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What are the two diseases covered by medical insurance?

The two medical insurance diseases refer to two major diseases in my country's medical insurance system, namely: coronary heart disease and malignant tumors.

These two diseases have the characteristics of high morbidity and high treatment costs, which impose a great burden on patients and family finances. Therefore, they are listed as key protection targets of medical insurance.

The coverage of the two diseases covered by medical insurance includes inpatient treatment and outpatient treatment. The reimbursement ratio and limit may differ in different regions and types of medical insurance.

At the same time, according to the continuous improvement of national policies and the medical insurance system, other diseases may be included in the scope of medical insurance in the future to better protect people's health rights.

The process of medical insurance for the two diseases is as follows: 1. Confirm diagnosis: patients need to go to the hospital for examination and diagnosis. After being diagnosed with coronary heart disease or malignant tumor, they need to obtain medical records and diagnosis certificates from the hospital; 2. Reimbursement ratio and limit: patients need to know where they are

Reimbursement ratios and limits for regions and types of medical insurance, so that you can choose the appropriate hospital and treatment plan when seeking medical treatment; 3. Medical reimbursement: When patients seek medical treatment, they need to issue a medical insurance card and diagnosis certificate to the hospital, and the hospital will reimburse according to the medical insurance policy.

Patients need to pay their personal share of medical expenses, such as self-pay ratio, deductible, etc.; 4. Medical insurance settlement: After treatment, the patient can go to the hospital for medical insurance settlement within the period specified by the medical insurance.

The hospital will settle and refund the patient's personal medical expenses according to the medical insurance policy and the patient's medical expenses.

To sum up, the medical insurance two-disease policy may be different in different regions and types of medical insurance. It is best for patients to understand the relevant policies and procedures before seeking medical treatment in order to better enjoy medical insurance protection.

In addition, patients also need to pay attention to choosing the right hospital and doctor when seeking medical treatment, comply with the doctor's treatment plan, and pay attention to maintaining a healthy lifestyle to reduce the occurrence of disease and the burden of treatment costs.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

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