太原市医疗保险中心文件（Taiyuan medical insurance center documents）.doc

太原市医疗保险中心文件（Taiyuan medical insurance center documents） Taiyuan medical insurance center documents And medical insurance center word [2009]162 Basic medical insurance for urban residents in Taiyuan Identification criteria and settlement methods of chronic diseases in outpatient department The basic medical insurance, designated medical institutions and related units of all urban residents: According to the spirit and municipal government issued document No. [2009]105, the basic medical insurance for urban residents outpatient chronic disease in the original three kinds of disease on the basis of the expansion of nine. In accordance with the basic medical insurance fund, the principle of setting up the balance and the balance of payments, the following standards for the identification of the chronic diseases in the newly increased basic medical insurance clinic and the measures for settlement are hereby notified as follows: First, enjoy the scope Those who have participated in the basic medical insurance for the residents and who have continued to pay for the insurance for one year and second years may apply for the following conditions, and each insured person can only apply for an outpatient chronic disease. Two, the type of disease, the standard of payment and the required information Name of disease Coping Materials needed Maximum payment for medical insurance Hypertension class III, Very high-risk Cardiac insufficiency grade III (echocardiography, EF30%) Hospitalization case history echocardiography 80 yuan / month Renal failure (SCr442~707 mol/L) Admission Note Renal function test 80 yuan / month Coronary heart disease with acute myocardial infarction Combined cardiac function class III (echocardiography, EF30%) Admission Note 100 yuan / month After coronary stent implantation Admission Note 100 yuan / month After coronary bypass surgery 100 yuan / month Cerebrovascular sequelae Neurologic impairment The degree of neurological impairment caused by cerebrovascul