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Interpretation of the application conditions and insurance proportion of the scope of serious illness relief in Beijing
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 settlement platform of the new rural cooperative medical system, with stable capital investment, * * * using the service platform, * * * enjoying information resources, synchronizing settlement and payment, standardized management and operation, obvious relief effect, fast service for people with difficulties and scientific coverage of urban and rural areas. So what are the policies and regulations for serious illness relief in Beijing? What is the proportion and scope of reimbursement for serious illness assistance in Beijing? The following contents are for reference only!

Applicants for serious illness relief in Beijing: citizens with Beijing household registration or residence permit.

(1) poor families

Families whose basic life is temporarily in serious difficulties due to accidents such as fire, traffic accidents, sudden illness and family members' emergencies;

For low-income and low-income families in Beijing, the expenditure on daily necessities has suddenly increased beyond the family's affordability, resulting in serious difficulties in basic life for the time being; Other families with special difficulties.

(2) Individuals without dependence

Individuals who are temporarily unable to obtain family support due to fire, traffic accident, sudden serious illness or other special difficulties, resulting in basic living difficulties.

(3) Victims of emergency situations

Due to natural disasters, accidents, public health, social security and other emergencies, it is necessary to carry out emergency resettlement and basic living assistance, and it belongs to the scope of disease emergency assistance, in accordance with relevant regulations.

Beijing serious illness relief application location:

Meet the conditions, can apply to the local township government (street offices) for temporary assistance. Entrusted by the applicant, the village (neighborhood) committee or other units and individuals may apply for temporary assistance on their behalf.

Application process for serious illness relief in Beijing:

(1) Apply for temporary relief funds

Apply to the township government (street office) where the household registration is located.

Beijing residence permit holders can apply to the township government (street office) in their personal capacity.

(2) Apply for rescue services

Apply to the rescue management agencies and charity supermarkets within their jurisdiction.

Apply for rescue services to rescue management agencies at all levels in Beijing.

(3) Referral service

For families or individuals who need referral services, the local township government (street offices) shall assist them to apply to the relevant departments or units.

After the insured enjoys the basic medical insurance benefits for urban residents in that year, the medical expenses paid by individuals (after deducting the amount of medical assistance provided by the civil affairs department) exceed the per capita disposable income of urban residents in this city in the previous year, and are included in the scope of payment for serious illness insurance.

Personal out-of-pocket medical expenses included in the reimbursement scope of serious illness insurance include:

Medical expenses below the threshold of the basic medical insurance fund for urban residents;

(two) the medical expenses that should be borne by individuals in proportion from the minimum deductible to the maximum payment limit of the basic medical insurance fund for urban residents;

(3) The use of large-scale medical equipment in examination and treatment projects and the medical expenses that should be borne by individuals first are within 200 yuan (inclusive);

(four) medical expenses that should be borne by individuals in advance within the scope of the basic medical insurance diagnosis and treatment items and medical service facilities;

⑤ The medical expenses of Class B drugs listed in the basic medical insurance, industrial injury insurance and maternity insurance in Beijing shall be borne by individuals first;

⑥ Medical expenses above the maximum payment limit of the basic medical insurance fund for urban residents, which can be included in the scope of reimbursement according to the provisions of the basic medical insurance fund for urban residents, and medical expenses that meet the provisions of ③, ④ and ⑥.

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