Reimbursement Policy for Chronic Diseases in Wuhan in 2023

Wuhan chronic disease reimbursement policy in 2023;

1. Basic medical insurance: Most countries have a basic medical insurance system, including reimbursement for chronic diseases. The specific reimbursement ratio and scope may vary according to different countries and insurance plans. Usually, the treatment expenses of chronic diseases need to be reimbursed within the scope of medical insurance according to the prescribed proportion;

2. Chronic disease management plan: Some countries and regions have chronic disease management plans to provide more comprehensive medical services and reimbursement. These plans usually provide higher reimbursement rates, wider medical services and support for chronic disease management and rehabilitation;

3. Reimbursement of special diseases: Some chronic diseases are recognized as special diseases, and they enjoy a higher reimbursement rate and a wider range of medical services. These special diseases usually seriously affect the life and work ability of patients, such as diabetes, hypertension, heart disease and so on.

4. Outpatient reimbursement for chronic medical insurance: In some areas, the outpatient reimbursement policy for chronic diseases is implemented, that is, patients can enjoy certain reimbursement when they visit the outpatient clinic. This policy usually requires patients to see a doctor in a designated medical institution and be reimbursed according to the prescribed procedures and reimbursement ratio.

The new reimbursement policy for drugs purchased by chronic disease pharmacies is as follows:

1, reimbursement standard for common chronic diseases, outpatient reimbursement for common chronic diseases, no deductible, reimbursement ratio of 60%. But the maximum annual reimbursement is 3000 yuan. Patients can report at any time or regularly;

2. Identification of medical insurance agency: Overseas personnel and insured persons who have not been qualified in designated medical institutions can go directly to the medical insurance agency in the insured place with their original ID cards, medical records of hospitals in designated medical institutions at or above the second level in the past two years, relevant examinations, laboratory reports and diagnosis certificates, and enjoy chronic disease treatment in the next month after their identification. The review of the disease needs to be reviewed once every two years, and the medical insurance agency can conduct qualification examination within three months before the expiration of the treatment period.

At present, outpatient chronic diseases can be divided into three categories, and generally can enjoy subsidy treatment. :

1, the first category includes hypertension II and III, angina pectoris, myocardial infarction, rheumatic heart disease, sequelae of cerebral infarction, chronic bronchitis, chronic obstructive pulmonary disease, rheumatoid arthritis, ankylosing spondylitis, diabetes, primary thrombocytosis, Crohn's disease, myasthenia gravis, etc. ;

2. The second category includes chronic hepatitis, decompensated cirrhosis, chronic nephritis, chronic renal insufficiency and renal failure. ;

3. The third category includes systemic lupus erythematosus, intracranial tumors, chronic neuronal diseases and aplastic anemia.

Handling place of chronic disease certificate:

1, where the new rural cooperative medical system is located, you can get it from the local social neighborhood Committee and fill in the application form for chronic disease treatment card truthfully;

2. Provide my true and effective medical records, laboratory tests and inspection reports. After being confirmed by the municipal medical insurance expert committee, the municipal medical insurance agency will issue chronic disease cards;

3, the insured residents from the date of receiving the chronic disease card, with the card can enjoy the prescribed outpatient subsidy treatment. Uninsured urban residents can receive and truthfully fill in the application for chronic disease treatment card when they go through the insurance registration formalities in the local social neighborhood Committee, and finally they need to be confirmed by the municipal medical insurance expert Committee.

To sum up, in China, patients with chronic diseases who have long-term subsidies for some chronic diseases can apply for a chronic disease card, so that part of the medicine they take every month can be reimbursed.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.