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Reimbursement process for hospitalization subsistence:
1.Application: Eligible low-income residents should apply for relevant assistance from the head of the household to the neighborhood committee (or village committee) of the community where their household registration is located, and provide household registration booklets, income certificates and other materials.
2.Review: The handling personnel of the community and neighborhood (village) committees shall assist in the preliminary examination, evaluation and publicity of the qualifications of the applicants; The sub-district and township social security offices are responsible for the household investigation and examination of the qualifications of the applicants;
3.Examination and approval: The district and county civil affairs bureaus shall complete the examination and approval procedures within 30 days of receiving the approval materials for families that meet the conditions for temporary assistance; If the applicant does not meet the requirements, the applicant shall be notified in writing within 30 days and the reasons shall be explained.
In accordance with the principle of "insurance first, then assistance", the low-income and low-income groups will first be reimbursed according to the type of medical insurance they participate in, and the remaining part can apply for medical assistance, that is, another 60% will be reimbursed. It is understood that most of these people participate in the medical insurance of "one old" or unemployed residents, and the original amount of hospitalization reimbursement is 60%; As a result, 84 per cent of these personnel will be reimbursed.
In addition, the outpatient expenses for three conditions can be calculated according to the hospitalization fee: radiation** and chemistry** for malignant tumors, outpatient medical expenses for taking anti-rejection drugs after kidney dialysis and kidney transplantation (including combined liver-kidney transplantation); For those who are placed under emergency care and admitted to the hospital**, their medical expenses within 7 days of observation before hospitalization; Where a person dies in emergency room for emergency treatment, the medical expenses incurred within 7 days of observation before death.
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Didn't participate in the group therapy? 80% reimbursement for combined treatment.
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Summary. More than 60% of the hospitalization reimbursement rate of urban subsistence allowance households is as follows: 1. The subsistence allowance and low-income groups intend to follow the principle of "insurance first, then assistance", first according to the medical insurance type they participate in, and the remaining part can apply for medical assistance, that is, 60% will be reimbursed.
Most of these people participate in the medical insurance for "one elderly" or unemployed residents, and the original amount of hospitalization reimbursement is 60%; As a result, 84 per cent of these personnel will be reimbursed. 2. In addition, the outpatient expenses of three situations can be calculated according to the hospitalization fee: radiation and chemistry for malignant tumors, and outpatient medical expenses for taking anti-rejection drugs after kidney dialysis and kidney transplantation (including liver-kidney transplantation); For those who are placed under emergency care and admitted to the hospital**, their medical expenses within 7 days of observation before hospitalization; Where a person dies in emergency room for emergency treatment, the medical expenses incurred within 7 days of observation before death.
More than 60% of the hospitalization reimbursement rate of urban subsistence allowance households is as follows: 1. The subsistence allowance and low-income groups intend to follow the principle of "insurance first, then assistance", first according to the medical insurance type they participate in, and the remaining part can apply for medical assistance, that is, 60% will be reimbursed. Most of these people participate in the medical insurance of "one old" or unemployed residents, and the original reimbursement amount for hospitalization in Danshanmo is 60%; As a result, 84 per cent of these personnel will be reimbursed.
2. In addition, the outpatient expenses of three situations can be calculated according to the hospitalization fee: radiation and chemistry for malignant tumors, outpatient medical expenses for kidney dialysis and kidney transplantation (including liver and kidney combined model slow closure but chaotic transplantation) and then taking anti-rejection drugs; For those who are placed under emergency care and admitted to the hospital**, their medical expenses within 7 days of observation before hospitalization; Where a person dies in emergency room for emergency treatment, the medical expenses incurred within 7 days of observation before death.
3. For example, Mr. Wang, a low-income worker and an unemployed urban resident, spent 10,000 yuan on hospitalization. Because they are low-income people, there is no minimum payment line for hospitalization reimbursement. According to the medical insurance policy for unemployed residents that he participated, the proportion of hospitalization reimbursement is 60%, and 6,000 yuan can be reimbursed by the medical insurance first.
The 4,000 yuan of self-paid transportation can apply for temporary medical assistance, and another 60% will be reimbursed, that is, another 2,400 yuan.
The highest reimbursement rate for hospitalization of low-income households is 60%, and for low-income households, the elderly under the five guarantees, and the preferential care objects, the medical expenses of hospitalization** due to illness can be reimbursed again for 65% after the medical expenses are reimbursed by the New Rural Cooperative Medical System or the medical insurance of the city's return to hunger town, with a ceiling of 10,000 yuan. The patient's medical expenses are the remaining expenses after the two reimbursements plus the out-of-pocket expenses. If you have difficulties in living and meet the requirements for the subsistence allowance, you can apply for the subsistence allowance.
If you want to be hospitalized, if you have medical insurance, you can apply for medical reimbursement just like ordinary people.
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Hello, dear and dear, I am happy to answer for you: how much is the self-payment for hospitalization can apply for subsistence allowanceAnswer: Under normal circumstances, the self-paid compliance part of the individual can handle serious illness assistance if it exceeds 8,000 yuan, but the policies are different in different places, so you can consult the relevant local department before reimbursement.
