1. Medical fee waiver.
Special-needs dependent persons, persons with minimum subsistence allowance and persons with livelihood hardship assistance can enjoy a reduction or exemption of % of the basic surgical fee and CT, nuclear magnetic **** vibration large-scale equipment examination fee, as well as % of the general inpatient hospital bed fee when they visit the clinic.
2. Outpatient assistance.
Urban and rural low-income and low-income people who are not entitled to basic medical insurance for employees incur outpatient costs, after the basic medical insurance for residents or the new rural cooperative reimbursement, the individual part of the burden by the civil affairs department in accordance with the ratio of 7% of the medical aid, the annual aid ceiling yuan.
3, major disease assistance.
Social assistance recipients of outpatient or inpatient medical expenses incurred as a result of major diseases, after reimbursement by medical insurance or the New Farmers' Cooperative Medical Insurance, the part of the individual's burden by the civil affairs department in accordance with the ratio of 7% of the major illnesses to be given assistance, the annual maximum cumulative amount of assistance is 80,000 yuan.
4, the relief of diseases have categories.
Malignant tumors, end-stage renal disease, severe mental illness, type I diabetes mellitus, congenital heart disease, leukemia, hemophilia, aplastic anemia, organ transplantation (heart, lungs, liver, kidneys); multi-drug tuberculosis, acute myocardial infarction, cerebral infarction, hyperthyroidism, cleft lip and palate, and opportunistic infections of AIDS (new).
5. Maternity assistance.
Enjoying social assistance and holding a certificate of maternity service issued by the city's health and family planning department of the poor pregnant women, after reimbursement by the medical insurance, new rural cooperative, etc., within the scope of the policy of the individual part of the burden, by the civil affairs department in accordance with the pregnancy check-up assistance of up to yuan, no more than $ normal delivery assistance in the hospital delivery of cesarean section of the hospital delivery assistance of up to yuan to give birth to the assistance.
6. Reduction and exemption of hospitalization deposits and immediate settlement of discharges.
Urban and rural low-income and low-income people in need of hospitalization, the designated medical institutions can enjoy a 7% reduction in hospitalization deposits, of which the urban "three have-nots", rural five guarantees to support the people and civil affairs departments managed by the return of the city of Zhiqing disabled due to public service (illness) can enjoy hospitalization deposit reductions. For the reimbursement by the medical insurance or new rural cooperative part of the personal burden, by the designated medical institutions in proportion to the advance payment, urban and rural low-income people and low-income people only need to pay the actual part of the burden can be discharged for formalities.
Low-income medical assistance objects
Where the county has a permanent household registration, due to medical treatment of diseases that affect the basic life and meet one of the following conditions of the residents in need can apply for medical assistance.
1, urban low-income recipients;
2, rural low-income recipients, five-guarantee recipients;
3, other special difficulties in need of medical assistance. Urban residents without a source of livelihood, without the ability to work, without legal support (support, maintenance) (hereinafter referred to as the urban "three no" objects), rural five guaranteed objects, the key beneficiaries, disabled people in the same conditions to give priority to medical assistance.
Low-income medical assistance reimbursement rate
Low-income households hospitalization reimbursement rate: low-income and low-income groups in accordance with the principle of "first insurance, then assistance", first according to their respective medical insurance insurance reimbursement, the remaining part can apply for medical assistance, that is, reimbursement of 60%. Most of this group of people are participating in the "old" or unemployed residents of the medical insurance, hospitalization reimbursement of the original amount of 60%; this part of the population will be able to reimburse 84%.
How much is the general medical aid for low-income people
1, the part of medical expenses incurred by low-income people for hospitalization, general outpatient and specific outpatient services that are the responsibility of the individual after enjoying the social security medical insurance treatment (excluding the hospitalization starting deposit), after deducting the portion of the reimbursement rate that is adjusted downward due to violation of the medical insurance regulations and the items that are purely at one's own expense, 90% of such expenses will be paid for by low-income people's medical aid funds;
2, the starting deposit for the basic medical insurance for hospitalization is 90% of the original amount. The starting payment for hospitalization of basic medical insurance is paid in full by the city's low-income medical assistance fund; after meeting the requirements for enjoying social security maternity medical treatment, the low-income medical assistance fund will provide a one-time subsidy at 50% of the standard of the social security maternity medical treatment.
