What does chronic disease go to medical insurance center to hand
Reimbursement process of chronic disease medical insurance:
1. Patients applying for chronic disease in outpatient department should hold medical insurance card, original and of ID card, of inpatient medical record of related diseases within two years, and relevant examination reports within one year (such as laboratory test, ECG, color Doppler ultrasound, funs angiography, etc.) (CT, etc.) to the designated medical institutions undertaking outpatient chronic disease treatment services to fill in the "Anshan Urban Residents Medical Insurance Outpatient chronic disease patients audit and identification form" in plicate
2. The city residents' medical insurance center will input the list of qualified personnel into the computer system, and send it to the designated medical institutions together with the "urban residents' medical insurance outpatient chronic disease patient audit and identification form" and "urban residents' basic medical insurance outpatient chronic disease certificate"
3. The patients go to the designated medical institutions to get the chronic disease type certificate of urban residents' basic medical insurance outpatient service, and go to the selected medical institutions for treatment with the medical insurance card and the chronic disease type certificate of urban residents' basic medical insurance outpatient service< In addition, the annual review of patients with chronic diseases in the outpatient department of residents' medical insurance started for the first time from now on:
1. All designated medical institutions will report the re examination results of patients together with the data to the residents' medical insurance center before October 20
2. The municipal residents medical insurance center will review the re examination results and relevant data of the designated medical institutions before November 20
3. The list of patients who have passed the review will be fed back to the designated medical institutions before the end of December
4. Those who fail to pass the reexamination will stop enjoying the treatment of chronic diseases
Insurance editor to help you answer, more questions can be answered online
reimbursement process of medical insurance for chronic diseases:
1. Patients applying for chronic diseases in outpatient department should hold medical insurance card, original and of ID card, of inpatient medical record of related diseases within two years, and relevant examination reports within one year (such as laboratory test, ECG, color Doppler ultrasound, funs angiography, etc.) (CT, etc.) to the designated medical institutions undertaking outpatient chronic disease treatment services to fill in the "Anshan Urban Residents Medical Insurance Outpatient chronic disease patients audit and identification form" in plicate
2. The city residents' medical insurance center will input the list of qualified personnel into the computer system, and send it to the designated medical institutions together with the "urban residents' medical insurance outpatient chronic disease patient audit and identification form" and "urban residents' basic medical insurance outpatient chronic disease certificate"
3. The patients go to the designated medical institutions to get the chronic disease type certificate of urban residents' basic medical insurance outpatient service, and go to the selected medical institutions for treatment with the medical insurance card and the chronic disease type certificate of urban residents' basic medical insurance outpatient service< In addition, the annual review of patients with chronic diseases in the outpatient department of residents' medical insurance started for the first time from now on:
1. All designated medical institutions will report the re examination results of patients together with the data to the residents' medical insurance center before October 20
2. The municipal residents medical insurance center will review the re examination results and relevant data of the designated medical institutions before November 20
3. The list of patients who have passed the review will be fed back to the designated medical institutions before the end of December
4. Those who fail to pass the reexamination will stop enjoying the treatment of chronic diseases
1、 First, write an application in the name of the insured and write it to the social security management office of the area where the registered permanent residence belongs
2. Outpatient medical records (two years or recent period) for the treatment of the disease
(3) it is necessary to have the hospitalization records within two years, including discharge summary, original and4. The copies of the relevant data in the discharged medical records (the people who help to them in the hospital know what content) must be stamped with the red seal of that hospital
5
6. Together with the above information, they should be sent to the medical insurance Department of the Regional Social Security Administration for examination
7. After the regional social security audit is passed, a form will be given to the designated hospital for identification
8. After the identification hospital seals, go to the regional social security review, hand in a one inch registration photo, and tell the hospital to be designated for treatment. Just buy medical records and stamp them
the insured with 24 kinds of chronic diseases can obtain and truthfully fill in the application form of chronic disease treatment card at the local social and residential committee, and provide their true and effective medical records, laboratory tests and inspection reports, etc. after being confirmed by the municipal medical insurance expert committee, the municipal medical insurance agency will issue the chronic disease treatment card
extended data:
since the date of receiving the chronic disease treatment card, the insured residents can enjoy the prescribed outpatient subsidy with the card; The uninsured urban residents can get and truthfully fill in the application form of chronic disease treatment card when they go through the insurance registration proceres in the local social and residential committee, and finally need to be confirmed by the municipal medical insurance expert committee
the types of diseases included in the outpatient chronic disease management of medical insurance are different in different regions. We should first understand which outpatient chronic diseases are included in the medical insurance. If the local outpatient chronic disease treatment, can directly to the local medical insurance agency consultation, and according to the requirements for outpatient chronic disease access proceres
the patients applying for chronic diseases in outpatient department should hold the medical insurance card, the original and of ID card, the of inpatient medical record of related diseases within two years, and the relevant examination report sheet within one year (such as laboratory test, electrocardiogram, color Doppler ultrasound, funs angiography (CT, etc.) to the designated medical institutions undertaking outpatient chronic disease treatment services to fill in the "Anshan Urban Residents Medical Insurance Outpatient chronic disease patients audit and identification form" in plicate
handling proceres:
1. Acceptance< (1) when the self payment of 12 kinds of chronic diseases exceeds 800 yuan, the payment proportion of supplementary medical insurance fund is 70%, and the maximum payment limit is 2500 yuan; Over 70 years old should be responsible for more than 600 yuan, the payment proportion of supplementary medical insurance fund is 80%, and the maximum payment limit is 3000 yuan
(2) the maximum payment limit of the overall planning fund is more than 40000 yuan, the supplementary medical insurance fund is 90%, and the maximum payment limit is 160000 yuan
3. Carry the information to the local social security department for handling, and consult the local social security department for details
application materials to be prepared: the original and of ID card and social security card, a recent one inch bareheaded color photo, a of in-patient medical record related to the declared disease (with the special seal for in-patient medical record ) and relevant imaging data (such as X-ray, CT, inspection report, etc.)< 4. Waiting for reimbursement payment.
