1. What discounts are there for rural low-income households receiving hospitalization?
1. Medical expense exemption.
When people receiving special poverty support, people with minimum living allowances and people with living allowances receive medical treatment, they can enjoy a 20% reduction in basic surgery fees and large equipment examination fees for CT and MRI, as well as a 50% reduction in general inpatient bed fees. .
2. Outpatient assistance.
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, will be borne by the civil affairs department in accordance with 70 Medical assistance will be provided at a certain proportion, with the annual assistance capped at 4,000 yuan.
3. Serious disease relief.
After the outpatient or inpatient medical expenses incurred by social assistance recipients suffering from major diseases are reimbursed by medical insurance or new rural cooperative medical care, the personal burden will be provided by the civil affairs department at a ratio of 75% for major disease assistance throughout the year. The maximum cumulative amount of assistance is 80,000 yuan.
2. Who can enjoy rural subsistence allowances?
1. Residents (villages) who have no financial resources, no ability to work, and no legal caregivers or caregivers;
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2. Residents (villages) who are still unable to re-employ while receiving unemployment benefits or upon expiration of unemployment benefits, and whose per capita monthly household income is lower than the municipal subsistence allowance standard;
3. Working Residents (villages) whose family’s per capita monthly income is still lower than the municipal subsistence allowance standard after the personnel receive wages or minimum wages and retirees receive pensions;
4. The per capita monthly income of other families is lower than Residents (villages) meeting the city's minimum living standard (excluding five-guarantee recipients).
3. What is the approval process for rural subsistence allowance application?
1. Application. The head of the household shall submit a written application through the village committee to the people's government of the town or town where he or she lives and provide relevant supporting materials.
2. Preliminary review. After receiving the application, the village committee organizes village representatives to carry out democratic evaluation and conduct a preliminary review of the family situation of the applicant. The results of the preliminary review will be publicized in the village for 3-5 days, and the villagers' committee will be guided to fill in the "Rural Residents' Minimum Living Security Benefit Application Approval Form" , and submit it to the township people's government together with all the materials submitted by the applicant.
3. Review. After verifying that the applicant's submitted materials are complete, the township people's government will formally accept the applicant's application, immediately organize household inspections, and put forward subsidy suggestions for those who meet the requirements. The village committee will publicize the second list for 3-5 days. Applicants who do not meet the conditions will be notified by the township people's government, and those who meet the conditions will be reported to the county-level approval management agency.
4. Approval. After receiving the submitted application materials, the county-level civil affairs department immediately organizes household verification and reexamination, and conducts approval according to law. For those who are eligible for rural subsistence allowances, they will notify the village committee where they are located to publicize the third list again for 3 days, and issue the third list to those who have no objections. Give the "Rural Residents Minimum Living Security Benefit Receipt Certificate" and the security fund receipt passbook, and notify applicants in writing who are not eligible for rural subsistence allowance benefits.
To sum up, rural low-income and difficult families can apply for subsistence allowances, so that they can receive a monthly payment. Subsistence allowance households enjoy preferential policies in many aspects. For example, when seeing a doctor, the outpatient expenses can be reimbursed. If a major disease is treated, the reimbursement ratio is around 75%. Medical expenses can also be reimbursed or reduced. Precisely because there are many discounts for low-cost savings, the relevant departments must strictly control the review qualifications.
Hospitalization with minimum living allowance also costs money, and the initial expenses must be paid in advance by yourself. You can not be reimbursed until you are discharged from the hospital. If there is room, the reimbursement ratio is relatively high, between 70 and 80.
Legal basis: "Social Insurance Law of the People's Republic of China"
Article 27: Individuals who participate in the basic medical insurance for employees shall, when they reach the legal retirement age, their cumulative contributions reach the national Those who have reached the prescribed number of years will no longer pay basic medical insurance premiums after retirement and will enjoy basic medical insurance benefits in accordance with national regulations; those who have not reached the prescribed number of years can pay premiums up to the prescribed number of years.
Article 28: Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.
Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(1) Should be paid from the work-related injury insurance fund;
( 2) Should be borne by a third party;
(3) Should be borne by the public health department;
(4) Seek medical treatment abroad.
Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first. After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.
Article 31: Social insurance agencies may sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior based on the needs of management services.
Medical institutions should provide reasonable and necessary medical services to insured persons.