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["河源市基本医疗保险门诊特定病种目录、年度限额标准及\n审核确认机构资格要求"]
[]
[]
["序号","病种名称","支付限额",null,"审核确认\n资格要求","类别"]
[]
[null,null,"职工","居民"]
[1,"慢性阻塞性肺疾病","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[2,"严重高血压病","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[null,"普通高血压病","360元/年","360元/年","一级以上综合医院\n","一类"]
[3,"冠心病","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[4,"慢性心功能不全","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[5,"肝硬化（失代偿期）","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[6,"慢性乙型肝炎","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[7,"丙型肝炎（HCV RNA阳性）","30000元/年","30000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[8,"慢性肾功能不全（非透析治疗）","6000元/年","3600元/年","二级以上综合医院\n（设该病种专科）","一类"]
[9,"肾脏移植术后抗排异治疗","医疗保险年度最高支付限额（包括补充保险年度最高支付限额）","医疗保险年度最高支付限额","二级以上综合医院\n（设该病种专科）","二类"]
[10,"造血干细胞移植后抗排异治疗","40000元/年","40000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[11,"普通型糖尿病","360元/年","360元/年","一级以上综合医院\n","一类"]
[null,"重型糖尿病","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[12,"类风湿关节炎","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[13,"恶性肿瘤（非放化疗）","6000元/年","6000元/年","二级以上综合医院\n（设该病种专科）","一类"]
[14,"地中海贫血（海洋性贫血或珠蛋白生成障碍性贫血）","36000元/年","36000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[15,"再生障碍性贫血","4000元/年","4000元/年","二级以上综合医院\n（设该病种专科）","一类"]
[16,"血友病","60000元/年","60000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[17,"帕金森病","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[18,"癫痫","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[19,"脑血管疾病后遗症","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[20,"艾滋病","4000元/年","4000元/年","二级以上综合医院\n（设该病种专科）","一类"]
[21,"活动性肺结核","4000元/年","1200元/年","专科医院及设该病种专科的综合医院（二级以上）","一类"]
[22,"耐多药肺结核","8400元/年","6000元/年","专科医院及设该病种专科的综合医院（二级以上）","一类"]
[23,"系统性红斑狼疮","4000元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[24,"心脏移植术后抗排异治疗","医疗保险年度最高支付限额（包括补充保险年度最高支付限额）","医疗保险年度最高支付限额","二级以上综合医院\n（设该病种专科）","二类"]
[25,"肝脏移植术后抗排异治疗","医疗保险年度最高支付限额（包括补充保险年度最高支付限额）","医疗保险年度最高支付限额","二级以上综合医院\n（设该病种专科）","二类"]
[26,"肺脏移植术后抗排异治疗","72000元/年","72000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[27,"肺动脉高压","30000元/年","30000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[28,"支气管哮喘","2200元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[29,"骨髓纤维化","6000元/年","3600元/年","二级以上综合医院\n（设该病种专科）","一类"]
[30,"骨髓增生异常综合症","5000元/年","3000元/年","二级以上综合医院\n（设该病种专科）","一类"]
[31,"C型尼曼匹克病","40000元/年","40000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[32,"肢端肥大症","40000元/年","40000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[33,"多发性硬化","24000元/年","24000元/年","二级以上综合医院\n（设该病种专科）","二类"]
[34,"强直性脊柱炎","4800元/年","2400元/年","二级以上综合医院\n（设该病种专科）","一类"]
[35,"银屑病","2400元/年","1200元/年","二级以上综合医院\n（设该病种专科）","一类"]
[36,"克罗恩病","3600元/年","2400元/年","二级以上综合医院\n（设该病种专科）","一类"]
[37,"溃疡性结肠炎","3600元/年","2400元/年","二级以上综合医院\n（设该病种专科）","一类"]
[38,"湿性年龄相关性黄斑变性","14000元/年","14000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","二类"]
[39,"糖尿病黄斑水肿","14000元/年","14000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","二类"]
[40,"脉络膜新生血管","14000元/年","14000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","二类"]
[41,"视网膜静脉阻塞所致黄斑水肿","14000元/年","14000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","二类"]
[42,"精神分裂症","4000元/年","4000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","一类"]
[43,"分裂情感性障碍","4000元/年","4000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","一类"]
[44,"持久的妄想性障碍\n（偏执性精神病）","4000元/年","4000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","一类"]
[45,"双相（情感）障碍","4000元/年","4000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","一类"]
[46,"癫痫所致精神障碍","4000元/年","4000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","一类"]
[47,"精神发育迟滞伴发精神障碍","4000元/年","4000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","一类"]
[48,"慢性肾功能不全（血透治疗）","医疗保险年度最高支付限额（包括补充保险年度最高支付限额）","医疗保险年度最高支付限额","专科医院及设该\n病种专科的综合医院（二级以上）","二类"]
[49,"慢性肾功能不全（腹透治疗）","200000元/年","200000元/年","专科医院及设该\n病种专科的综合医院（二级以上）","二类"]
[50,"恶性肿瘤（化疗，含生物靶向药物、内分泌治疗）","医疗保险年度最高支付限额（包括补充保险年度最高支付限额）","医疗保险年度最高支付限额","二级以上综合医院\n（设该病种专科）","二类"]
[51,"恶性肿瘤（放疗）","医疗保险年度最高支付限额（包括补充保险年度最高支付限额）","医疗保险年度最高支付限额","二级以上综合医院\n（设该病种专科）","二类"]
[52,"新冠肺炎出院患者门诊康复治疗","2400元/年\n","2400元/年\n","卫健公布的定点收治医院","一类"]

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