The proportion of secondary reimbursement for serious illness refers to the medical expenses beyond the coverage of basic medical insurance for serious illness, and the insured will enjoy a certain proportion of reimbursement again after reimbursement. According to the regulations of the relevant state departments, the proportion of secondary reimbursement for serious illness medical care should be determined according to the actual situation in the region and the income and expenditure of medical insurance funds, usually between 50% and 90%. The second reimbursement of serious illness medical treatment is a poverty prevention policy for patients with major diseases, which can reduce the economic burden of the insured and improve the treatment effect and quality of life. According to statistics, many seriously ill patients fall into poverty due to huge medical expenses, so implementing the second reimbursement policy for seriously ill medical care is helpful to solve the practical problems of patients and promote social stability and harmonious development.
What is the second reimbursement application process for serious illness medical treatment? The application process of secondary reimbursement for critical illness medical treatment generally includes the following steps: first, patients should ask the hospital to issue a certificate of critical illness diagnosis that meets the standards when seeking medical treatment; Secondly, patients should apply to the local medical insurance management department, submit relevant materials and review them; After the final approval, the medical insurance department will give corresponding reimbursement, and the proportion depends on the region.
The proportion of second reimbursement for serious illness is an important medical security policy for people with major diseases. Appropriate proportion and standard provisions can promote the treatment and rehabilitation of patients, improve the coverage and quality of medical insurance, and make positive contributions to building a healthy China.
Legal basis:
Minutes of the Third National Conference on Medical Assistance and the New Rural Cooperative Medical System Article 3 All localities should explore the establishment of a serious illness relief system for medical expenses that cannot be solved within the scope of this Fund.