What is Chronic Disease Medical Insurance? How to handle the operation?

An insured person who suffers from one of the chronic diseases listed in the local medical insurance and meets the basic criteria for diagnosis shall fill in the Application Form for Recognition of Serious Chronic Diseases in accordance with the prescribed format, which shall be summarized by the employer and reported to the medical insurance organization. If an unemployed person suffers from a serious chronic disease during the period of enjoying basic medical insurance benefits, he/she or his/her relatives shall report the case directly to the medical insurance organization.

Procedures:

1. Acceptance.

2, cost review:

(1) Twelve chronic diseases outpatient out-of-pocket more than 800 yuan, the supplementary medical insurance fund to pay 70%, the maximum payment limit of 2,500 yuan; 70 years of age or older out-of-pocket more than 600 yuan, the supplementary medical insurance fund to pay 80%, the maximum payment limit of 3,000 yuan.

(2) For the part of the integrated fund's maximum payment limit of 40,000 yuan or more, the supplementary medical insurance fund pays 90%, and the maximum payment limit is 160,000 yuan.

3, for the required to bring the information to the local social security department for processing, specifically consult the local social security department.

Declaration materials to be prepared: resident identity card, original and copy of the social security card, a recent one-inch crownless color photo, a copy of inpatient medical records related to the declared types of diseases (stamped with the hospital's special seal for copying inpatient medical records) and related imaging data (such as X-rays, CT films and inspection test reports, etc.).

4. Wait for the reimbursement to be issued.