Legal analysis: The policies for the objects and standards of serious illness relief are:

(1) All rural residents who participate in the city’s new rural cooperative medical care and their parents who participate in the new rural cooperative medical care enjoy the new rural cooperative medical treatment Newborns who meet one of the following three conditions will be included in the scope of rural serious illness medical assistance:

1. Participate in the first diagnosis or main diagnosis of rural residents with childhood leukemia (0-14 years old), Children's congenital heart disease (0-14 years old), end-stage renal disease, breast cancer, cervical cancer, severe mental illness, multi-drug-resistant tuberculosis, AIDS opportunistic infections;

Lung cancer, esophageal cancer, gastric cancer , colon cancer, rectal cancer, chronic myelogenous leukemia, acute myocardial infarction, cerebral infarction, hemophilia, diabetes, hyperthyroidism, cleft lip and palate, BH4 deficiency, critically ill pregnant women and other 22 types of major diseases, and their hospitalization and outpatient medical expenses for serious diseases ;

After being reimbursed by the New Rural Cooperative Medical System, the part of the individual’s own expenses that exceeds the reimbursement policy of the New Rural Cooperative Medical System in the year (natural year, the same below) totaling more than 3,000 yuan (including 3,000 yuan) and the personal expenses outside the scope of the policy. The annual (natural year, the same below) accumulated amount of more than 3,000 yuan (including 3,000 yuan).

2. In addition to the above 22 categories of major diseases, the annual hospitalization and serious outpatient medical expenses of rural residents will be covered after being reimbursed by the New Rural Cooperative Medical System;

Within the scope of the New Rural Cooperative Medical System reimbursement policy The annual accumulated personal out-of-pocket expenses exceed 20,000 yuan (including 20,000 yuan) and the annual accumulated personal out-of-pocket expenses exceed 40,000 yuan (including 40,000 yuan) outside the scope of the policy.

3. The upper limit for the proportion of expenses outside the scope of the New Rural Cooperative Medical Care System reimbursement policy to the total medical expenses is 10% (inclusive) for first-level New Rural Cooperative Medical Care designated medical institutions, the same below, and 10% for second-level New Rural Cooperative Medical Care designated medical institutions. 20% for rural cooperative medical institutions designated; 30% for municipal and out-of-city new rural cooperative medical institutions, and no assistance will be provided for out-of-range expenses above the upper limit.

Legal basis:

"Social Insurance Law of the People's Republic of China"

Article 6 The state exercises strict supervision over social insurance funds. The State Council and the people's governments of provinces, autonomous regions, and municipalities directly under the Central Government shall establish and improve the supervision and management system of social insurance funds to ensure the safe and effective operation of social insurance funds. People's governments at or above the county level shall take measures to encourage and support all aspects of society to participate in the supervision of social insurance funds.

Article 7 The social insurance administrative department of the State Council is responsible for the management of social insurance nationwide, and other relevant departments of the State Council are responsible for relevant social insurance work within the scope of their respective responsibilities. The social insurance administrative departments of local people's governments at or above the county level are responsible for the social insurance management work in their respective administrative regions. Other relevant departments of local people's governments at or above the county level are responsible for relevant social insurance work within their respective scope of duties.