How to reimburse the drug slow maintenance?

How to reimburse the drug slow maintenance?

In different places, slow-maintenance drugs have different reimbursement methods. Take Hejin City, Yuncheng City, Shanxi Province as an example: bring social security card (ID card), chronic disease manual, treatment plan and prescription to designated medical institutions or designated pharmacies to buy drugs, and directly compensate for reimbursement.

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Notice of Hejin Municipality on Adjusting the reimbursement ratio of chronic diseases for urban and rural residents in 20 1 9

The vast number of urban and rural residents and designated medical institutions in the city:

In order to further strengthen the supervision of medical insurance funds, the reimbursement methods for chronic diseases of urban and rural residents in 20 19 are adjusted as follows:

First, the scope of disease

1. Chronic diseases: (1) coronary atherosclerotic heart disease, (2) chronic heart failure, (3) neurological dysfunction caused by cerebrovascular sequelae, (4) chronic viral hepatitis (moderate or severe), (5) diabetes complicated with heart, kidney and retinopathy, (6) rheumatoid arthritis, (7) (10) femoral head necrosis, (1 1) ankylosing spondylitis, (12) vasculitis, (13) chronic pulmonary heart disease, (14) rheumatic heart disease and (/.

2. Specific diseases: (1) malignant tumor (non-radiotherapy and chemotherapy), (2) liver cirrhosis, (3) aplastic anemia, (4) nephrotic syndrome, (5) chronic renal failure, (6) end-stage renal disease, (7) treatment after heart valve replacement, (8) treatment after stent implantation, (9)

II. Designated institutions for drug procurement

1. chronic disease drug purchasing agency:

(1) All designated hospitals in the city.

(2) Designated pharmacies: Tiantiankang Pharmacy (downstairs of Zhongxing East Road Catering Company), Bolin Medicine Supermarket (opposite to Chengbei Night Market), Bohua Pharmacy (No.88 Zijin Street), No.1 Pharmacy of Chinese Medicine Company (No.6 Geng Xin North Street), Guangzefu Pharmacy (downstairs of Huaxing East Road Seed Company), Wanshoutang Pharmacy (north of Fang Yi Computer in Zijin Street) and Fu Kangan Pharmacy (Tongling Street in Xinxing Road). Kaixinren large pharmacy Qingjian Xincun branch (intersection of Qingjian Xincun), Hejin Tongxin Medicine Supermarket (downstairs of Jinxiu Apartment, Xinxing Road 1), Tianci Pharmacy (No.22, Geng Xin South Street), Medicinal Material Aluminum Factory Store (east end of Aluminum Factory Road 13), Xiang Bo Pharmacy (No.25, Zhenxing West Road), Ren 'an Pharmacy (No.2666, Aluminum Avenue)

2. Drug procurement agencies for specific diseases:

Municipal People's Hospital, Shengji Hospital (non-radiotherapy and chemotherapy for tumors only) and Hejin Branch of Tongde Hospital (type I diabetes only).

Third, the compensation method

1. Chronic diseases

Bring social security card (ID card), chronic disease manual, treatment plan and prescription to designated medical institutions or designated pharmacies to purchase medicines, and directly compensate for reimbursement.

2. Specific diseases

Bring the social security card (ID card) and chronic disease handbook, and directly go to the Municipal People's Hospital, Shengji Hospital (tumor non-radiotherapy and chemotherapy only), and Hejin Branch of Tongde Hospital (type I diabetes only) to issue treatment plans and purchase prescriptions, and directly compensate for reimbursement of drug purchase expenses.

3. Compensation standard

According to the reimbursement ratio stipulated in the urban and rural medical insurance system, it will be reimbursed once a month, and it will be invalid after a month.

4. Renal dialysis patients are still treated in the original designated hospitals and directly reimbursed according to the medical insurance system.

Hejin xinnonghe management center

2018 65438+February 28th.