1, Qifubiaozhun for chronic diseases, 300 yuan;
2, chronic disease reimbursement ratio, according to the low standard payment of adult residents reimbursement ratio of 50%; The reimbursement rate for minor residents and adult residents who pay according to the high-grade standard is 60%;
3, malignant tumor radiotherapy and chemotherapy, uremia dialysis treatment, tissue and organ transplantation after taking anti-rejection drugs for outpatient treatment expenses reimbursement without deductible, adult residents according to the low standard reimbursement ratio is 70%, minor residents and adult residents according to the high standard reimbursement ratio is 80%;
4. The annual expense reimbursement standard for taking anti-rejection drugs after uremia dialysis treatment and organ transplantation is paid according to the low standard, and the payment limit for adult residents is 60,000 yuan. The limit for underage residents and adult residents who pay according to high-grade standards is 80,000 yuan.
The full name of chronic disease is chronic non-infectious disease, not a specific disease, but a general name for a class of diseases with hidden onset, long course, prolonged course, lack of exact evidence of infectious biological etiology, complex etiology and some diseases that have not been fully diagnosed. Common chronic diseases mainly include cardiovascular and cerebrovascular diseases, cancer, diabetes and chronic respiratory diseases, and its cardiovascular and cerebrovascular diseases include hypertension, stroke and coronary heart disease. The harm of chronic diseases mainly causes damage to important organs such as brain, heart and kidney, which easily leads to disability, affects work ability and quality of life, and medical expenses are extremely expensive, increasing the economic burden of society and families.
To sum up, according to the employee medical insurance policy of Bengbu City, the reimbursement rate of chronic disease outpatients is 65%, and that of employees in tertiary hospitals is 85%.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.