How does the Zhejiang Li Office deal with special diseases?

The following are the specific steps for handling special diseases:

1. Log in to the Zhejiang Libang Office website or mobile APP and select "Medical Insurance Services" - "Special Disease Management";

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2. Fill in basic personal information, disease diagnosis information, etc. according to the prompts, and upload relevant medical records and diagnosis certificates;

3. Submit the application after confirming that the information is correct;

4. Wait for the review. Under normal circumstances, the review will be completed within 10 working days. The review results will be notified via text message or email;

5. If the review is passed, you can undergo special disease treatment at a designated hospital for medical insurance. treatment and enjoy medical insurance reimbursement.

You need to pay attention to the following matters when handling special diseases:

1. Disease diagnostic standards: The diagnostic standards for special diseases need to comply with local policies and regulations. Different regions may have different standards. Understand it clearly before applying;

2. Application materials: When applying, you need to upload relevant medical records and diagnosis certificates. You need to describe your condition clearly and provide a true and valid medical certificate for review by the reviewers. ;

3. Application method: For special diseases, you can apply through the Zhejiang Office website or mobile APP, or you can go to the local Social Security Bureau window to apply. You need to choose the appropriate application method according to your personal situation;

4. Review process: After submitting the application, you need to wait for review. The review time is generally about 10 working days, so you need to wait patiently. If you have any questions, you can call the service hotline of the local Social Security Bureau for consultation;

5. Reimbursement ratio: The medical insurance reimbursement ratio for special diseases also needs to comply with local policies. Different diseases may have different reimbursement ratios. You need to understand clearly before applying;

6. Designated hospitals: Special diseases need to be treated in designated hospitals for medical insurance. You need to understand the situation of designated hospitals for medical insurance in your location before applying and choose a suitable hospital for treatment.

To sum up, when dealing with special diseases, you need to pay attention to disease diagnosis standards, application materials, application methods, review procedures, reimbursement ratios and designated hospitals, etc., to ensure that the application is successfully passed and you enjoy medical protection.

Legal basis:

Article 26 of the "Social Insurance Law of the People's Republic of China"

Employee basic medical insurance, new rural cooperative medical insurance and The treatment standards of basic medical insurance for urban residents shall be implemented in accordance with national regulations.

Article 28

Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be deducted from the basic medical insurance fund in accordance with national regulations. Pay.

Article 29

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit. . The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.