1, all seriously ill patients, once hospitalized, must send the medical certificate, my basic medical insurance diagnosis and treatment manual and other materials to the medical insurance department of the hospital for registration and verification as soon as possible, so as not to affect the reimbursement of hospitalization medical expenses;

2. To apply for outpatient reimbursement of 23 diseases such as liver cirrhosis, the insured residents should hold their basic medical insurance diagnosis and treatment manual and the materials needed to declare the disease in May and June each year, and go to the medical and health department of the designated hospital to fill in the relevant forms for preliminary examination;

3, designated hospitals will be qualified in the first instance of the insured residents information submitted to the urban medical insurance agency audit;

4. The insured residents who finally passed the examination and approval shall be organized by the urban medical insurance agency to issue the "Neijiang Basic Medical Insurance Outpatient Medical Certificate for Specific Diseases", which will take effect after being stamped with the official seal, and will enjoy the treatment of chronic diseases in the outpatient department from July and June of 5438+ 10.

Medical insurance coverage:

1, reimbursement of basic medical insurance drugs: our country now divides drugs into three categories: A, B and C, of which A drugs are within the scope of medical insurance, so medical insurance can only reimburse A drugs, and B and C drugs cannot be reimbursed;

2. Reimbursement of basic medical service facilities: this reimbursement scope mainly refers to bed fees, first-aid bed fees, medical treatment fees, etc. Expenses incurred by the insured in the process of medical treatment and nursing in designated medical insurance institutions;

3. Reimbursement of basic medical insurance diagnosis and treatment items: it must be a safe and effective diagnosis and treatment item, and the charging standard shall be determined by the price department. Need to be treated in a designated medical institution.

To sum up, Neijiang's reimbursement process for serious illness medical insurance is aimed at all seriously ill patients. Once hospitalized, the medical certificate, my basic medical insurance diagnosis and treatment manual and other materials shall be sent to the medical insurance department of the hospital where I live for registration and verification, and the insured residents who finally pass the examination and approval shall be reimbursed by the urban medical insurance agency.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.