3. The maximum amount of medical aid per person per year is 80,000 yuan (excluding payment of individual contributions to the basic social security medical insurance).
How to apply for medical assistance
Can be simply summarized as follows: individual application, township (street office) audit, county-level civil affairs departments for approval.
1, application procedures. All urban and rural residents with local permanent residence, their *** with the living of family members per capita income is lower than the local urban and rural residents of the minimum subsistence guarantee standard, and the family property status in line with the local people's government stipulates the conditions of low income, are entitled to directly to the township people's government of the township of its domicile (street office) to submit an application for minimum subsistence guarantee; the township people's government (street offices) without justifiable reasons, may not be refuse to accept the application without a valid reason. Village (neighborhood) people's committees may submit applications on behalf of minimum subsistence guarantee applicants on their behalf. The application for minimum subsistence guarantee shall be made on a household basis, and the relevant materials shall be submitted in accordance with the regulations, with a written statement of the household income and property status, and signed by the applicant.
If the applicant has one of the following conditions, he/she can submit a separate application:
①Adults with severe disabilities who have lost their ability to work due to difficulties in life.
② detached from the family, living independently in the place of worship for more than three years (including three years) and living in difficult circumstances of the religious clergy.
2, review procedures. Township (township) people's government (street office) is the main responsibility for reviewing the application for minimum subsistence allowance, in the village (neighborhood) with the assistance of the People's Committee, the organization of village cadres, community low insurance specialists and other staff, to take the information verification, site visits, neighborhood visits, etc., the applicant's family economic situation and the actual living conditions of the investigation one by one, a detailed verification of the authenticity of the application materials and the declaration of the matter and completeness, after the investigation, the investigator should fill in the family economic situation verification form, and signed by the investigator and the applicant (the person being investigated) to confirm.
3, democratic deliberation. After the household survey, the township people's government (street office) in the village (neighborhood) with the assistance of the People's Committee, the village (community) as a unit of the applicant's family economic status survey results of objectivity and authenticity of the democratic evaluation.
4, the approval process. The county civil affairs department is the main body responsible for the approval of the minimum subsistence guarantee, before making a decision on the approval of the township (town) people's government (street office) to report the investigation materials, audit opinions (including the results of the democratic deliberation) for a comprehensive review, and in accordance with the proportion of not less than 30% of the household sampling; in the applicant's authorization, but also through the local or higher level of residents of the household economic situation verification agency, the township (town) ( street office) reported by the applicant to verify the family economic status of the low-income insurance application. It is strictly forbidden to directly include any group or individual in the scope of the minimum subsistence guarantee without going through the procedures of examination and approval.
5. Public announcement procedures. In the urban and rural residents of the minimum subsistence guarantee review and approval process, to strictly implement the minimum subsistence guarantee review and approval of the public announcement system, standardize the content of the public announcement, the form of the public announcement and the time limit for the public announcement, etc.. Township (township) people's governments (street offices) shall set up fixed bulletin boards in their residences and villages (communities) to publicize the policies on minimum subsistence guarantee and the review and approval process, as well as the consulting and reporting telephone numbers at the county and township levels, and to publicize the results of the household surveys, democratic deliberations, and audits. The civil affairs departments of the people's governments at the county level shall, through permanent bulletin boards or electronic display screens in townships (towns and streets) and villages (communities) and other effective forms, make public announcements regarding the family members, income and amount of protection for the recipients of the minimum subsistence guarantee. In the public announcement, attention should be paid to protecting the privacy of the minimum subsistence guarantee recipients, and it is strictly forbidden to disclose information that has nothing to do with the enjoyment of the minimum subsistence guarantee treatment.
6. Issuance procedures. The urban and rural residents of the minimum subsistence guarantee funds to implement the dedicated, closed operation, take the form of bank socialized distribution, in accordance with the financial treasury management system of the minimum subsistence guarantee payment directly to the protection of the family account, to ensure that the minimum subsistence guarantee payment in full, timely distribution in place.
Low-income medical assistance how much money down
Medical civil assistance is applied for each year in the prescribed time, from the declaration to the end of the approval to the account (to pay money to my bank card) no specific provisions or commitment period is generally in about three months. The amount of assistance is based on medical costs and family hardship, there is no fixed standard.
