Emerald If you want to issue a chronic disease certificate, the normal process is to first go to a designated medical institution for chronic diseases announced by the medical insurance department in the insured place, and get the number of a deputy chief physician or above in the corresponding disease department. The doctor will verify that you meet the local chronic disease inclusion standards and issue a special diagnosis certificate. Then, it will be reviewed and stamped by the hospital's medical insurance department, and finally submitted to the medical insurance agency in the insured place to complete the certification and filing.
There aren't many steps to take, but when it comes to getting it done, there are a lot of people who fall through the traps. I went to get it done with my uncle at home who suffers from COPD a while ago, and I met several people at the hospital's medical insurance window who just made the trip in vain. An old man came in with a bronchitis diagnosis prescribed by a community health service center. It turned out that the local chronic disease designated requirement was a diagnosis from a second-level or above hospital, and ordinary bronchitis did not meet the chronic disease certification threshold for COPD. It required at least six months of pulmonary function test reports and past hospitalization or outpatient follow-up records. There was also a young girl who had just graduated from school who was suffering from systemic lupus erythematosus. She had left all her previous examination sheets at school. The doctor could not confirm that the medical history met the certification standards, so he could only ask her to fill in the materials before coming back.
Of course, many places have simplified the process to the point where there is no need to go to the medical insurance bureau. Once the hospital has issued the certificate, it will be directly synchronized to the medical insurance backend, and it will take effect on the same day. My uncle was applying at the dedicated window for chronic diseases in the city's top three hospitals. The doctor made a diagnosis, the medical insurance department stamped it, and the staff directly uploaded it to the system, and it was all done in less than 40 minutes. But not all places are so convenient. A few days ago, a netizen who works out of town complained that the medical insurance department in his hometown also requires that he must go back to the insured place for on-site inspection before he can drive. The fare of going back and forth is worth half a year's medicine. This is also an area where many people are now raising their opinions. After all, the slow speed in various places There are indeed considerable differences in disease identification standards and treatment procedures. For example, in some places, mild hypertension is included in the category of chronic diseases. In some places, a certificate must be issued for high blood pressure level 3 accompanied by target organ damage. There are also diseases that can be treated as chronic diseases in this city, but are not included in the catalog in another insured place, and naturally the corresponding certificate cannot be issued.
Oh, by the way, if you are issuing a chronic disease certificate for commercial insurance claims, the rules are different from the chronic disease identification process of medical insurance. It depends on the level of medical institution required by the insurance product you buy. Most of them only require a formal diagnosis issued by a specialist in a second-level hospital or above. There is no need to go through the special identification process of medical insurance, so don’t get confused.
