as to ensure that some specific major diseases and chronic diseases are treated promptly and effectively.
4. Standardized management: Through the implementation of disease access and designated medical management, the serious illness outpatient system standardized medical behavior and improved the efficiency and quality of medical services.
5. Promote social equity: The outpatient service system for serious illness promotes social equity to a certain extent, and provides equal medical security for all insured persons, regardless of their economic situation.
To sum up, the serious illness outpatient system in Qingdao provides a good medical security mechanism for patients with chronic diseases or major diseases who need long-term outpatient treatment, which helps to reduce the economic burden, facilitate medical treatment, improve the level of medical security, standardize management and promote social equity.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 87
Where social insurance agencies, medical institutions, pharmaceutical trading units and other social insurance service institutions defraud social insurance fund expenditures by fraud, forgery of certification materials or other means, the social insurance administrative department shall order them to return the defrauded social insurance money and impose a fine of more than 2 times and less than 5 times the amount defrauded. If it belongs to a social insurance service institution, the service agreement shall be terminated. If the directly responsible person in charge and other directly responsible personnel are qualified, their qualifications shall be revoked according to law.