(1) policy basis
Trial Measures of Guangzhou Charity Hospital for Medical Assistance for Major Diseases of Urban Poor People (Sui Min [2002] 123)
(ii) Sponsor
Enjoy the minimum living guarantee for urban residents in this area (unemployed people, retirees and employees receiving unemployment benefits are not included in this funding scope);
(3) subsidizing diseases
The supported diseases are: 1, acute myocardial infarction; 2. Stroke (acute phase); 3. Chronic renal failure; 4. Malignant tumor; 5. Acute necrotizing pancreatitis; 6. Acute severe hepatitis; 7. Severe brain trauma; 8. Life-threatening benign brain tumors; 9. Blood diseases; 10, severe mental illness; 1 1, gastrointestinal bleeding; 12, heart failure; 13, respiratory failure; 14, severe accidental trauma; 15, a major disease approved by Guangzhou Charity Hospital.
(4) Funding criteria
1, and the minimum payment standard for medical assistance is 500 yuan;
2, the implementation of total control, the maximum amount of subsidies to enjoy medical assistance is not more than 30 thousand yuan per person per year.
The proportion of Medicaid in medical expenses above Qifubiaozhun: the amount of Medicaid for low-income needy objects does not exceed 80%;
(five) the application and approval of medical assistance.
1. The applicant shall fill in the Application Form for Medical Assistance for Major Diseases of Urban Poor People in Guangzhou (in triplicate) and attach the hospital identification and diagnosis certificate, and report it to the local civil affairs bureau for approval after being audited by the neighborhood committee and street (town) where the household registration is located.
2, the applicant should bring the following information to the neighborhood committee, street (town) to apply:
(1) Identification and diagnosis certificate of hospitals at or above the district level (if diagnosis is needed due to critical hospitalization, carry the admission notice of designated hospitals);
(2) ID card, household registration book and Guangzhou Urban Residents' Minimum Living Security Certificate;
(3) after suffering from a serious illness, the grants received and used in that year.
3. The District Civil Affairs Bureau conducts investigation and review according to the funding application materials, and contacts with Guangzhou Charity Medical Management Office. To meet the conditions, within 5 working days after receiving the application for medical assistance, the amount of medical assistance shall be examined and approved in accordance with the provisions of these measures; For those who do not meet the funding conditions, give a written reply to the applicant within 5 working days.
4. When the applicant visits Guangzhou Charity Hospital with the approved medical assistance application form, he shall pay the minimum amount of medical assistance and the medical expenses paid by the individual in accordance with the regulations.
Application for Major Disease Relief II: Application for Major Disease Subsidy (456 words)
Leaders:
My name is * * * and I live in * * * (your situation). Because the family * * * (say your difficulties) was approved as a low-income household in * *.
I felt unwell a few days ago and went to the hospital for examination. I was diagnosed with hypertension and other diseases. Due to the limited family economic conditions, the subsistence allowance can only maintain life and cannot be treated accordingly. I (write about your importance to your family, and if you can't treat your illness in time, the consequences for your family will be unbearable), and hereby apply for medical assistance from the state.
Applicant: * * *
(date)
Dear community leaders:
Hello!
My husband and I are employees of * * factory in * * county and * * township. I was born with polio, and now I live in the apartment in the * * community. As both of us are laid off, we have never had a job or a fixed source of livelihood (add some specific family difficulties here ...). Fortunately, I heard that we can apply for subsistence allowances in this case. I am extremely happy, as if I had caught the straw that saved my life and saw a ray of light, which could save our family from fire and water. Therefore, after discussion, the husband and wife specially applied for a minimum living allowance from you to tide over the current difficult period.
I have reason to believe in the great China, and I believe that the great will solve our practical difficulties, solve our life crisis and lend us a helping hand!
I am here to convey
Salute!
