medical assistance for serious illness refers to a new medical assistance system that relies on the basic medical insurance for urban residents (employees) and the new rural cooperative medical care settlement platform, with stable capital investment, * * * use of service platform, * * * enjoyment of information resources, synchronous settlement and payment, standardized management and operation, and obvious relief effect, and can provide fast services for people in need and cover scientific norms in urban and rural areas.
relief target:
(1) rural five-guarantee targets;
(2) people in cities and towns who have no ability to work, no source of economic income, and can't support (care) their dependents (referred to as "three no-workers" in cities and towns);
(3) the minimum living guarantee for urban and rural residents;
(4) retrenched employees in 196s who enjoyed regular and quantitative living allowance from civil affairs departments;
(5) key entitled groups who enjoy regular pension subsidies from civil affairs departments;
(6) poor workers approved by the Federation of Trade Unions;
(7) urban and rural low-income family members.
form of assistance: medical assistance for serious illness takes the five-in-one approach of "funding participation, basic medical treatment fee reduction, special outpatient service quota assistance, hospitalization medical assistance and serious illness charity assistance" as the medical assistance for serious illness, and the recipients of assistance can be directly included in the urban and rural medical insurance and medical assistance database, and the basic medical treatment fee reduction, medical insurance compensation, medical assistance and individual responsibility can be fully synchronized.
Legal basis:
Social Insurance Law of the People's Republic of China
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to receive material assistance from the state and society according to law in case of old age, illness, industrial injury, unemployment and maternity.
article 26 the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
article 28 medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.