After the outpatients with special chronic diseases have passed the appraisal, they belong to outpatient examination and diagnosis when seeking medical treatment. The Qifubiaozhun for drugs within the scope of outpatient special chronic diseases is in 400 yuan, and the proportion of overall fund payment is 60%. Suffering from various outpatient special chronic diseases, only one deductible is deducted, and the maximum is not more than 1 10,000 yuan/year.
Limit of reimbursement for outpatient special chronic diseases and specific diseases
1, the diabetes limit is 4500 yuan; 2, cerebral hemorrhage, cerebral infarction, cerebral thrombosis limit of 3000 yuan; 3, chronic obstructive emphysema limit 2500 yuan; 4, chronic moderate and severe viral hepatitis limit 3000 yuan; 5, tuberculosis limit 2000 yuan; 6, mental illness limit 1000 yuan; 7. AIDS is limited to 7,000 yuan; 8, high-risk hypertension grade III and the upper limit of 3000 yuan; 9. Heart disease complicated with cardiac insufficiency is limited to Grade II, with an upper limit of 3,000 yuan; 10, the limit after coronary artery stent implantation for coronary heart disease is 3000 yuan; 1 1, the limit of Alzheimer's disease is 4,000 yuan; 12, the limit of nephrotic syndrome is 2000 yuan; 13, myasthenia gravis is limited to 3000 yuan; 14, epilepsy limit is 3000 yuan; 15, the decompensated stage of liver cirrhosis is 4000 yuan; 16, Parkinson's syndrome limit 10000 yuan; 17, systemic lupus erythematosus limit 10000 yuan; 18, limit of aplastic anemia 10000 yuan; 19, malignant tumor limit 10000 yuan; 20, hemophilia limit 1 ten thousand yuan; 2 1, and the limit of anti-rejection treatment after organ transplantation is 10000 yuan; 22, chronic renal failure limit 1 ten thousand yuan.
Outpatient special chronic disease declaration process
Insured residents can use WeChat official account "Hebei Medical Insurance Bureau" → public service → Hebei smart medical insurance platform → personal network hall → on-site special declaration, or WeChat official account "Xingtai Medical Insurance Bureau" → business handling → Hebei smart medical insurance platform → personal network hall → on-site special declaration.
After passing the identification, they will be treated in the designated hospitals for chronic diseases in the city and the designated hospitals above the second level in the province, and will be reimbursed immediately.