Legal analysis: Chronic diseases are diseases that must be treated for a long time, so medical insurance has special provisions on chronic diseases. First of all, before reimbursement, you must submit an appraisal report and apply for confirmation of chronic diseases, otherwise reimbursement is impossible. A total of 3,000 yuan can be reported within the medical insurance, and only three chronic diseases can be reported at most, which cannot exceed the prescribed standards. Within one year (September 1 to August 3 1), the disease surpassed 500 yuan once, 700 yuan twice and 900 yuan three times. Within the scope of medical insurance, the medical insurance fund is reimbursed at 60%, and the annual cumulative reimbursement limit is 3,000 yuan. Outpatient reimbursement for serious illness: malignant tumor, anti-rejection treatment after organ transplantation, and diseases requiring long-term hemodialysis. If the outpatient medical expenses exceed the deductible line, within the scope of medical insurance, the medical insurance fund will pay 70%, which will be combined with the hospitalization expenses of the current year and will not exceed the maximum limit stipulated by the insured residents.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and 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.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

Please click to enter the picture description (maximum 18 words).