How do I get a chronic disease license in the Haikou area? What conditions are required to do so?

According to the Haikou Municipal People's Government of the 14th People's Government of Haikou City, the 5th executive meeting to discuss the adoption of the "Haikou City, urban residents of the interim method of basic medical insurance system" (Haifu [2007] No. 50) document, in order to do a good job of urban residents of the work of the basic medical insurance, is now the relevant provisions of the answers are as follows: First, to participate in the urban residents of the basic medical insurance of the people who are? Answer: (a) adult residents 1, 18 years of age (including 18 years of age) 60 years of age below the city's non-agricultural household registration of non-working urban residents; 2, 60 years of age (including 60 years of age) not to participate in the basic medical insurance for urban workers of the city's non-agricultural household registration; (b) minor residents l, non-agricultural household registration of the city and belongs to the school on the rolls of the primary and secondary school students (including technical and vocational schools); 2, the city's non-agricultural household registration and belongs to the school and elementary school students (including students); 2, the city's basic medical insurance for urban residents? (2) Non-agricultural residents of the city who are under 18 years of age and are not enrolled in school (including infants and toddlers); (3) Non-agricultural residents of the city who are under 18 years of age and are enrolled in elementary, junior high and senior high schools as well as special schools outside the city. (3) Persons who have already enjoyed pension and old-age insurance benefits from other places, and students attending high and middle schools are not included in the scope of the city's residents' medical insurance, and their medical protection is carried out in accordance with the relevant provisions of the State. What is the contribution standard for basic medical insurance for urban residents? Answer: (a) adult residents pay an individual contribution of 70 yuan per person per year, the financial subsidy of 50 yuan per person per year. (b) Individual contributions of 40 yuan per person per year for minor residents, with a financial subsidy of 30 yuan per person per year. (c) For urban low-income recipients and urban beneficiaries who are not enrolled in the basic medical insurance for urban employees, their individual contributions are fully subsidized by the municipal and district finances. (D) urban disabled person's individual contribution part of the annual contribution of 35 yuan per person, the individual contribution part of the shortfall (i.e., 35 yuan) by the provincial, municipal and district finances, respectively (of which: the provincial financial subsidy of 9 yuan, the municipal financial subsidy of 15 yuan, the district financial subsidy of 11 yuan). Third, when can I pay to participate in the basic medical insurance for urban residents? A: residents of individual (family) contributions to the implementation of a regular annual payment system. In 2007, the payment time is set for July to August, residents pay the premium from September 1 to enjoy the residents of medical insurance compensation. From 2008 onwards, the payment period is from October to December each year, and residents are entitled to receive compensation from January 1 of the following year after paying the premiums. Late for enrollment procedures, after enrollment will not handle the withdrawal procedures. Fourth, where to pay the fees to participate in the basic medical insurance for urban residents? A: Go to the labor and social security management station of the community (neighborhood committee) where your household registration is located to apply for registration and payment. V. How to participate in basic medical insurance for urban residents? A: Urban residents should apply for registration and payment of fees at their local community (neighborhood committee) labor and social security management station on a household basis with their household registration books (low income, privileged and disabled persons should produce all relevant documents), and all persons in the family who are eligible to participate in the insurance should participate in the insurance, and there is no option to participate in the insurance. The community (neighborhood committee) labor and social security management station shall screen the identity of the insured person, and issue the "Hainan Provincial Social Insurance Premiums General Payment Book" voucher uniformly printed by the Department of Finance of Hainan Province to those who meet the conditions for participation, and issue the "Haikou Urban Residents' Basic Medical Insurance Handbook" (hereinafter referred to as the "Residents' Medical Insurance Handbook"). The insured residents holding the Residents' Medical Insurance Handbook shall go to the designated medical institutions in accordance with the regulations and enjoy the insurance treatment. How many ways are there to pay for the basic medical insurance for urban residents? A: You can take the cash payment or to the designated Agricultural Bank of China (Hainan Province) business outlets on behalf of the two forms of collection. How can the insured residents enjoy the basic medical insurance for urban residents? A: The insured residents should first consult in the community health service designated institutions, such as the condition needs to be transferred to the next level of medical institutions to continue to receive treatment, the first community health service designated institutions to issue a referral certificate for referral procedures, and then to the next level of medical institutions. If there is no referral certificate, the compensation of the residents' medical insurance will be calculated in accordance with 50% of the compensable standard. Critical emergency patients in an emergency directly to the next level of hospital emergency hospitalization, should be admitted to the hospital within 10 working days (including the 10th working day) to the community health services designated institutions to establish a health record (enter a new diagnosis and treatment profile), and make up for the referral procedures. Eight, where residents to apply for medical insurance reimbursement procedures? A: insured residents to the District Labor and Social Security Center (City Social Insurance Agency assigned to each district social insurance office) for reimbursement procedures in accordance with the regulations. Nine: How to apply for basic medical insurance benefits? A: Insured