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How much can the health poverty alleviation fund be reimbursed?

Only when the health poverty alleviation fund reaches 5-5, yuan can it be reimbursed. The recipients of the health poverty alleviation fund must meet the following conditions at the same time: the household registration is within the county area; Filing the poverty-stricken population; Poor patients who still have a heavy burden of personal medical expenses after enjoying the existing medical security policy. Assistance standard: generally controlled between 5-5 yuan per household per year. Patients with special difficulties who exceed the above-mentioned rescue standards should be reported to the county people's government for approval before implementing rescue.

assistance content: it mainly provides assistance to the hospitalization expenses beyond the policy scope within the county, the outpatient expenses that are not included in the reimbursement scope, and the hospitalization expenses that cannot be fully reimbursed for medical treatment in different places according to regulations.

reimbursement process: the poverty-stricken people give priority to the implementation of the "ten exemptions and four subsidies" policy for medical treatment. On this basis, the medical expenses of poor patients are reimbursed (rescued) according to the process of "basic medical insurance → serious illness insurance → inclined payment → medical assistance → fund assistance".

1. Basic medical insurance. Outpatient and hospitalization expenses, in accordance with the overall urban and rural residents' basic medical insurance reimbursement policy, the expenses within the scope of the policy shall be reimbursed.

2. Serious illness insurance. After the basic medical insurance reimbursement, the hospitalization expenses that exceed the deductible line of serious illness insurance within the policy scope will be borne by individuals, and then reimbursed in proportion according to the reimbursement policy of serious illness insurance for urban and rural residents.

3. Inclined payment. Hospitalization expenses incurred within the policy scope within the county shall be paid obliquely for the remaining part after reimbursement of basic medical insurance and serious illness insurance. The hospitalization expenses within the scope of the policy refer to the medical expenses that conform to the basic medical insurance drug list, the diagnosis and treatment project list and the scope of medical service facilities, including the deductible and the individual pays part in the list.

4. medical assistance. Give assistance to the hospitalization expenses within the scope of the policy catalogue outside the county that meet the conditions for assistance; For patients suffering from serious diseases who need long-term outpatient treatment, resulting in higher out-of-pocket expenses, outpatient assistance shall be given according to relevant policies and regulations. Among them: if "one-stop" instant settlement has been carried out, the patient only needs to settle the part that the individual should bear when leaving the hospital; If the "one-stop" instant settlement is not carried out, the patient shall apply to the local civil affairs department for assistance within the specified time with the valid certificate of compliance medical expenses after discharge.

5. Fund assistance. For patients whose personal medical expenses are still heavy after being reimbursed (rescued) through the above four channels, the health fund will give assistance again. Ensure that after reimbursement (assistance) through the above process, the personal burden of hospitalization and chronic disease outpatient maintenance treatment expenses of poor patients in the county is controlled within 1% of the total expenses. Further increase assistance to poor patients with special difficulties to ensure that they do not return to poverty due to illness.