Applicant: * * *
* * Year * * Month * * Day
Application Form for Major Disease Relief 3: Model Application Form for Major Disease Relief (4 19 words)
Dear leaders of the Civil Affairs Bureau:
My name is xxx, and I am x years old this year. I am a villager in Group X of xx Village, xx Town. There are x people in my family, my mother-in-law, my husband, me and my son. I suffered from a serious breast disease in X month of xx, and went to xx and other cities to see a doctor. Now I have spent more than xx yuan on medical expenses. I'm still in chemotherapy, and it costs 5 thousand yuan at a time. Husband xxx, small and weak, works in the construction team and earns a little money by lifting mud for others. My mother-in-law is eighty years old and in poor health. She suffers from stomach trouble and often takes medicine. My son xx was admitted to senior three in XX, and dropped out of school at home after a period of time because he couldn't afford the tuition. In this way, my family now only lives on X mu of land and the income from her husband's labor sales. In particular, I have to continue chemotherapy, which requires a lot of money. At present, it has borrowed 36,000 yuan from relatives, friends and neighbors. What should we do next? where is the money to come from? I can't imagine. Recently, I am Lacrimosa. I can't eat or sleep. Under very difficult circumstances, I thought of the Party, of * * *, and of the Civil Affairs Bureau. Here, I summon up the courage to apply to the Civil Affairs Bureau: to ask for organizational funding to help me continue to see a doctor. I am very grateful. I thank the organization for helping the elderly and young people.
I am here to convey
welcome
How to write the reasons for applying for the approval form of serious illness allowance? Leaders:
0 1 article
My name is * * * and I live in * * * (your situation). Because the family * * * (say your difficulties) was approved as a low-income household in * *.
I felt unwell a few days ago and went to the hospital for examination. I was diagnosed with hypertension and other diseases. Due to the limited family economic conditions, the subsistence allowance can only maintain life and cannot be treated accordingly. I (write about your importance to your family, and if you can't treat your illness in time, the consequences for your family will be unbearable), and hereby apply for medical assistance from the state.
Applicant: * * *
* * Year * * Month * * Day
02 articles
Dear leader: Hello!
I am a resident of XX community in XX street, XX city, and live with my parents. Because of his father's spinal fracture and diabetes, his retirement salary is not enough to pay for medical expenses. Diabetes has reached a very serious stage. He can't eat, his limbs are swollen and his life is in danger at any time. My mother has a serious heart disease. She is too old to work. At the same time, the family income only depends on the meager pension of the old father to maintain family life.
Life is hard now.
As a result of long-term unemployment, I have no fixed source of income. I have been living on subsistence allowances, and my wife has no job. She can only do odd jobs in her spare time to supplement her family and take care of her parents. I have another daughter in the Spring Festival this year. Unfortunately, there is no breast milk, so I have to rely on expensive milk powder to feed. All this is undoubtedly worse in my life. This is really "the house leaks when it rains all night, and the ship is late and meets the headwind." In the desperate situation, I hope that * * * will lend a helping hand to our family. I sincerely ask for a subsidy to tide over the current difficult period. I firmly believe that * * * will solve our practical difficulties, solve our life crisis and lend a helping hand! Our whole family is looking forward to hearing from you.
Salute!
Applicant:
XX year XX month XX day
03 articles
XX street (community):
My name is XXX, and I was born in XX. The former employee of XXX Company retired in XX and transferred to XX community in XX street. XX years XX months suffering from uremia, dialysis XX times a week, wife and children's working and living conditions (omitted), because uremia needs long-term dialysis, family life is poor due to illness, now apply for serious illness relief.
Application and approval procedures:
1. Individuals submit a written application, fill in the application form for urban and rural medical assistance, provide their household registration book, ID card and relevant documents, and submit official medical expense receipts, disease certificates and other related materials;
2. Send it to the neighborhood committee for review;
3, street office audit;
4, the county civil affairs department for approval.
How to handle the serious illness subsidy in Huaibei Hello, welcome to call 12580 for consultation.