residents must bring the Resident Medical Insurance Handbook and the Haikou Urban Resident Basic Medical Insurance Card (hereinafter referred to as "Basic Medical Busy") to the designated medical institutions. When you are hospitalized, you must also present your ID card (or household register) and referral certificate. Medical expenses incurred by insured residents who are hospitalized in designated medical institutions in the city shall be reimbursed by the designated medical institutions in accordance with the provisions of the relevant provisions of the Resident's Medical Insurance by way of direct billing at the time of the insured resident's discharge from the hospital. The designated medical institution shall provide a list of expenses, which shall be confirmed by the signature of the patient himself/herself or the relevant agent or certifier. In principle, no compensation will be made for any medical expenses that are not confirmed by signatures. Medical expenses incurred for hospitalization in a medical institution in a different place are first paid by the resident in advance, and then the resident goes to the labor and social security center in each district (the municipal social insurance bureau is stationed in the social insurance office in each district) to go through the compensation procedures according to the regulations. A copy of the Resident's Medical Insurance Handbook and Household Register, a hospital discharge summary (stamped with the official seal), a list of expenses, invoices and other relevant supporting documents should be presented during the reimbursement procedures. Before December 2007, the medical expenses incurred by the insured residents for hospitalization in the designated medical institutions in the city were first paid by the insured residents in advance, and then went to the labor and social security centers of the districts (the municipal social insurance bureaus were assigned to the social insurance offices of the districts) to go through the reimbursement procedures in accordance with the provisions of the law. X. What is the main scope of compensation of the basic medical insurance fund for urban residents? A: The residents' medical insurance fund mainly compensates the hospitalization expenses and outpatient medical expenses of key chronic diseases of the insured residents. The specific scope of compensation in accordance with the "Hainan Provincial Urban Residents' Basic Medical Insurance Disease Catalog", "Hainan Provincial Urban Residents' Medical Insurance Diagnosis and Treatment Program Management Regulations", "Hainan Provincial Urban Residents' Basic Medical Insurance Medical Service Facilities Scope and Payment Standard Regulations" and "Hainan Provincial Urban Residents' Basic Medical Insurance Drug Catalog" and other relevant documents. The insured residents shall pay 20% of the expenses incurred by using the medicines in the "Class B Catalog" and then be compensated according to this method. In the Provisions on Management of Consultation and Treatment Programs of Hainan Urban Residents' Medical Insurance, consultation and treatment programs that are partially paid by residents' medical insurance are compensated at a rate of 30%. The types of outpatient treatment and compensation methods are separately stipulated. XI. What is the compensation standard of basic medical insurance for urban residents? A: When the insured residents visit the designated medical institutions, the medical expenses incurred in line with the scope of compensation will be compensated in accordance with the standard of hospital grading, and in accordance with the grading of the starting line and a fixed percentage. Residents' medical insurance compensation is controlled by a capped limit. (i) Graded compensation ratio. The reimbursement ratio of the total expenses covered by the residents' medical insurance is as follows: first-class hospitals are reimbursed at 60%, second-class hospitals are reimbursed at 45%, and third-class hospitals are reimbursed at 35%. Hospitalization in other places is compensated at 50% of the same compensation standard in the city, and the total medical fee for a single disease is controlled. The basic standard of single disease medical fee is formulated separately. (ii) Graded starting line. 150 yuan for first-level hospitals, 400 yuan for second-level hospitals, and 800 yuan for third-level hospitals. In case of inter-level hospitalization within a billing year, the starting line is calculated cumulatively. (iii) Capping line. Within a settlement year, the basic cap line for compensation costs is 20,000 RMB. In order to encourage residents to actively participate in residents' health insurance, where residents have participated in residents' health insurance continuously for more than 5 years and less than 8 years, the cap line is 25,000~RMB; where residents have participated in insurance continuously for more than 8 years, the cap line is 30,000 RMB. For multiple hospitalizations within a billing year, the total cumulative compensation cannot exceed the ceiling line. XII. Which hospitals are referred to as first-class, second-class and third-class hospitals? A: According to the regulations of the health department: Level 1 hospitals: all community health service stations and township and township health centers approved and recognized by the health department. Second-level hospitals: Haikou Maternal and Child Health Center, Haikou Hospital of Traditional Chinese Medicine, Qiongshan People's Hospital, and various types of specialized hospitals approved and recognized by the health sector. Tertiary hospitals: Hainan Provincial People's Hospital, Haikou Municipal People's Hospital, Affiliated Hospital of Haikou Medical College, Hospital of the General Administration of Reclamation of Nongken, 187 Hospital of the Garrison, Provincial Hospital of Traditional Chinese Medicine and so on. Thirteen, the residents of the medical insurance compensation for the implementation of the guaranteed system and points system, what are the provisions? Answer: (a) in the case of the cap line remains unchanged, the insured residents each time the hospitalization of the medical cost compensation less than 20% of the actual cost of expenditure, in accordance with the proportion of 20% of the compensation. (b) For families that have continuously participated in the resident health insurance, starting from the second year of participation, the hospitalization compensation rate for insured family members will be increased by 1% per year on the original basis, with a cumulative maximum increase of 8%. Contributions can not be accumulated after the interruption, the ceiling line remains unchanged.