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Reimbursement policy for serious illness in 222

The policy of reimbursement for serious illness assistance is mentioned in the notice of the General Office of the State Council forwarding the opinions of the Ministry of Civil Affairs and other departments on further improving the medical assistance system and comprehensively carrying out medical assistance for serious and serious diseases. Among the hospitalization expenses incurred by designated medical institutions, the personal expenses reimbursed by basic medical insurance, urban and rural residents' serious illness insurance, etc., are given assistance at a rate of not less than 7% within the annual assistance limit.

1. Documents required for obtaining the medical insurance card:

1. If an enterprise helps employees to collect it, it is necessary to provide a copy of the ID card of the person who receives the medical insurance card, a copy of the ID card of the person who needs to collect it and the official seal of the enterprise;

2. If an individual receives a medical insurance card by himself, he/she needs to provide a payment voucher, a card collection voucher and the original ID card;

3. If it is collected by others, you need to provide the original ID card of the consignee, the letter of entrustment and other materials.

2. The conditions for reimbursement of medical insurance are as follows:

1. The insured must go to the designated medical institutions of basic medical insurance to buy medicines, or purchase medicines from the designated retail pharmacies determined by social insurance institutions with medical prescriptions issued by doctors in designated hospitals.

2. The medical expenses incurred by the insured in the process of seeing a doctor must conform to the scope and payment standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, before they can be paid by the basic medical insurance fund according to regulations.

3. among the medical expenses that the insured meets the payment scope of the basic medical insurance, the part above the threshold and below the maximum payment limit of the social medical pooling fund shall be paid by the social medical pooling fund in a unified proportion.

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 get material help from the state and society 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.