Radiotherapy and chemotherapy for malignant tumors (including leukemia), renal dialysis, anti-rejection after kidney transplantation, anti-rejection after liver transplantation, chronic renal failure (pre-uremia), antiviral treatment for hepatitis B, anti-rejection for hepatitis C Viral treatment, chronic severe hepatitis, liver cirrhosis, chronic obstructive pulmonary disease grade III and above, chronic pulmonary heart disease (reaching the decompensation stage of lung and heart function), hyperthyroidism (thyrotoxicosis has occurred) heart disease), chronic aplastic anemia,
Hemophilia, systemic lupus erythematosus, rheumatoid arthritis (joint lesions in stage III and above on "Sacroiliitis"), Parkinson's disease and Parkinson's syndrome, post-vascular interventional therapy, post-heart valve replacement, childhood autism, cerebral palsy, mental retardation (with mental disorders) .
2. Outpatient treatment of severe (chronic) diseases:
1. Basis of service: "Regulations on Outpatient Treatment of Some Severe Diseases under the Basic Medical Insurance for Urban Employees in Wuhan" (Wulao She [2001] No. 12), "Supplementary Regulations on Several Policies of Basic Medical Insurance for Urban Employees in Wuhan" (Wulao She [2001] No. 12) Lao She [2002] No. 46), "Interim Provisions on the Incorporation of Outpatient Medical Expenses for Outpatient Treatment of Severe Mental Illness Patients into the Payment Scope of the Overall Fund" (Wu Lao She [2003] No. 16), "Wuhan Urban Employee Basic Medical Insurance Clinic" Supplementary Provisions on the Treatment of Some Severe Diseases" (Wulaoshe [2003] No. 154) and "Interim Provisions on the Treatment of Some Chronic Diseases in Wuhan Urban Employee Basic Medical Insurance Outpatient Clinics" (Wulaoshe [2003] No. 155).
2.Service procedures:
1) The patient applies to the unit where he or she is located (patients who apply at the personal window apply directly to the social security office of the jurisdiction where they are located), and the unit where they are registered uniformly registers, together with the list of critically ill people and the relevant information provided, reports to the social security office of the jurisdiction for application and processing.
2) If the social security office in the jurisdiction accepts the application and passes the preliminary review, it will issue the "Wuhan Medical Insurance Center Approval Registration Form for Outpatient Treatment of Some Severe Diseases", and the insured persons will fill in the corresponding columns according to regulations.
3) Insured persons who have passed the preliminary examination shall take the "Approval Registration Form" and go to the hospital designated by the social security office in the jurisdiction for relevant examinations, identify the confirmed condition, and provide treatment suggestions. Insured persons will submit the "Approval Registration Form" to the Social Security Department, and upon approval, critical illness records will be issued and they can go to the selected treatment hospital for medical treatment.
3. Information to be submitted:
Application, medical records of continuous treatment in the past one to two years, relevant examination reports, discharge summaries and other original materials (resettlement insured persons need to submit disease certification materials issued by the local hospital),
4. Charges:
No charge
5. Charge basis:
No charge 6. Service time limit: 14 working days. .
6. Medical insurance approval for intra-city transfer and intra-city emergency rescue:
1. Basis of service: "Wuhan Urban Employee Basic Medical Insurance Transfer Management Regulations" (Wulao Society [2001] No. 122). 2.Service procedures:
(1) Intra-city transfer: During the period of hospitalization of the insured person in a designated medical institution, for critical and difficult diseases that cannot be diagnosed and treated due to limited technical and equipment conditions of the designated medical institution, the transfer application shall be submitted by the diagnosis and treatment department of a tertiary or specialist hospital and transferred to Transfer to a designated medical institution in the city; after the department director agrees, it must be reported to the hospital's medical insurance office and the in-charge dean for approval and signature. The insured person brings the "Transfer Approval Form" in triplicate to the application window of the Municipal Medical Insurance Center. Those who meet the conditions will be approved and signed immediately. One copy of the "Approval Form" will be archived for future reference. The other two copies will be handed over to the insured person and one will be used as a reference. One copy of the reimbursement voucher should be submitted to the designated hospital for archiving.
(2) Emergency rescue in the city: The insured person is treated in a non-designated hospital in the city due to emergency rescue. Within 5 working days after the treatment, the unit or individual will write a written application report on the medical treatment, and the unit will stamp it (for flexible employment personnel, the (stamped by the Social Security Office of the jurisdiction)), and submit relevant documents to the emergency rescue window of the Municipal Medical Insurance Center.