How to write the application for serious illness subsidy? The reporter learned from the Provincial Political Consultative Conference yesterday (10, 15) that the Provincial Department of Labor and Social Security indicated that there was no need to apply for Medicaid for serious illness. The medical expenses corresponding to hospitalization and outpatient specific treatment of the insured, which exceed the maximum payment limit of the overall social security fund in each year, shall be paid by the serious illness subsidy, and the maximum payment limit of the serious illness subsidy in each social security year is 6.5438+0.5 million yuan. The specific payment ratio is: the annual payment amount of Medicaid for major diseases is-65,438+10,000 yuan in 0 yuan, the payment ratio of Medicaid for major diseases is 90%, and the individual payment ratio is 10%. The current medical insurance policy does not stipulate that "the hospitalization fee must be discharged when it reaches 9000 yuan", but if the hospitalization meets the discharge standard, the expenses incurred shall be counted from the day after the discharge date stipulated by the designated medical institution.
The provincial labor and social security department also stated that the insured person can be hospitalized again within 15 days after being discharged due to illness. On the contrary, in order to ensure the treatment of the insured, the medical insurance policy stipulates that: if the insured is hospitalized repeatedly for the same disease within 15 days after discharge, the designated hospital will only settle the expenses according to the standard of hospitalization once; However, after the diagnosis of the deputy chief physician of the designated hospital and the approval of the municipal medical insurance center, the medical expenses of the designated hospital can be settled by re-hospitalization. Avoid designated hospitals requiring insured patients to leave the hospital if they do not meet the discharge standards.
It is reported that from June 65438 last year to May this year, 934 insured people in Guangzhou have enjoyed medical assistance for major diseases, and the per capita subsidy amount is 16 167 yuan.
Applying for Medicaid for major diseases, I sympathize with the landlord's experience!
If you have participated in medical insurance, you only need to tell the medical insurance office before hospitalization, and they will verify it during your hospitalization. There is no need to apply, and you can go through the relevant reimbursement procedures after discharge.
If you apply for assistance, please refer to the relevant documents on the website of the Ministry of Civil Affairs: dbs.mca.gov./article/csyljz/zcfg/
You can also consult here:
:MCA . gov ./article/shfw/wmjk _ yljz . s
Due to the limited level, the following applications are for reference, please modify and polish them according to the situation. I wish you a speedy recovery!
Leaders:
My name is * * * and I live in * * * (your situation). Because the family * * * (say your difficulties) was approved as a low-income household in * *.
I felt unwell a few days ago and went to the hospital for examination. I was diagnosed with hypertension and other diseases. Due to the limited family economic conditions, the subsistence allowance can only maintain life and cannot be treated accordingly. I (write about your importance to your family, and if you can't treat your illness in time, the consequences for your family will be unbearable), and hereby apply for medical assistance from the state.
Applicant: * * *
(date)
What information do I need to provide to apply for serious illness allowance?
Medical assistance adopts the management system of individual application, village (neighborhood) people's representative appraisal, township (street office) audit, civil affairs department approval, designated medical institutions service, and financial department supervision over the use of relief funds;
Among them, individual applications need to provide the following materials: medical assistance application, household registration book, applicant's ID card, copy of rural (urban) minimum living allowance, applicant's discharge certificate, transfer certificate, original invoice of hospitalization medical expenses, medical diagnosis certificate and copy of medical records.
The model essay "How to apply for subsistence allowances for disability certificates and major diseases" is recommended to you, and the format is as follows:
app; application
Leaders:
My name is XX, XX, XX Town, XX Village. I was born on XX, XX, and I am XX years old this year. I lamented that my family was poor and I dropped out of school at the beginning of peeing; I regret that I got an eye disease when I was a child, because I was poor and was disabled for life without effective treatment. I have been identified as Grade 4 (see Disability Certificate); Malnutrition, weak and sickly since childhood, can only be treated in a limited way. So far, several diseases, such as frequent headache, low back pain, chest pain, stomach pain, and weakness of limbs for many years ... Although I still have a certain ability to work, I can't engage in slightly heavy physical activities, even if I do light physical labor, it is difficult to last every day, and I always have to rest, which seriously affects agricultural production and family income.
