In addition, it should be noted that, under normal circumstances, reimbursement for chronic diseases must be fixed at a hospital outpatient clinic, and going to other hospitals outpatient clinics cannot be reimbursed. However, if you have special chronic diseases such as infectious diseases and mental illness, you can choose 1-2 designated medical institutions.
What are the chronic diseases of medical insurance reimbursement?
There are 25 kinds of chronic diseases: malignant tumor, chronic renal insufficiency, aplastic anemia, rheumatoid disease, chronic active hepatitis, chronic inflammation, tuberculosis, intestinal adhesion, cerebrovascular accident recovery, decompensated cirrhosis, chronic lung disease, chronic cardiac insufficiency, arrhythmia, coronary heart disease, Parkinson's disease, hypertension, diabetes, chronic prostatitis, prostatic hyperplasia and so on.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 12 The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of employees stipulated by the state and record it in the basic old-age insurance pooling fund.
Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.
Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 35 The employing unit shall pay the work-related injury insurance premium according to the total wages of employees and the rate determined by the social insurance agency.
Forty-fourth employees should participate in unemployment insurance, and employers and employees should pay unemployment insurance premiums in accordance with state regulations.
Fifty-third employees should participate in maternity insurance, the employer should pay maternity insurance premiums in accordance with state regulations, and employees do not pay maternity insurance premiums.