Can medical insurance reimburse cerebral infarction?
Cerebral infarction falls within the scope of serious illness assistance. Medical insurance is a special assistance system, for some long-term need to use drugs or ** of the disease policy, patients outpatient can also be reimbursed, there are many diseases of serious illness assistance, including diabetes and cerebral infarction and other diseases are within the scope of serious illness assistance, the policy of each region is slightly different, some need more than two diseases to apply for serious illness assistance.
The process of applying for serious illness medical insurance is as follows:
1. First of all, you should bring your own basic medical insurance diagnosis and treatment manual, ID card, diagnosis certificate with the official seal of the hospital, hospitalization voucher and other relevant materials within the specified time, go to the medical insurance department of the designated designated hospital to fill in the application for serious illness medical insurance, and then conduct a preliminary review of the materials;
2. The information of insured residents who have passed the preliminary examination will be reported to the urban medical insurance agencies for re-examination
3. After passing the review again, it can be successfully handled.
To sum up, medical insurance is a social insurance system established to compensate workers for economic losses caused by the risk of disease.
Legal basis]:
Article 28 of the Social Insurance Law of the People's Republic of China.
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
Article 29.
The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
The administrative departments for social insurance and health shall establish a system for settling medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical care by insured persons.
Article 28.
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
Article 29.
The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.