I only have one heart, and I'm dead. Fortunately, my marriage looked around, and I got married in XX. I'm standing too early at this time. I'm in my thirties. My wife, XX, was born in XX, with a date of birth of XX, XX and XX.
In XXX, my son was born and became a father for the first time. I am very happy. However, over time, I am worried about the source of family living expenses, the cost of children's education and study, and whether my body can support it ... I often frown.
Fortunately, under the care of the Party and local grassroots at all levels, under the care of many relatives and friends, through their own efforts, careful calculation and thrift, although life is full of difficulties, they have finally overcome them and managed to maintain their families to this day. Here, my family sincerely thanks the leaders at all levels who have cared about my family.
Years later, with the growth of children and the elderly and sick parents of both sides, I feel that the family expenses are increasing day by day, and because my wife and I, especially my health, are getting worse and worse, I feel heavier. My son is now a senior one in a middle school in XX county, and his tuition and living expenses need XX thousand yuan a year. The minimum daily expenses of the family need to be XX thousand yuan, the agricultural production cost is XX thousand yuan, the medical expenses of oneself and family members are XX thousand yuan, the parents' support expenses are XX thousand yuan (already taken care of), and the total family expenses reach XX thousand yuan. And my family's annual income is only about ×××× thousand yuan, and life is very tight. The insufficient part can only be supported by loans and relatives and friends.
Now the policies of the party and the state are very wise, and they are more sympathetic to the people in need. We are very happy to hear that my family can apply for subsistence allowances in this situation. Therefore, after careful consideration, my family specially applied for a minimum living allowance from you to tide over the current difficult period.
I fully believe in the great China * * *, and believe that the great * * * and leaders at all levels will consider my family's practical difficulties, solve my family's life crisis and lend a helping hand to my family!
How to apply for Medicaid for major diseases in Guangdong Province? No need to apply! After the insured person's accumulated payment from the basic medical insurance pooling fund exceeds the maximum payment limit (capping line) in a social security year, the basic medical expenses for specific items of hospitalization and outpatient service will be enriched according to 95% of Medicaid for major diseases, and the basic medical expenses for chronic disease outpatient service will be enriched according to the corresponding standards according to Medicaid for major diseases, with the maximum payment limit of 1.5 million.
Can I still apply for serious illness allowance after my death? No, you can apply in the month of death. But it's illegal to apply after you die! Fraud subsidies should be investigated for legal responsibility.
How to apply for a second subsidy for major diseases in the civil affairs department? (a) the relief object shall submit a written application to the village (neighborhood) committee where the household registration is located;
(two) after receiving the application, the village (neighborhood) committee shall investigate and verify the authenticity of the application materials submitted by the applicant and the family income of the applicant, and submit the investigation and verification opinions to the village (neighborhood) people's representative meeting for democratic appraisal;
(three) after the democratic appraisal of the village (neighborhood) people's representative meeting, the village (neighborhood) people's representative meeting put forward democratic appraisal opinions, and the eligible applicants publicized in the village (neighborhood) affairs public column for a period of not less than 3 days;
(four) publicity without objection, the village (neighborhood) committee put forward preliminary opinions, other materials shall be submitted to the township (town) people's * * *, the street office audit;
(five) the township (town) people's * * *, the street office of the village (neighborhood) people's committee to submit materials for examination and approval, and the audit opinions and other materials submitted to the county (city, district) civil affairs department for examination and approval;
(six) the county (city, district) civil affairs department of the township (town) people * * *, the materials submitted by the street office for review. To meet the conditions, fill in the examination and approval opinions and the amount of assistance, and issue a certificate of medical assistance for serious illness of urban and rural residents uniformly printed by the Civil Affairs Bureau and the Health Bureau, and send it to the financial department at the same level for review; If it does not meet the conditions for assistance, it shall promptly notify the applicant and explain the reasons.