Latest notification!Things Close Clinic Chronic Disease Subsidies

Author:Lianhu Rong Media Time:2022.06.29

About the application of insured employees in 2021

Notice of the outpatient chronic disease subsidy

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All districts, counties, and development zones medical insurance agencies, insured units:

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According to the spirit of the "Xi'an Medical Security Bureau on further doing a good job of the work of chronic diseases in the city's basic medical insurance clinic" (Municipal Medicine Baofa [2020] No. 117), starting from January 1, 2021, the city has achieved medical treatment for chronic diseases for outpatient clinics The cost of medicine is settled directly in fixed -point medical institutions and fixed -point retail pharmacies, but some insured personnel fail to settle directly due to different places for medical purchase. In order to effectively ensure the treatment of employees participating in the insurance, do a good job in the 2021 urban employee basic medical insurance clinic for chronic disease subsidies, the relevant issues are notified as follows:

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2021 outpatient chronic disease

Scope of Reim Reimbursement Application

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The insured person who is included in the scope of chronic disease subsidies in the city's basic medical insurance clinic after the qualifications or review of the outpatient chronic disease, and those who meet one of the following circumstances:

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(1) Medical expenses related to chronic diseases for outpatient clinics that have been regulated in different places;

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(2) In the early stages of the implementation of the new policy, chronic diseases did not understand the direct settlement process in time and the medical expenses related to chronic disease -related medical expenses (required for the personal condition) before the first direct settlement (required for the personal condition).

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2021 outpatient chronic disease

Sporadic reimbursement processing process

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List of the treatment of subsidies for treatment

1. Receive time: June 27, 2022-July 15, 2022 (working day).

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2. Receiving method: The medical insurance agent of the insured unit brings a U disk and copies the list of subsidies for the 2021 subsidies at the outpatient chronic disease acceptance window.

Application time and application subsidy information

1. Application time: July 11, 2022-August 31, 2022 (working day), will not be handled overdue.

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2. Application information: The staff of the participating unit medical insurance agents uniformly collected relevant materials such as chronic disease notes of the 2021 outpatient clinic, including: including:

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(1) The original, prescription and inspection, laboratory report (copy) of the reimbursement of outpatient bills (receipts or invoices);

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(2) Original, prescription copy and cost detailed tickets of fixed -point retail pharmacy notes (invoice associations);

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(3) "Personal Reimbursement Form for Chronic Diseases for Chronic Diseases of Xi'an Basic Medical Insurance Clinic" (Annex 1), which can be downloaded at the official service center of Xi'an Medical Security Economic Office (Policy Explanation → Notice → Information Download → Xi'an Outpatient Clinic Chronic disease subsidy related form download);

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(4) Electronic version and paper version of "Information Form for Chronic Disease Subsidies for Outpatient Clinics of Urban Employees" (In the list of approved 2021 subsidies, fill in the relevant information as required to generate the information form "Information Form for Chronic Disease Subsiders for Urban Workers" Electronic version and print the official seal);

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(5) Instructions (see the relevant content specified in Article 1 of the Notice);

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(6) If there is an electronic invoice, the "Electronic Invoice Promise" (Annex 2) needs to be provided. Form download).

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3. Declaration requirements: The personnel of the unit medical insurance agency shall carefully verify the information of employees' submitting bills and expenses details. The invoice needs to be 2021 and meets the valid invoices within the scope of the sporadic reimbursement scope of the outpatient chronic disease subsidy specified in this notice. The account payment fee is not in the scope of reimbursement.

Receive subsidy fees

In order to ensure the timely collection of chronic disease subsidies for employees, all units are requested to provide account opening bank accounts to the financial department of the medical insurance agency fund in time. After the completion of the review and settlement of chronic disease subsidies for outpatient clinics in 2021, the fund finance department will pay the subsidy fee to the insured units. After the subsidy fee is received, the insured unit needs to go to the medical insurance agency to print the settlement form in a timely manner to go to the medical insurance agency where the insurance insurance agency is located, and the subsidy fee is issued to the employees in a timely manner according to the settlement form. Place

Municipal insurance units are processed in the service hall of the service center of Xi'an Medical Security Economic and Office; district and county -level insured units are handled in the district and county medical insurance service hall where the insured is located.

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Relevant requirements

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(1) Institute of medical insurance agencies and insured units in each district and county increased their publicity to ensure that insured personnel have learned about the relevant policies of chronic diseases in the outpatient consultation in a timely manner, and declared in accordance with regulations.

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(2) Insured personnel shall directly hang up and settle outpatient costs in the designated pharmaceutical institutions of chronic diseases. Except for special circumstances such as different places, they will no longer receive sporadic reimbursement materials for chronic disease subsidies for outpatient clinics in 2022 and subsequent years.

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Related Form for Chronic Disease Subsidies in Xi'an Outpatient Clinic

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Poster rotation