How to apply for medical aid for serious illnesses
The object of applying for medical aid for serious illnesses first needs to make a written application and fill out the "urban and rural medical aid application approval form" and provide the following supporting materials, as follows:
1, ID card, household registration, the original and photocopies;
2, the true name of the diagnosis of the medical institution, the valid invoices of the medical expenses Original;
3, the originals and copies of the relevant documents provided by the preferential, low-income and disabled objects, of which the retired and working employees need to provide the unit's salary certificate, and the laid-off unemployed need to provide the unemployment certificate.
Bring the above materials to the village committee for preliminary examination, and submit the materials and audit opinions to the town civil residence audit, after layers of approval, eligible for assistance can have the Civil Affairs Bureau unified issuance of "urban and rural residents in need of medical assistance certificate of major illnesses".
Content expansion
I, low income households enjoy what policies?
Low-income households enjoy the following: minimum security payments, subsidies for medical treatment, schooling, housing, heating, etc. for low-income households, and temporary relief, etc.
1. Low-income insurance money.
2, medical care: at the same time the application for low income security, low income households will receive a medical card, hospitalization will enjoy the relevant reductions and exemptions, suffering from serious illnesses will also be entitled to major medical assistance or secondary medical assistance.
3, schooling: that is to say, the ground Abel family students will enjoy partial exemption from tuition fees.
4, housing: At present, only the low-income households without housing will enjoy certain rental subsidies if they rent a room outside.
5. Heating: Partial exemption from heating costs.
6, temporary relief: by the state unified temporary subsidies, such as rising food prices, the state will be uniformly issued food subsidies. Then there are natural and man-made disasters and other temporary by the local civil affairs department issued individual subsidies.
Low-income households are families whose per capita monthly household income is less than the municipal low-income standard for residents (villagers) who are entitled to the national minimum subsistence allowance.
Two: Is there a difference between poverty-alleviating poor households and low-income households in terms of hospital visits?
There is no difference between poverty-alleviating poor households and low-income households in terms of hospitalization.
The conditions for the identification of poverty alleviation poor households:
1, the occurrence of a major disaster, the loss of livelihood security;
2, the occurrence of a major disease, the loss of ability to work, resulting in poverty due to illness;
3, physical disability, no ability to work;
4, more than one child is studying in high school or full-time college, undergraduate and other colleges;
5, minor orphans;
5, the children are in high school or full-time college or undergraduate and so on.
5, minor orphans;
6, has been tied two female households in difficulty;
7, military martyrs families in difficulty, difficult old party members, difficult old village cadres.
Low-income households are recognized as follows:
1. Residents (villagers) who have no source of livelihood, no working ability, and no fixed breadwinner or supporter.
2. Residents who are receiving unemployment benefits or who have not been able to return to work after the expiration of the period of unemployment benefits, and whose per capita household income is lower than the standard of the minimum subsistence guarantee.
3. Residents whose family incomes are still below the guaranteed standard after receiving wages or minimum wages and basic living expenses for the employed and laid-off, as well as pensions for the retired. If they are entitled to special preferential treatment according to the relevant state regulations, their pensions and fixed supplements are not counted as part of their family income.
Three: How much can a low-income household be overdrawn in advance for medical expenses when hospitalized?
Low-income groups, low-income groups to be in accordance with the principle of "first insurance, after the aid", the first in accordance with their respective medical insurance insurance reimbursement, the remaining part of the application for medical assistance, that is, reimbursement of %. It is understood that the majority of this group of people to participate in the "one old" or jobless residents health insurance, hospitalization reimbursement of the original amount are %; so that this part of the population will be reimbursed 8%. In addition, the kind of outpatient costs can be calculated according to the hospital fees: malignant tumors radiation therapy and chemotherapy, renal dialysis, renal transplantation (including combined liver and kidney transplantation) after taking anti-rejection drugs outpatient medical costs; emergency rescue and hospitalization, the hospitalization before the hospital within 7 days of the medical costs of the hospitalization; emergency rescue and hospitalization of the death of the death of the death of the seven days of the hospitalization of the medical costs of the death of the death of the seven days of the medical costs of the hospitalization of the death of the death of the death of the death of the death of the death of the death of the death of the death of the death of the death of the death of the death of the hospital.