1 malignant tumor
2 Acute myocardial infarction
3 sequela of cerebral apoplexy
Major organ transplantation or hematopoietic stem cell transplantation
Coronary artery bypass grafting
6 end-stage renal disease
More than 7 limbs are missing
8. Acute or subacute severe hepatitis
9 benign brain tumor
10 decompensated chronic liver failure
1 1 encephalitis sequela or sequelae of meningitis
12 deep coma
13 Deafness in both ears
14 blindness
15 paralysis
16 heart valve surgery
17 severe Alzheimer's disease
18 severe craniocerebral injury
19 severe Parkinson's disease
20 cases of severe third-degree burns
2 1 severe primary pulmonary hypertension
22. Severe motor neuron disease
23 loss of language ability
24 Severe aplastic anemia
Aortic surgery
26. Severe cardiomyopathy
myasthenia gravis
28 severe multiple sclerosis
Severe polio
30 severe rheumatoid arthritis
3 1 severe systemic lupus erythematosus nephropathy
End stage lung disease
Severe Crohn's disease
34 severe ulcerative colitis
35 persistent vegetative state
Severe insulin-dependent diabetes mellitus
Open surgery for acute necrotizing pancreatitis
Severe coronary heart disease
39. Human immunodeficiency virus infection caused by blood transfusion
40 is not a serious dementia caused by Alzheimer's disease.
Specific diseases
1. Specific malignant lesions or tumors (including carcinoma in situ) include carcinoma in situ.
2. Atypical acute myocardial infarction
3. Coronary intervention therapy
4. Specific sequelae of stroke
5. Cardiac valve interventional surgery
6. Third-degree burns in specific areas
7. Interventional aortic surgery
8. Severe pituitary adenoma, cerebral cyst, cerebral aneurysm and cerebral hemangioma.
9. Age-specific visual impairment
10. Severe head trauma
Recently, the Ministry of Health said that this year, eight major diseases, such as uremia, should be comprehensively promoted, and lung cancer and other 12 major diseases should be included in the pilot project of13 in the overall planning area. Through the connection between the new rural cooperative medical system and medical assistance, the compensation level for serious and serious diseases has reached about 90%.
More than 50 diseases will lead to family poverty.
According to statistics, at present, China's urban workers' medical insurance, residents' medical insurance and the new rural cooperative medical system have covered 654.38+03 billion people, with a coverage rate of over 95%. The basic drug system has been fully implemented in government-run primary medical and health institutions. However, there are still about 50 kinds of diseases, which may cause some families to become poor or return to poverty due to illness.
In order to solve this situation, China has implemented a serious illness medical insurance policy. According to reports, in 20 10, China launched a pilot project to improve the security level of childhood leukemia and congenital heart disease. 20 1 1 At the end of the year, China has carried out the pilot project of serious illness protection in 93% of the overall planning areas. Some areas have covered six major diseases, including severe psychosis, tuberculosis, women's cervical cancer, breast cancer, end-stage renal disease (uremia) and opportunistic infection of AIDS, and more than 200,000 patients have received compensation.
Medical insurance for eight major diseases such as uremia has been fully promoted.
The Ministry of Health said that this year, China will comprehensively promote medical insurance for these eight diseases. Throughout the country, some places provide financial support through the government, some places provide preferential treatment through medical institutions, and some places cooperate with charitable funds such as the Red Cross Fund, including some social organizations.
It is understood that through a series of measures, China's total health expenditure has undergone major structural changes. The proportion of personal health expenditure decreased from 40.4% in 2008 to 35.5% in 20 10. Health financing structure tends to be reasonable, and health equity is gradually improved. The excessive growth of medical expenses in public hospitals has been effectively controlled. According to comparable prices, the increase of outpatient and inpatient expenses in public hospitals decreased by 3-4 percentage points annually.
The Ministry of Health proposes that by 20 15, the government subsidy standard for urban residents' medical insurance and the new rural cooperative medical system will be raised to above 360 yuan per person per year, and the hospitalization expenses in the three basic medical insurance policies of urban workers' medical insurance, residents' medical insurance and the new rural cooperative medical system will account for about 75%, thus continuing to reduce the burden of individual medical expenses of residents.