Co-ordination of serious illness is the only way for normal reimbursement of social security. Without social security in rural areas, there is no overall medical insurance for serious illness. The medical insurance solved by the units that didn't go to school and other channels has no serious illness as a whole.
At present, medical insurance for serious illness can only be coordinated at the municipal level, and the methods for coordinating serious illness in different regions are different. However, no matter which region, medical insurance for serious illness follows the practice of "minor illness diversion and major illness overall planning". The principles of overall planning of diseases are: mutual assistance, at your own risk; Guarantee basic medical care and overcome waste; The state, enterprises and individuals should bear the burden reasonably.
Serious illness medical insurance mainly includes:
1. Employee medical insurance card and serious illness medical insurance payment card;
2, serious illness medical expenses as a whole fund appropriation approval form (3) (official seal) and other materials stipulated by the serious illness medical co-ordination;
3, discharge diagnosis certificate (emergency rescue should be issued by emergency rescue diagnosis certificate), serious illness as a whole patient hospitalization medical expenses settlement list, hospitalization expenses special receipt and hospitalization expenses settlement (hospitalization reimbursement certificate);
4, special inspection, special treatment or use of expensive drugs should issue an approval form.
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council. Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.