How to reimburse the special outpatient service for hepatitis B Yesterday, the Municipal Human Resources and Social Security Bureau and the Municipal Finance Bureau jointly issued the Notice on Matters Related to the Inclusion of Chronic Hepatitis B Virus Infection in the Special Disease Scope of Medical Insurance, clarifying that from March 1, the city will include the anti-rejection treatment of chronic hepatitis B virus infection (hereinafter referred to as chronic hepatitis B) and lung transplantation into the special disease scope of employee medical insurance and resident medical insurance. Among them, chronic hepatitis B is a chronic disease with special medical insurance, and anti-rejection therapy after lung transplantation is a major disease with special medical insurance. With the employer to participate in the medical insurance for employees in our city and to participate in the second file of medical insurance for employees in our city in an individual capacity; People who participate in medical insurance for residents in our city can apply for chronic hepatitis B. < /p > The Municipal Human Resources and Social Security Bureau reminds that the insured persons in our city need to consult the relevant medical insurance policies, and can call the hotline 12333.

_ how to reimburse? Medical insurance for employees with chronic hepatitis B < /p >: The medical expenses for outpatient treatment shall be settled according to the limit of single disease, regardless of the payment line. The limit standard is 6 yuan/year. If the insured person has newly added special diseases for less than one year, the reimbursement limit is calculated according to the actual number of months of newly added special diseases. < /p > The expenses for disease-related examination, treatment and drugs incurred by the insured in outpatient treatment at the designated medical institution I selected are included in the reimbursement scope (within the limit, drugs are not restricted by the medical insurance drug list). < /p > The outpatient medical expenses for special diseases of the insured are calculated on an annual cumulative basis, and the medical expenses reimbursed within the limit standard are paid by the overall fund and the large medical insurance fund respectively according to regulations. < /p > residents' medical insurance: the medical expenses for outpatient treatment shall be reimbursed according to the proportional limit. There is no reimbursement deductible line for medical expenses within the medical insurance scope of outpatient treatment, and the reimbursement ratio is 8% for first-class medical institutions, 6% for second-class medical institutions and 4% for third-class medical institutions, and the annual reimbursement limit is 1 yuan/year and person. < /p > For those who suffer from two or more special diseases and chronic diseases at the same time, the annual reimbursement limit will be increased by 2 yuan for each additional one.

_ Anti-rejection treatment after lung transplantation < /p > Medical insurance for employees: 9% of the medical expenses within the medical insurance scope for outpatient treatment are reimbursed above the threshold and below the overall payment limit, and the deductible line is calculated once a year. The part exceeding the payment limit of the medical insurance pooling fund shall be reimbursed by the employee's large medical mutual insurance according to the regulations. < /p > residents' medical insurance: the reimbursement of medical expenses within the medical insurance scope for outpatient treatment is subject to the same reimbursement ratio and deductible line as hospitalization, and the deductible line is calculated once a year.

■ Related < /p > Non-small cell lung cancer outpatient special disease expenses are reimbursed in this way < /p > Non-small cell lung cancer patients who have participated in the medical insurance for employees or residents in our city and have obtained the qualification of malignant tumor special disease and meet the admission criteria, they or their guardians can apply voluntarily, and their outpatient treatment medical expenses can be settled by a single disease limit, with the standard of 4, yuan/year. In principle, it shall not be changed within a natural year. If the insured person has newly added special diseases for less than one year, the reimbursement limit shall be calculated according to the actual number of months of newly added special diseases. < /p > The outpatient medical expenses for special diseases of the insured are calculated on an annual cumulative basis, and the medical expenses reimbursed within the employee's medical insurance limit are paid by the overall fund and the large medical insurance fund respectively according to regulations. The medical expenses reimbursed within the residents' medical insurance limit standard shall be paid by the residents' medical insurance fund; The expenses that are not reimbursed within the limit standard are counted as out-of-pocket expenses, and residents' serious illness insurance benefits are enjoyed according to regulations. < /p > click the link below for more information! ! ! ! ! ! < /p > Is there any hope that the "potent new drug for hepatitis B" can be used in medical insurance to eradicate hepatitis B? Take the data to speak

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