First, understand the special outpatient service policy
Before handling the special needs clinic in Chengdu, it is necessary to understand the relevant policies and regulations. Specialist clinics are usually aimed at some specific chronic diseases or major diseases. Therefore, patients need to confirm whether their illness meets the conditions of special outpatient service. Relevant policy information can be consulted in hospitals, community health service centers or medical insurance departments.
Second, prepare the application materials
Special clinics need to prepare some necessary application materials. Generally speaking, patients need to provide identity certificates, medical insurance cards, medical records, diagnosis certificates, recent inspection reports and other related materials. These materials will be used as the basis for handling special clinics to ensure that patients' applications can be processed in time.
Third, submit the application and review it
After the patient prepares the materials, he needs to submit the application materials to the local medical insurance department or the designated agency. After submitting the application, the relevant departments will review the application materials to verify the patient's condition and the authenticity of the application materials. The review process may take some time, and patients need to wait patiently.
Fourth, get a special outpatient certificate.
If the application is approved, the patient will get a special outpatient certificate. This card will be used as a voucher for patients to seek medical treatment in characteristic outpatient clinics and enjoy corresponding medical treatment and preferential policies. Patients need to take good care of the special outpatient card to avoid loss or damage.
To sum up:
The handling of special needs clinics in Chengdu requires patients to understand policies and regulations, prepare necessary application materials, submit applications and review them, and finally get the certificate of special needs clinics. In the process of handling, patients need to wait patiently and follow the relevant regulations to ensure that the application can proceed smoothly.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 27 provides that:
Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Measures of Chengdu Municipality on Basic Medical Insurance for Urban Workers
Article 12 stipulates:
One-time hospitalization medical expenses incurred by the insured in the designated medical institutions that meet the provisions of the present Measures, whose amount is above the Qifubiaozhun of the overall fund, shall be paid by the overall fund in proportion according to the hospital level after deducting the expenses paid by the individual first.