What are the subsistence allowance medical assistance policies? 1. Medical expense exemption.
The extremely poor people, people with minimum subsistence allowances and people with living allowances can enjoy a % reduction in basic surgery fees and large equipment examination fees for CT and MRI, as well as % reductions in general inpatient bed fees.
2. Outpatient assistance.
For the outpatient expenses incurred by urban and rural subsistence allowance and low-income people who do not enjoy the basic medical insurance for employees, after being reimbursed by the basic medical insurance for residents or the new rural cooperative medical insurance, the civil affairs department will provide medical assistance at a rate of 7% for their personal burden.
The annual rescue cap is RMB 1.
3. Serious disease relief.
For the outpatient or inpatient medical expenses incurred by social assistance recipients due to major diseases, after being reimbursed by medical insurance or the New Rural Cooperative Medical System, the personal burden will be provided by the civil affairs department at a rate of 7% for major disease assistance. The maximum cumulative amount of assistance for the year is 8
Ten thousand yuan.
4. There are different types of disease relief.
Malignant tumors, end-stage renal disease, severe mental illness, type I diabetes, congenital heart disease, leukemia, hemophilia, aplastic anemia, organ transplantation (heart, lung, liver, kidney); multi-drug tuberculosis, acute myocardial disease
Infarction, cerebral infarction, hyperthyroidism, cleft lip and palate, AIDS opportunistic infections (new).
5. Fertility assistance.
For poor pregnant women who receive social assistance and hold a fertility service certificate issued by the city's health and family planning department, after being reimbursed by medical insurance, new rural cooperative medical care, etc., the personal burden within the scope of the policy will be borne by the civil affairs department according to the pregnancy examination, and the assistance will not exceed yuan,
The hospital delivery assistance for a normal birth shall not exceed RMB 1,000, and the hospital delivery assistance for a cesarean section shall not exceed RMB 1,000.00. Maternity assistance shall be provided.
6. Hospitalization deposit reduction and immediate settlement upon discharge.
Urban and rural subsistence allowances and low-income people who really need to be hospitalized can enjoy a 7% reduction in hospitalization deposits at designated medical institutions, including urban "three noes" people, rural five-guarantee support staff and people who are disabled due to work (illness) managed by the civil affairs department
Educated youth returning to the city can enjoy hospitalization deposit exemption.
After being reimbursed by medical insurance or new rural cooperative medical care, the personal burden will be paid in proportion by designated medical institutions. Urban and rural subsistence allowance and low-income people only need to pay the actual burden to go through the discharge procedures.
Subsistence allowance medical assistance recipients: Residents with permanent residence in the county whose basic lives are affected by medical treatment and who meet one of the following conditions can apply for medical assistance.
1. Urban subsistence allowance recipients; 2. Rural subsistence allowance recipients and five-guarantee recipients; 3. Other people with special difficulties who need medical assistance.
Urban residents who have no source of livelihood, no ability to work, and no legal caregivers (hereinafter referred to as urban "three noes" objects), rural five-guarantee recipients, key preferential care recipients, and disabled persons are given priority in medical assistance under the same conditions.
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Reimbursement ratio of medical assistance for low-income households. Reimbursement ratio of hospitalization for low-income households: According to the principle of "insurance first, assistance later", minimum living allowance and low-income groups are first reimbursed according to the medical insurance types they participate in, and the remaining part can be reimbursed after applying for medical assistance.
60%.
Most of this group of people participate in the "elderly" or unemployed residents' medical insurance, and the original amount of hospitalization reimbursement is 60%; in this way, this group of people will be able to reimburse 84%.
How much does subsistence allowance medical assistance generally cost? 1. Among the medical expenses incurred by subsistence allowance recipients in hospitalization, general outpatient services and specific outpatient services, the part that is borne by the individual after receiving social security and medical insurance benefits (excluding hospitalization deductibles) will be deducted for those who violate medical insurance regulations.
After reducing the reimbursement ratio and purely self-pay items, 90% will be paid by the subsistence allowance medical assistance fund; 2. The basic medical insurance hospitalization deductible will be paid in full by the municipal subsistence allowance medical assistance fund; after meeting the regulations and enjoying social security maternity medical treatment,
The subsistence allowance medical assistance fund provides a one-time subsidy of 50% of the social security maternity medical treatment standard.
3. The maximum annual cumulative limit for each person receiving subsistence allowances for medical assistance is 80,000 yuan (excluding personal contributions to social basic medical insurance).
How to apply for subsistence allowance medical assistance can be simply summarized as follows: individual application, township (subdistrict office) review, and county-level civil affairs department review and approval.
1. Application procedure.
Any urban or rural resident who holds a local permanent residence and whose per capita income of the family members he or she lives with is lower than the local minimum living security standard for urban and rural residents, and whose family property status meets the minimum living security conditions stipulated by the local people's government, has the right to directly
Submit an application for minimum living security to the township people's government (subdistrict office) where the person is registered; the township people's government (subdistrict office) shall not refuse to accept the application without justifiable reasons.
Entrusted by applicants for minimum living security, the village (resident) committee may submit the application on their behalf.
To apply for minimum living allowance, families must submit relevant materials as required, declare the family income and property status in writing, and have the applicant sign and confirm.
Applicants who have one of the following circumstances may apply separately: ① Adults with severe disabilities who have difficulty living and have lost the ability to work.
②Religious clergy who have separated from their families and lived independently in religious places for more than three years (including three years) and have difficulty in living.
2. Review procedures.