What methods can be used for medical assistance
The methods that can be used for medical assistance include providing corresponding subsidies to people with minimum living allowances. Medical assistance recipients who are still unable to pay after being insured will be subsidized, which has a significant impact on society. Implement relief for various diseases. Medical insurance reimbursement requires submission of ID card, medical insurance card, and designated medical diagnosis and medical records.
1. What methods can be used for medical assistance?
Medical assistance can be provided in the following ways:
1. For urban residents who receive minimum living allowances and those who are supported by special poverty. Subsidies will be provided for the personal payment portion of basic medical insurance and new rural cooperative medical care;
2. After medical assistance recipients have been paid by basic medical insurance, critical illness insurance and other supplementary insurance, they will be provided with medical assistance that is unaffordable for individuals and their families. Subsidy will be provided for the specified medical expenses;
3. Urban and rural areas shall implement a unified medical assistance policy for serious and serious diseases, giving priority to diseases with high medical expenses and great social impact, and providing assistance to diseases not included in the rescue. For diseases that are within a certain scope but have relatively high medical costs and heavy personal burdens, medical assistance for major and serious diseases should be provided.
2. What materials are needed for medical insurance reimbursement
The following materials are required for medical insurance reimbursement:
1. ID card, medical insurance card;
2. Disease diagnosis certificates and outpatient medical records, examinations, and test results reports issued by designated medical institutions;
3. Charging documents and relevant invoices issued by medical institutions.
According to Article 29 of the "Social Insurance Law", the part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly by 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.
3. Medical assistance reimbursement ratio
The reimbursement ratio for serious illness medical assistance will be different when treated in hospitals of different levels. The details are as follows:
1. If you are hospitalized in a first-level medical institution and the medical expenses are less than 400 yuan, there is no deductible;
2. In a second-level medical institution, there is no deductible When visiting a hospital, the proportion of medical subsidies can be increased to 75%~80%;
3. When visiting a tertiary hospital, the proportion of medical subsidies can be increased to 55%~60%;
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4. For medical treatment in provincial tertiary hospitals, the proportion of medical subsidies can be increased to 55%. Among them, the medical subsidy for outpatient coordination in townships and villages is as high as 65% and 75% respectively.
5. For 8 common serious diseases such as congenital heart disease in children, the new rural cooperative medical system’s subsidized disease quota is 70%. For 12 major diseases such as lung cancer, the new rural cooperative medical system’s subsidized disease quota will strive to reach 70%. 70%.