一、慢性病病種及年度最高支付限額：
二、慢性病待遇：
1.門診慢性病基本醫(yī)保報銷不設(shè)起付線，醫(yī)保政策范圍內(nèi)合規(guī)費(fèi)用統(tǒng)籌基金支付70%，年度最高支付限額見上表。
2.參保人員同時患多種慢性病的，除認(rèn)定為心臟類疾病藥物治療的可申請除冠心�。ㄐ墓δ懿蝗�3級以上）、風(fēng)濕性心臟病（心功能不全3級以上）、肺源性心臟�。孕牧λソ撸┩獾囊环N慢性病外，只能享受一種慢性病待遇。
3.門診慢病人員憑定點(diǎn)醫(yī)療機(jī)構(gòu)醫(yī)保醫(yī)師處方在定點(diǎn)醫(yī)藥機(jī)構(gòu)診療購藥，診療購藥僅限核定的病種。超過核定病種范圍的診療、藥品費(fèi)用，不予支付。
三、慢性病鑒定流程：
請參保人本人及陪護(hù)攜帶材料:1.相應(yīng)的診斷證明、病歷、檢查、化驗(yàn)報告等認(rèn)定資料，或認(rèn)定所需的各類必要檢查。2.身份證和社�？ǎㄔ皬�(fù)印件）到肇東市人民醫(yī)院或肇東市第一醫(yī)院進(jìn)行慢性病鑒定。
脫貧戶和監(jiān)測對象免費(fèi)鑒定慢性病。
肇東市醫(yī)療保障局
2025年8月22日
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