1, improve the basic medical security level, and increase the hospitalization expenses of rural poor people and the proportion of medical insurance reimbursement for urban and rural residents10%; Improve the level of serious illness insurance, reduce the deductible line of serious illness insurance for rural poor people by 50%, and increase the reimbursement rate within the scope of serious illness hospitalization policy to over 90%; Improve the level of medical assistance, all eligible rural poor people will be included in the scope of medical assistance for serious diseases, and nine diseases (referred to as nine diseases) such as esophageal cancer, gastric cancer, colon cancer, rectal cancer, end-stage renal disease, childhood leukemia (acute lymphoblastic leukemia, acute promyelocytic leukemia) and congenital heart disease (atrial septal defect, ventricular septal defect) will be provided for low-income and non-low-income recipients. After the medical expenses are reimbursed by basic medical insurance, serious illness insurance, various supplementary medical insurance and commercial insurance, 70% and 50% of the self-funded expenses within the policy scope are given assistance respectively.
2, the rural poor to participate in the medical insurance for urban and rural residents to pay part of the individual, financial integration of special poverty alleviation funds, giving more than 50% subsidies, full subsidies for the poor, the scope of insurance coverage to achieve full coverage; The local government gives no more than 90% subsidy to the premiums paid by the rural poor to participate in the "poverty alleviation preferential insurance" family comprehensive security insurance.
3. After the actual medical expenses of rural poor people suffering from nine kinds of serious diseases are paid by basic medical insurance, medical assistance fund and other insurances, the individual pays 50% of the designated hospital expenses.
4, rural poor people through the basic medical insurance, serious illness insurance, medical assistance, commercial insurance compensation and other comprehensive compensation and designated hospital assistance, the remaining medical expenses that meet the out-of-pocket personal payment is still difficult, the implementation of government protection, reduce or exempt the personal burden. The provincial finance will appropriately arrange the award and subsidy funds to promote the city and county governments to implement the main responsibility of health poverty alleviation.
Legal basis:
Article 4 of the Opinions of the General Office of the State Council on the Full Implementation of Serious Illness Insurance for Urban and Rural Residents: Strengthen the connection of various medical insurance systems, strengthen the complementary linkage among basic medical insurance, serious illness insurance, medical assistance, emergency medical assistance, commercial health insurance and charity assistance, clarify the division of labor, refine measures, and do a good job in the connection of policy formulation, treatment payment and management services. , and strive to achieve full coverage of seriously ill patients. Encourage qualified places to explore the establishment of a serious illness insurance system covering employees, urban residents and rural residents, with unified policies. Promote the smooth transition from the new rural cooperative medical insurance to the serious illness insurance.