Legal analysis: one-inch bareheaded color photo of the applicant; My ID card or Jiangsu social security card; Relevant medical history data: pathological diagnosis, image report, genetic test (the necessity is determined by the doctor in charge of special drugs); Application form for the use of special drugs for medical insurance in Jiangsu Province; Insured persons who have enjoyed special drug treatment before and apply again after the treatment expires need to provide the latest evaluation report of the last cycle, namely the Evaluation Form for the Use of Special Drugs in Jiangsu Medical Insurance.

Legal basis: Notice on Incorporating Related Drugs into Medical Insurance Special Drugs

First, the scope of special medical insurance drugs was defined. The special medical insurance drugs currently used and managed in our province were negotiated by the National Health Planning Commission and included in the national basic medical insurance, industrial injury insurance and maternity insurance drug list (version 20 17) and the anti-tumor molecular targeted drugs in document No.54 issued by Ministry of Human Resources and Social Security. In accordance with the voluntary principle of enterprises, it is included in the management scope of special medical insurance drugs through unified negotiation by ministries and agencies.

Second, it is clear that medical insurance special drugs are managed according to Class B drugs of basic medical insurance, and the expenses incurred by the insured for using special drugs due to serious and serious diseases are included in outpatient specific diseases (projects) or hospitalization medical expenses. All districts and cities should do a good job in the convergence of new and old special drug treatment policies, and coordinate the fund payment policies of various special drugs in different types of insurance. The specific payment ratio (including basic medical insurance and serious illness insurance) is determined by each district and city.