Second, the reporting conditions:
(a) to participate in the basic medical insurance for urban workers;
(2) Suffering from the above-mentioned chronic diseases with a long course of disease, requiring long-term treatment and reaching the confirmation standard.
In principle, patients with special diseases are required to report to the hospital, and those with mobility difficulties can be represented by their families. However, service pharmacies may not act as agents of the insured.
The supplementary provisions of the Measures for the Administration of Special Disease Outpatients of Basic Medical Insurance for Urban Employees have been issued as follows:
Each agent refused to pay 2000 yuan for special disease outpatient service; Accumulated more than 5 cases, directly cancel the pharmacy special disease outpatient qualification; Citizens resort to deceit, the insured shall not declare special disease clinic within two years; Medical personnel who forge medical documents or practise fraud will be disqualified from medical insurance service, and if the circumstances are serious, they will be handed over to relevant departments for legal treatment.
It should be noted that patients who enjoy the outpatient service for special diseases cannot swipe their cards to the outpatient service and pharmacy to buy medicines with the medical records of the outpatient service for special diseases when they have gone through the admission procedures.
Extended data:
Special disease outpatient application process
1, urban workers apply for insurance for the first time, and they must fill in the Application Form for Special Diseases Outpatient of Basic Medical Insurance for Urban Workers in Zhuzhou at the hospital of first instance before 15 of the last month of each quarter, with their medical records (or photocopies) related to diseases, recent 1 inch bareheaded photos, and with the Handbook of Basic Medical Insurance for Urban Workers in Zhuzhou, and choose one.
The first-instance hospitals in Zhuzhou are: First Hospital, Provincial Intermediate People's Court, Second Hospital, People's Hospital, No.331Hospital, Third Hospital (only for mental illness) and Kaide Hospital (Kaide Cardiovascular Hospital).
2. After passing the preliminary evaluation of the hospital of first instance and being examined and approved by the expert committee of basic medical insurance for urban workers in Zhuzhou City, the applicant will go to the hospital of first instance to receive the evaluation results with the Manual of Medical Insurance for Urban Workers in Zhuzhou City five working days later in the first month of next quarter. Those who pass the evaluation can begin to enjoy the outpatient treatment of special diseases of basic medical insurance for that month.
Hunan Provincial Government-Measures for the Management of Special Disease Outpatients in Basic Medical Insurance for Urban Employees?
Zhuzhou News Network-There are new regulations/subsidy scope for special disease outpatient service of employee medical insurance in Zhuzhou City.