The latest policy on chronic disease reimbursement in 2022

The 2022 outpatient chronic disease reimbursement policy is as follows:

1. Minimum payment standard: The minimum chronic disease payment standard for designated community health service institutions is 200 yuan. Among designated specialized hospitals, the minimum payment standard for chronic diseases is 200 yuan for first-level hospitals and 400 yuan for second-level hospitals. Medical expenses above the minimum payment standard and below the annual maximum payment limit for outpatient chronic diseases will be reimbursed on a proportional basis, and the outpatient overall fund will pay 50;

2. Chronic disease subsidy objects: including insured persons in enterprises, government agencies and institutions . Individual insured persons with flexible employment can enjoy chronic disease subsidies.

Legal basis: Article 23 of the "Social Insurance Law of the People's Republic of China"

Employees shall participate in employee basic medical insurance, which shall be provided by the employer and employees in accordance with national regulations* **Same as paying basic medical insurance premiums. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other people with flexible employment can participate in the basic medical insurance for employees, and individuals must pay the basic medical insurance premiums in accordance with national regulations.

What are the materials for applying for chronic disease subsidies?

1. Original outpatient receipts (reimbursement coupons), prescriptions and examination and laboratory reports (copies) of designated medical institutions;

2. Original receipts (reimbursement coupons) from designated retail pharmacies and expense receipts;

3. Get the "Personal Settlement Form for Urban Employee Basic Medical Insurance Outpatient Chronic Disease Subsidy Expenses" when copying it. The form needs to be filled out truthfully by the person in charge of the unit and stamped with the official seal of the unit, and it must be signed and confirmed by the employee himself. Only the first page must be reported;

4. The copied list of chronic disease subsidy personnel for outpatient clinics must be truthfully completed as required. Fill out and submit an electronic version and a paper form. The paper form must be stamped with the official seal of the unit.