There are differences in the scope of disease reimbursement between the first and second levels of Chongqing medical insurance. The first kind of diseases reimbursed by medical insurance include general diseases and major diseases, while the second kind of diseases reimbursed by medical insurance are mainly major diseases.
Specifically, the diseases that Chongqing medical insurance can reimburse include:
Common diseases: common diseases and frequently-occurring diseases such as cold, fever and cough.
Major diseases: such as malignant tumor, acute myocardial infarction, stroke and other major diseases.
The diseases that can be reimbursed for the second grade of Chongqing medical insurance are mainly major diseases, such as:
Malignant tumor.
Acute myocardial infarction.
Sequela of cerebral apoplexy.
Major organ transplantation or hematopoietic stem cell transplantation.
Coronary artery bypass grafting or coronary artery bypass grafting.
End-stage renal disease or uremia stage of chronic renal failure.
Multiple missing limbs.
Acute or subacute severe hepatitis.
Benign brain tumor.
The decompensated period of chronic liver failure.
Encephalitis sequela or meningitis sequelae and so on.
It should be noted that different medical insurance stalls may have different provisions on the scope of disease reimbursement, subject to local policies.
To sum up:
The first and second levels of Chongqing medical insurance are different in the scope of disease reimbursement. The first file can reimburse general diseases and major diseases, and the second file mainly reimburses major diseases. When choosing a medical insurance gear, you should choose a gear that suits you according to your own situation and needs.
Legal basis:
Article 12 of the Notice of the General Office of Chongqing Municipal People's Government on Printing and Distributing the Interim Measures for Municipal Overall Planning of Medical Insurance for Urban Workers in Chongqing (Chongqing Office [200 1] 123) stipulates that the minimum deductible, proportion and maximum payment limit of the basic medical insurance pooling fund for hospitalization medical expenses shall be set. The hospitalization expenses below Qifubiaozhun shall be paid by personal account or at your own expense; The hospitalization medical expenses above Qifubiaozhun and below the maximum payment limit shall be shared by the overall fund and individuals.