How to apply for serious illness assistance:

The person who applies for medical assistance submits a written application, fills in the Application and Approval Form for Urban and Rural Medical Assistance, and provides the following supporting materials:

Personal application provides the following materials:

(1) Application for medical assistance;

(2) Household register and ID card of the rescuer;

(3) a copy of the rural (urban) low guarantee;

(4) the discharge certificate and transfer certificate of the applicant;

(5) original invoice of hospitalization medical expenses;

(6) copies of medical diagnosis and medical records.

(7) A copy of the certificate of the entitled group or the disabled soldier's card

Five-guarantee family's serious illness relief policy

1. The medical expenses borne by individuals below the deductible line for reimbursement of relevant basic medical insurance are included in full;

2. The medical expenses within the reimbursement scope of relevant basic medical insurance shall be included in the proportion of 5%.

(1) The "three noes" and five-guarantee households in the urban minimum living security target shall be given assistance according to 1% of the hospitalization medical assistance expenses that should be included, and the maximum annual cumulative assistance amount is 3, yuan.

(2) The severely disabled persons in the urban and rural minimum living allowances (those with disabilities of Grade I and II, subject to the second-generation certificate of disabled persons or disabled soldiers certificate) shall be given assistance according to 95% of the hospitalization medical assistance expenses that should be included, and the maximum annual cumulative assistance amount is 15, yuan.

(3) Other urban and rural residents should be given assistance according to 9% of the hospitalization medical assistance expenses that should be included, and the maximum annual cumulative assistance is 12, yuan.

(4) The seriously ill patients in low-income families shall be given assistance according to 8% of the hospitalization medical assistance expenses that should be included, and the maximum annual cumulative assistance is 6, yuan.

serious illness relief policy

medical relief for serious illness refers to a new medical relief system that relies on the basic medical insurance for urban residents (employees) and the new rural cooperative medical settlement platform, with stable capital investment, * * * use of service platform, * * * sharing of information resources, synchronous settlement and payment, standardized management and operation, obvious relief effect, fast service for needy people and scientific norms covering urban and rural areas.

the country has only issued the relevant principles of rural serious illness medical insurance in 217, and the specific implementation measures are formulated by the provinces, prefectures and counties themselves. For the specific reimbursement scope of rural serious illness medical insurance, please consult the local social security bureau at telephone number 12333.

sick children receiving treatment

objects of serious illness assistance

(1) rural five-guarantee objects;

(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.

Principles of medical insurance for serious illness in rural areas in p>217

1. Children with leukemia (-14 years old), congenital heart disease (-14 years old), end-stage renal disease, breast cancer, cervical cancer, severe mental illness, multidrug-resistant tuberculosis, opportunistic infection of AIDS, lung cancer, esophageal cancer, gastric cancer, colon cancer, rectal cancer and chronic disease are the first diagnosis or main diagnosis. For 22 kinds of major diseases, such as hyperthyroidism, cleft lip and palate, BH4 deficiency, and critical pregnant women, after being reimbursed by the new rural cooperative medical system, the part with personal expenses within the reimbursement policy of the new rural cooperative medical system accumulated more than 3, yuan (including 3, yuan) and the part with personal expenses outside the policy scope accumulated more than 3, yuan (including 3, yuan).

2. In addition to the above-mentioned 22 kinds of major diseases, the annual medical expenses for hospitalization and serious illness outpatient service will be more than 2, yuan (including 2, yuan) after reimbursement and more than 4, yuan (including 4, yuan) outside the policy scope.

In p>217, the proportion of reimbursement for serious illness medical insurance in rural areas

1. The proportion of township and village subsidies for outpatient co-ordination increased to 65% and 75% respectively.

2. If the hospitalization expenses of first-class medical institutions are below 4 yuan, there is no deductible line;

3. The subsidy ratio of secondary medical institutions will be increased to 75% ~ 8%;

4. The proportion of third-level medical assistance will be increased to 55%~6%.

5. The subsidy ratio of provincial tertiary medical institutions will be increased to 55%.

6. The quota of subsidized diseases of the new rural cooperative medical system is 7% for 8 kinds of serious diseases such as congenital heart disease in children, and 7% for 12 kinds of serious diseases such as lung cancer.

In the event of medical expenses exceeding the maximum payment limit of the basic medical pooling fund, the social insurance department will reimburse 85% according to the following:

-4, yuan;

9% of the expenses below 4,-8, yuan;

more than 8, yuan will be reimbursed by 95%;

in each medical year, the maximum payment limit is RMB 15,.

The village (neighborhood) committee shall:

(1) investigate and verify;

(2) organizing the appraisal of village (neighborhood) representatives;

(3) eligible villages (residences) should be publicized

(4) unqualified applicants should be returned.

The town social assistance office should:

(1) investigate and verify;

(2) eligible returnees;

(3) those who do not meet the requirements return to the village (residence), and inform the reasons in writing.

county (district) civil affairs bureau:

(1) review and approval;

(2) eligible returning to the village (residence) for publicity;

(3) unqualified step-by-step return. After verification, examination and approval, relief funds will be paid to eligible recipients.

if the above procedures progress slowly, the entitled groups can directly go to the entitled groups unit of the county-level civil affairs bureau for guidance and help. As long as your family really belongs to the below-average living standard, your immediate family members or yourself can apply for it after the treatment of major diseases (excluding the recurrence of old diseases).

legal basis

article 4 of the interim measures for hospitalization medical assistance for urban and rural poor people, the standard of hospitalization medical assistance shall be adjusted in a timely manner according to the fund raising situation of medical assistance and the needs of economic and social development.