How much can serious illness assistance subsidize?
1, urban and rural subsistence allowances, courageous wounded people hospitalized due to illness (injury), according to the proportion of 60% to give assistance, a maximum of 20000 yuan.
2, key entitled groups (excluding 1~6 disabled soldiers, 7~ 10 disabled soldiers) who are hospitalized due to illness, each person is given a maximum subsidy of 20000 yuan per year.
3, low-income families with difficulties and families suffering from major diseases who can't afford to be hospitalized due to illness, according to the proportion of 20% to give assistance, the maximum limit of a rescue line is 1 ten thousand yuan.
4. After the amount of hospitalization assistance for urban and rural residents reaches the top line, the out-of-pocket expenses will start from 1 10,000 yuan, and the part exceeding 1 10,000 yuan will be given a second assistance at a rate of 30%, and each person will not exceed 40,000 yuan per year.
After the amount of hospitalization assistance for other recipients reaches the top line, the out-of-pocket expenses will start from 1 10,000 yuan, and the part that exceeds 1 10,000 yuan will be given a second assistance at a rate of 20%, and each person will not exceed 20,000 yuan per year.
What diseases are included in today's serious illness relief?
1, chronic severe hepatitis, liver cirrhosis; Tuberculosis, psychosis, cardiovascular and cerebrovascular stent implantation, myasthenia gravis, motor neuron disease, gangrene of limbs; Avascular necrosis of femoral head, idiopathic dermatomyositis, panniculitis, epilepsy, Parkinson's disease, multiple sclerosis, systemic lupus erythematosus, nodular polyarteritis.
2. Behcet's disease, systemic sclerosis, hypercortisolism, primary aldosteronism, rheumatoid arthritis (active stage), allergic purpura complicated with nephropathy, thrombocytopenic purpura; Pituitary tumor, diabetes insipidus, polycythemia vera, primary thrombocytosis, chronic renal insufficiency, chronic aplastic anemia, hemolytic anemia and dysplasia syndrome.
3. Idiopathic pulmonary fibrosis, bronchial asthma, bronchiectasis, nephrotic syndrome, chronic cardiac insufficiency, anticoagulation therapy with valve replacement, diabetes complicated with heart, kidney, eyes and neuropathy;
Hypertension with heart, brain, kidney and vascular complications; Stroke sequelae, uremia dialysis treatment, malignant tumor, organ transplantation, leukemia.
Time limit for applying for serious illness relief
There is indeed a time limit for applying for serious illness assistance. Only 1 and July can apply every year, and other times are not allowed. Moreover, there are still more than 20 days of review after the application is initiated. We must seize the opportunity and never wait until the time is up.
How to handle medical assistance for serious illness?
(1) Applicant
1, rural five guarantees.
2. People in cities and towns who have no ability to work, no source of economic income and no dependents (hereinafter referred to as "three noes" in cities and towns).
3. Minimum living guarantee for urban and rural residents.
4, enjoy regular quantitative living allowance of civil affairs departments in the sixties to streamline retired workers.
5, enjoy the key entitled groups of the civil affairs department regular pension subsidies.
6. Poor workers approved by the Federation of Trade Unions.
7. Urban and rural low income family members.
(2) required information
1. Fill in the Application Form for Charity Relief for Seriously Ill Patients;
2, the basic medical insurance designated medical institutions issued by the official medical bills and the basic medical insurance management department issued the original and photocopy of the reimbursement statement;
3. A copy of my ID card and household registration book;
4, urban and rural subsistence allowances, rural five guarantees, urban three noes, orphans, etc. Need to provide the "minimum living guarantee certificate", "rural five guarantees certificate" and other valid documents or certificates;
5 families with social difficulties need proof of income issued by the unit or neighborhood Committee;
6. Other application materials.
(3) Handling procedures
1, application. Poor residents suffering from the specified serious diseases shall submit a written application to the community where their household registration is located, fill in the "Approval Form for Medical Assistance Application", and provide relevant supporting materials.
2. register. The community guides the applicant to fill in the relevant forms, accepts the certification materials and documents that need to be submitted by the applicant, and registers the basic situation of the applicant. The applicant holds a letter of introduction issued by the community and relevant certification materials, and goes to the District Health Bureau for centralized appraisal.
3. investigation. Community by more than three people (including three people) staff to investigate and verify the situation of relief objects.
4. review. The community held a review meeting to review the relief objects.
5. First instance. After collective discussion and research, those who meet the conditions for enjoying assistance shall sign their opinions on the applicant's application form (specific examination and approval opinions are required). Explain the reasons for not meeting the requirements and publicize the situation.
6. review. After receiving the materials, the sub-district office shall verify the applicant's medical expenses and the degree of illness according to the regulations, and report to the District Civil Affairs Bureau for approval after publicity without objection.
7. recognition. The district civil affairs department shall, jointly with the district labor department, review and publicize the signature materials and medical bills reported by the sub-district office.
8. Distribution. The payment of medical assistance for serious illness in cities and towns is paid by banking institutions.
(4) address processing
Local civil affairs bureau.
(5) Time limit for handling
There is no time limit for applying for serious illness relief. As long as you reimburse according to the procedures, you will get feedback in about a month.
Content expansion
1. Can the new rural cooperative medical system apply for serious illness relief after reimbursement?
Yes, patients can still apply for serious illness relief on the basis of enjoying basic medical insurance reimbursement.
Medicaid for serious illness, full name of Medicaid for major illness. It refers to a medical subsidy system established by the insured on the basis of enjoying the basic medical insurance benefits to resolve the huge economic risks brought by serious illness treatment.
There is no need to apply for Medicaid for major diseases; In each social security year, the insured person's hospitalization and outpatient treatment of specific projects exceed the basic medical expenses corresponding to the maximum payment limit of the overall fund, which is paid by the serious illness subsidy. The maximum payment limit of the serious illness subsidy in each social security year is 6.5438+0.5 million yuan.
Second, what documents and procedures are needed for serious illness relief?
Serious illness relief needs to bring urban medical insurance, poverty certificate, patient ID card, household registration book, serious illness relief approval form, hospitalization invoice, discharge summary and other materials to the civil affairs department for application.
Eligible insured to the village (community) to apply for the "serious illness relief approval form"; The insured person shall fill in the Examination and Approval Form for Serious Illness Relief, and attach the original materials such as hospitalization invoice and discharge summary. Each hospitalization expense can only be used for one rescue application; The insured will "serious illness relief approval form", hospitalization invoices, discharge summary and other materials sent to the village (community) for review and signing opinions; The village (community) reported to the town (street) to verify and sign opinions.
Town (street) to send the new rural cooperative medical system office, after investigation, review and collective discussion, initially determine the list of relief objects; To the village (community) where the relevant information to be rescued is publicized, and the publicity time is 7 days; According to the results of publicity, the office of the new rural cooperative medical system in the district decides the list of relief objects and distributes relief funds through the town (street). The examination and approval time for serious illness assistance is generally 1 and July, twice a year.
Three, how to apply for the Red Cross serious illness relief fund?
The applicant for assistance should submit the poverty certificate (stamped and approved by the local government), the original case, the hospitalization certificate and the ID card to the local Red Cross for application.
Application conditions for serious illness relief: the applicant must be a local permanent residence; Or migrant workers who can be employed by organs, enterprises and institutions that have lived for more than 3 years, or rural household registration who participate in hospitalization insurance for rural cooperative medical care.