(2) There is no Qifubiaozhun for special chronic diseases. 1, chronic renal failure (uremia) and anti-rejection treatment after renal transplantation, malignant tumor, psychosis, aplastic anemia, tuberculosis and hemophilia are paid by the social pooling fund 80%, and the personal burden is 20%; 2. Systemic lupus erythematosus, Parkinson's syndrome, hypertension, diabetes, chronic hepatitis, coronary heart disease, rheumatoid arthritis, systemic scleroderma and myasthenia gravis are paid by the social pooling fund for 70%, and the personal burden is 30%. The maximum payment limit for urban workers remains unchanged, and the reimbursement rate for special chronic diseases of urban residents is the same as that of urban workers. The maximum payment limit is adjusted to 1800 yuan/year/person.
Third, reduce the proportion of individuals paying for psychiatric hospitalization. The hospitalization expenses of schizophrenic patients (including: organic mental disorder, schizophrenia, moderate and severe mania) are paid by the overall planning fund 100%, and the hospitalization expenses of other mental patients are paid by the overall planning fund 95%, and the personal burden is 5%.
Four, the insured patients transferred to other places can not be hospitalized in time due to special circumstances, and the outpatient medical expenses within 7 days before hospitalization will be paid into the social pooling fund according to the prescribed proportion when the personal account is insufficient.
Five, rehabilitation and organ transplant donor fees are not included in the scope of medical insurance reimbursement.