1, urban and rural subsistence allowances, courageous wounded people hospitalized due to illness (injury), after being reimbursed by the new rural cooperative medical insurance, residents' medical insurance and serious illness insurance, they will be given assistance according to the proportion of 60%, and the maximum amount of one assistance is 20,000 yuan;
2, key entitled groups (excluding 1-6 disabled soldiers, 7- 10 disabled soldiers) were hospitalized due to illness, and after being reimbursed by the new rural cooperative medical system, residents' medical insurance, serious illness insurance and special care departments, each person was given a maximum of 20,000 yuan per year;
3. Low-income families with difficulties and families with major diseases who cannot afford them are hospitalized due to illness. After being reimbursed by the new rural cooperative medical system, residents' medical insurance and serious illness insurance, assistance will be given according to the proportion of 20%, and the maximum ceiling line for one assistance is 1 10,000 yuan.
4. After the amount of hospitalization assistance for urban and rural subsistence allowances reaches the ceiling line, the out-of-pocket expenses will start from 1 10,000 yuan, and the part exceeding 1 10,000 yuan will be given a second assistance at a rate of 30%, with no more than 40,000 yuan per person per year; After the amount of hospitalization assistance for other recipients reaches the top line, the out-of-pocket expenses will start from 1 10,000 yuan, and the part that exceeds 1 10,000 yuan will be given a second assistance at a rate of 20%, and each person will not exceed 20,000 yuan per year.
The application conditions for medical assistance are:
1, urban and rural subsistence allowances;
2, rural five objects, three people in cities and towns;
3. Government-funded orphans and disabled children;
4. Poor families whose actual daily consumption expenditure is lower than the local minimum living standard due to illness;
5. The above-mentioned recipients must have local accounts, participate in urban (employees and residents) medical insurance or new rural cooperative medical care, and be treated in designated medical institutions, and be reimbursed by medical insurance.
To sum up, the standards of civil medical assistance are urban and rural subsistence allowances, rural five guarantees and urban three no-personnel; Government-sponsored orphans and disabled children; Due to illness, the actual consumption expenditure of daily basic life is lower than the local minimum living standard for poor families.
Legal basis:
Article 36 of the Regulations on Industrial Injury Insurance
Workers who are disabled due to work are identified as five or six disabled and enjoy the following benefits:
(a) according to the level of disability from the industrial injury insurance fund to pay a one-time disability allowance. The standard is: my salary is level 5 disability 18 months, level 6 disability 16 months;
(two) to retain the labor relationship with the employer, and the employer shall arrange appropriate work. If it is difficult to arrange a job, the employer will pay a monthly disability allowance. The standard is: level 5 disability is 70% of my salary, level 6 disability is 60% of my salary, and the employer shall pay the social insurance premium that should be paid according to the regulations. If the actual amount of disability allowance is lower than the local minimum wage, the employer shall make up the difference. Upon the employee's own suggestion, the employee can terminate or terminate the labor relationship with the employer, and the industrial injury insurance fund will pay the one-time medical subsidy for work-related injuries, and the employer will pay the one-time disability employment subsidy. The specific standards for one-time work-related injury medical subsidies and one-time disability employment subsidies shall be formulated by the people's governments of provinces, autonomous regions and municipalities directly under the Central Government.