1. Apply for special diseases in the special disease departments of People's Hospital, Second Municipal Hospital, Hexi District People's Hospital, Nankai District People's Hospital, Workers' Hospital, Tianjin Zhongjin Hospital and Affiliated Hospital of Tianjin Medical College.
2. You need to provide a copy of your ID card, an application form for special outpatient service and a copy of hospital medical records (discharge summary) when applying for special diseases.
3. The application form needs to be signed by the attending doctor and stamped with the official seal of the hospital.
4. After the application for special disease review is approved, the hospital charge office will uniformly distribute the special outpatient drug list and compensation standard.
Information required for outpatient treatment of special diseases:
1. Outpatient medical records issued by the hospital. Outpatient medical records need to include the patient's basic information, clinical manifestations, diagnosis results, treatment plans, etc.
2. List of expenses issued by the hospital. The expense list needs to list the expenses of outpatient treatment in detail, including registration fee, examination fee, treatment fee, medicine fee, material fee, etc.
3. Medical insurance card and ID card. Need to provide the original and photocopy of medical insurance card and ID card;
4. Doctor's diagnosis certificate. It is necessary to provide the diagnosis certificate of special disease issued by the doctor to prove that the patient really belongs to the category of special disease;
5. Other relevant certification materials. If you need to provide other relevant certification materials, such as hospitalization certificate and operation certificate, you also need to provide them together.
To sum up, the specific handling procedures and required information of special disease clinics may be different in different regions and under different circumstances. It is suggested to know the relevant local regulations and requirements before handling them. At the same time, when handling special disease clinics, it is necessary to provide sufficient medical certificates and expense lists and other related materials in order to successfully obtain medical insurance reimbursement.
to sum up, the handling process of special outpatient service in Harbin may be different due to changes in policies and regulations, and the specific handling process and requirements shall be subject to the official announcement of the local medical insurance department.
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 facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.
article 29
the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units.
the social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.