After a serious illness passes, the civil affairs department will provide corresponding subsidies, but this subsidy is not available to all patients with serious illnesses.
It can also be enjoyed by people within a certain range.
The policies of the civil affairs department are often closely coordinated with the work of local governments, so they have local characteristics and need to be implemented in accordance with local standards.
Now let’s talk about Pingdingshan in Henan. After a serious illness, the civil affairs department can provide help.
1. You can apply for subsistence allowance. If you have financial difficulties due to a serious illness, your per capita income is lower than the local minimum living allowance, and your family property conditions meet the policy requirements, you can apply for subsistence allowance according to the policy.
2. The objects of medical assistance are: urban and rural minimum living security recipients who are hospitalized due to illness and special disease outpatient services, extremely poor dependents, and poor people who have established cards.
Remedies: 1.
Fund the rural cooperative medical system.
The personal payment portion of the extremely poor dependents will be fully subsidized; the personal payment portion of urban and rural minimum living allowance recipients and poor people who have established files and cards will be subsidized at 30 yuan per person per year.
2 Outpatient special disease assistance.
The assistance ratio is 10% of outpatient medical expenses within the annual limit, and the annual maximum limit is 5,000 yuan.
three.
Hospital assistance.
After all insurances are reimbursed, 70% of the remaining out-of-pocket medical expenses will be reimbursed.
The annual cap is £20,000.
3. Temporary relief recipients: Families or individuals who have difficulties in basic living due to emergencies, accidental injuries, major diseases or other special reasons and are temporarily unable to be covered by other social assistance systems, or who still have serious difficulties in basic living after assistance.
, emergency and transitional assistance should be provided.
Relief standards: Temporary relief funds for 1 to 3 months will be issued in accordance with the minimum living standard. Under special circumstances, the minimum living standard shall not exceed 6 months.
1. Reimbursement from New Rural Cooperative Medical Care or Urban Resident Medical Insurance.
That is, after being hospitalized, the relevant procedures for participating in the New Rural Cooperative Medical Insurance or Urban Medical Insurance must be submitted to the hospital.
When settling the expenses after discharge, the part of the expenses that should be reimbursed is calculated first and deducted from the total expenses. The patient only bears the self-pay part that cannot be reimbursed.
Of course, there is a prerequisite for enjoying this benefit, that is, you must have paid to participate in the New Rural Cooperative Medical Insurance and Urban Resident Medical Insurance. Otherwise, you will not be reimbursed and you will have to pay for everything yourself.
Let me emphasize: Now, these two types of medical insurance have been integrated into urban and rural residents' medical insurance.
In addition, a hierarchical diagnosis and treatment system is now implemented. If the patient is treated in other places, after being discharged from the hospital, he can bring relevant procedures and go to the local township health center for reimbursement.
2. After reimbursement from critical illness insurance or urban medical insurance, if the out-of-pocket amount is too large, usually more than 5,000 yuan, you can also go to the local insurance company that handles related business for a second reimbursement.
Generally, 60-70% of the amount above 5,000 yuan can be reimbursed.
This reimbursement item is to deduct part of the total amount of New Rural Cooperative Medical System premiums paid by an individual, and the New Rural Cooperative Medical Care Agency will pay the insurance company for unified processing, and the individual will not have to pay additional fees.
3. Urban and rural medical assistance reimbursement: After the above two reimbursements are completed, if the individual's out-of-pocket amount exceeds the local standard, a third reimbursement can be made.
The specific policies are very complicated. Generally speaking, there is no deductible or a very low deductible for low-income households, extremely poor people, and even registered households, while the deductibles for other people are very high.
The main purpose is to reduce the medical burden on vulnerable groups.
This work is currently handled by the civil affairs department.
Starting from March 2019, all medical services nationwide will be handed over to local medical security bureaus.