Relevant information to be provided for the declaration of designated chronic diseases: 1, diagnosis certificate issued by specialists with the post of deputy chief physician in hospitals above the municipal level; 2. Copies of medical records or inspection reports and laboratory tests related to the declaration of chronic diseases; 3. Copy of ID card; 4. Two recent one-inch bareheaded photos; 5. Specify an application form for chronic diseases.
Examination and approval procedures: After the application materials have passed the preliminary examination, they will take part in the special physical examination organized by the Medical Insurance Bureau (the following persons are not required to take part in the physical examination, but they need to provide complete copies of hospitalization cases: after organ transplantation, after heart bypass surgery or after stent implantation, malignant tumor, seriously ill in bed, over 70 years old, living in different places). The personnel participating in the medical examination shall pay the medical examination expenses of the items to be examined on the spot, and if they meet the designated standards for chronic diseases, the medical examination expenses shall be reimbursed by the Medical Insurance Bureau. The medical examination expenses that fail to meet the accreditation standards shall be paid by themselves. After the medical examination, the medical insurance bureau will organize experts to identify the medical examination results. Those who meet the requirements are identified to establish chronic disease files, issue designated chronic disease treatment cards (hereinafter referred to as chronic disease cards), and enjoy the corresponding fixed subsidy treatment for chronic diseases. Those who are seriously ill in bed apply for exemption from inspection, which shall be examined and approved by the medical insurance bureau. If the situation is true, the materials they provide will be appraised by experts. Those who pass the examination will be given a file card and enjoy the corresponding fixed subsidy for chronic diseases.
1, outpatient chronic (major) disease reimbursement during the implementation of the new rural cooperative medical system (hereinafter referred to as the "new rural cooperative medical system").
2. The standard is: the proportion of outpatient (slow) serious illness compensation is 40%, and the deductible is 3,000 yuan.
3, the new rural cooperative medical outpatient chronic (major) disease handling and reimbursement procedures are:
(1) Handling the required materials: go to the local rural agricultural medical institute to receive the Application Form for Chronic (Severe) Diseases of the New Rural Cooperative Medical System, fill it in truthfully, and present the original and photocopy of the patient's diagnosis report or disease diagnosis book, household registration book, ID card and agricultural medical certificate issued by the medical institution at or above the county level to the local village committee and rural agricultural medical institute for signature and seal, and at the same time hand over the above materials to the full-time staff of rural agricultural medical institute for centralized unification. The principle of prescription is before June 30 of each year.
(2) The reimbursement procedure is: every year11-65438+February is the centralized reimbursement time, and the required materials are outpatient invoices for each visit, special prescriptions issued by designated hospitals (as a list of each medication for review), chronic (major) disease cards of the new rural cooperative medical system and agricultural medical certificates, which are handed over to the full-time auditors of rural agricultural medical institutions and centralized and unified to the county and rural areas.