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Wuhan chronic disease reimbursement policy in 2023

Wuhan chronic disease reimbursement policy in 2023: 1. Basic medical insurance: Most countries have a basic medical insurance system, which includes reimbursement for chronic diseases.

Specific reimbursement rates and coverage may vary by state and insurance plan.

Usually, the cost of treatment of chronic diseases needs to be covered by medical insurance and reimbursed according to prescribed proportions; 2. Chronic disease management plan: Some countries and regions have chronic disease management plans designed to provide more comprehensive medical services and reimbursement.

These plans usually provide higher reimbursement ratios, a wider range of medical services, and support for chronic disease management and rehabilitation; 3. Special disease reimbursement: Certain chronic diseases are recognized as special diseases and enjoy higher reimbursement ratios and wider coverage.

Scope of medical services.

These special diseases are usually diseases that have a serious impact on the patient's life and work ability, such as diabetes, hypertension, heart disease, etc.; 4. Chronic disease medical insurance outpatient reimbursement: Some areas implement a chronic disease outpatient reimbursement policy, that is, patients can enjoy outpatient benefits during outpatient visits.

Certain reimbursement.

Such policies usually require patients to visit designated medical institutions and be reimbursed in accordance with prescribed procedures and reimbursement rates.

The new reimbursement policy for medicines purchased in chronic disease pharmacies is as follows: 1. The reimbursement standard for common chronic diseases is for outpatient reimbursement for common chronic diseases. There is no deductible and the reimbursement ratio is 60%.

However, the total annual reimbursement is capped at 3,000 yuan.

Patients can settle reports at any time or accumulate reports on a regular basis; 2. Recognition by the medical insurance agency: Personnel stationed abroad and insured persons who have not applied for qualification certification at a designated medical institution can bring their original ID card, secondary certificate or above in the past two years

Inpatient medical records of designated medical institutions and related examinations, laboratory reports and diagnosis certificates are directly recognized by the medical insurance agency in the place where the insured is insured. Chronic disease benefits will be enjoyed in the next month after the certification is passed.

Reexamination of disease types requires reexamination once every two years, and the qualification can be determined by the medical insurance agency within three months before the expiration of the benefit period.

At present, outpatient chronic diseases can be mainly divided into three categories, and generally can enjoy subsidies.

: 1. The first category includes hypertension stage II and stage III, angina pectoris, myocardial infarction, rheumatic heart disease, sequelae of cerebral infarction, chronic bronchitis, chronic obstructive pulmonary disease, rheumatoid arthritis, ankylosing spondylitis, and diabetes.

, essential thrombocythemia, Crohn's disease, myasthenia gravis, etc.

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

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

Chronic disease certificate application location: 1. The local New Rural Cooperative Medical Care Office can obtain and truthfully fill in the Chronic Disease Medical Card Application Form at the local social and neighborhood committee; 2. Provide your true and valid medical records, laboratory tests and inspection reports, etc., and obtain it through the municipal medical service

After confirmation by the insurance expert committee, the municipal medical insurance agency will issue a chronic disease treatment card; 3. From the date of receiving the chronic disease treatment card, insured residents can enjoy the prescribed outpatient subsidy with the card.

When uninsured urban residents go through the insurance registration procedures at the local Social and Neighborhood Committee, they can receive and truthfully fill out the application for a chronic disease treatment card, which will ultimately be confirmed by the Municipal Medical Insurance Expert Committee.

To sum up, in our country, 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 medicines they take every month can be reimbursed.

Legal basis: Article 2 of the "Social Insurance Law of the People's Republic of China" The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance and other social insurance systems to protect citizens in the event of old age, illness, work-related injury,

The right to obtain material assistance from the state and society in accordance with the law in cases of unemployment, childbirth, etc.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical insurance and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.