1. The reimbursement standard of poor households' hospitals is consistent with that of ordinary residents. Medical reimbursement is only divided into rural residents and urban workers, regardless of whether they are poor or not. Proportion of residents' reimbursement: 60% in town health centers; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. Urban residents incurred medical expenses below 654.38+10,000 yuan within a settlement year, and the threshold for tertiary hospitals was 659 yuan.
2. For poor households, there is also the docking of precise poverty alleviation supplementary medical insurance and basic medical insurance to reduce the burden on patients. 90% of the expenses in the catalogue of the first class of poor people are reimbursed, and 70% of the expenses outside the catalogue account for less than10%; 70% of the expenses in the catalogue of the second-class poor people are reimbursed, and 50% of the expenses outside the catalogue are reimbursed within 10%. The amount of compensation is not capped. Hospitalization in designated medical institutions in the city, beyond 10%, designated medical institutions bear 50%. Out-of-hospital expenses exceeding 10% will not be compensated.
Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation. The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get necessary material help from the society, reduce the burden of medical expenses, and prevent sick social members from "poverty due to illness".
Hospitalization reimbursement standard for poor households:
Medical reimbursement is only divided into rural residents and urban workers, regardless of whether they are poor or not.
1, residents' reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
2, urban residents, in a settlement year, the medical expenses that meet the scope of reimbursement are 65,438+10,000 yuan, the threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.
Preferential policies for poor households:
1, industrial support subsidies for poor households
The subsidy standard is 4000 yuan/household, which is used to build a file for poor households to develop their industries, and the funds will be cashed after acceptance.
2. Education subsidies for poor households
(1) Preschool education is free;
(2) Compulsory education is exempt from miscellaneous fees, textbooks and exercise books, and enjoys boarding subsidies. 500 yuan for primary school students and 625 yuan for junior high school students, and 4 yuan for each student every day;
(3) Senior high school education: state grants will be issued, and each student who sets up a file can get a subsidy of 1 1,000 yuan per year;
(4) University education: Each person can get a subsidy of 4,000 yuan per year (including 2,000 yuan for tuition and 2,000 yuan for living allowance) until the end of his studies. During the period of suspension, the grant is suspended.
3. Medicaid for poor families
(1) poor households who enjoy the "ten exemptions and four subsidies" for medical poverty alleviation by establishing a file;
② At present, hospitalization in this area is "zero payment" for personal medical expenses;
③20 17 poor households are exempt from the new rural cooperative medical system.
4, poor households civil subsistence allowances
(1) the key minimum living standard 220 yuan/person/month;
(2) The general guarantee standard is 120 yuan/person/month.
5. Housing subsidies for poor families
① Subsidies for renovation of dilapidated buildings: C-level subsidy10.5 million yuan, and D-level subsidy of 25,000 yuan;
② Subsidy for ex situ poverty alleviation and relocation: 50,000 yuan per capita for those who voluntarily purchase legal commercial housing in Chaotian City; Voluntary self-construction in rural areas according to unified planning, with a per capita subsidy of 20 thousand yuan; 6. Social security subsidies for poor families
To sum up, the health poverty alleviation card is issued by the county health authorities, 1 person, 1 card. Only the identity card and the health poverty alleviation card are the same person can be reimbursed.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.