1. After being reimbursed by the New Rural Cooperative Medical System, resident medical insurance and serious illness insurance, the urban and rural subsistence allowance recipients and the injured who have been injured in the service of righteousness and courage will be given assistance in accordance with the proportion of 60%, and the maximum ceiling line for a single assistance is 20,000 yuan; 2. Key preferential care recipients (excluding disabled servicemen of grades 1-6 and disabled servicemen with old injuries of grade 7-10) who are hospitalized due to illness will be given a maximum of 20,000 yuan per person per year after being reimbursed by the special assistance of the New Rural Cooperative Medical System, resident medical insurance, serious illness insurance and preferential care departments; 3. Low-income families in difficulty, families suffering from major diseases or people in difficulty who are unable to afford to be hospitalized due to illness will be given assistance according to the proportion of 20% after being reimbursed by the New Rural Cooperative Medical System, resident medical insurance and serious illness insurance, and the maximum ceiling line for a single assistance is 10,000 yuan; 4. After the amount of hospitalization assistance for urban and rural subsistence allowance recipients reaches the upper limit, the out-of-pocket expenses shall start at 10,000 yuan, and the part above 10,000 yuan shall be provided with secondary assistance according to the proportion of 30%, and the amount shall not exceed 40,000 yuan per person per year; 5. After the amount of hospitalization assistance for other aid recipients reaches the upper limit, the out-of-pocket expenses shall be 10,000 yuan as the starting point, and the part above 10,000 yuan shall be assisted for the second time according to the proportion of 20%, and the amount shall not exceed 20,000 yuan per person per year. Extended information: Serious illness subsidies of more than 5,000 can be subsidized.
Amount of Serious Illness Subsidy for Rural Residents Inpatients participating in cooperative medical care will be compensated in stages for one-time or annual cumulative reportable medical expenses exceeding 5,000 yuan, that is, 65% of the compensation of 5,001-10,000 yuan and 70% of the compensation of 10,001-18,000 yuan. The annual compensation limit of town-level cooperative medical inpatient and uremia outpatient hemodialysis, tumor outpatient radiotherapy and chemotherapy is 10,000 yuan. Legal basis:
Social Insurance Law of the People's Republic of China Article 28 In line with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **. Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.
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Summary. Dear Hello can be reimbursed. Procedures required for reimbursement:
1. Original ID card or social security card;
2. The original certificate of disease diagnosis issued by the specialist doctor of the designated medical institution;
3. Original medical information such as outpatient medical records, examinations, and test result reports;
4. The original receipt of outpatient charges of the unified financial and taxation medical institutions;
5. The detailed list of outpatient expenses printed by the hospital computer or the original payment prescription issued by the doctor;
6. Designated pharmacies: the original uniform invoice for the sale of tax commodities and the computer printed list;
7. If it is handled on behalf of the agent, the original ID card of the agent needs to be provided.
Can I still apply for reimbursement of 7,000 yuan for self-payment for hospitalization?
Dear Hello can be reimbursed. Procedures required for reimbursement: 1. Original ID card or social security card; 2. The original certificate of disease diagnosis issued by the specialist doctor of the designated medical institution; 3. Original medical information such as outpatient medical records, examinations, and test result reports; 4. The original receipt of outpatient charges of the unified financial and taxation medical institutions; 5. The detailed list of outpatient expenses printed by the hospital computer or the original prescription issued by the doctor in the number of doctors; 6. Designated pharmacies:
The original invoice and computer-printed list of tax commodity sales; 7. If it is handled on behalf of the agent, the original ID card of the agent needs to be provided.
If you want to be reimbursed, you can reimburse the remaining part of the reimbursement through the new rural cooperative medical or urban medical insurance, and Changsheng can re-reimburse at a rate of 65%, with a maximum limit of 10,000 yuan. For low-income families, the medical expenses borne by the patient are the remaining expenses after two reimbursements plus the out-of-pocket expenses of Sakura.
I hope it will be helpful to you, if it helps you, please give a thumbs up, thank you.
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1. There is generally no difference in reimbursement ratio.
2. There is generally no threshold for hospitalization reimbursement for low-income households.
3. After the reimbursement is made, the low-income households can also enjoy a certain proportion of civil affairs serious illness assistance if the conditions are met. And the average farmer does not enjoy it.
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I've seen your question, and I'm going crazy about codewording.
After the review of the relevant departments, the information is complete and meets the requirements, and it can be handled immediately.
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2. The original certificate of disease diagnosis issued by the specialist doctor of the designated medical institution;
3. Original medical information such as outpatient medical records, examinations, and test result reports;
4. The original receipt of outpatient charges of the unified financial and taxation medical institutions;
5. The detailed list of outpatient expenses printed by the hospital computer or the original payment prescription issued by the doctor;
6. Designated pharmacies: the original uniform invoice for the sale of tax commodities and the computer printed list;
7. If it is handled on behalf of the agent, the original ID card of the agent needs to be provided.
Bring all the above information to the relevant departments of the local social security center to apply for processing, and after review, the information is complete and meets the requirements, you can handle it immediately. When the applicant applies for reimbursement of outpatient medical expenses, the amount transferred to the personal account of medical insurance in the current social security year shall be deducted first, and then the reimbursement amount shall be approved.
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It is recommended that you call your local health insurance ** for advice.
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1. Eligible low-income residents shall apply for relevant assistance from the neighborhood committee or village committee of the community where their household registration is located, and issue proof of income from their household registration book.
2. The handling personnel of the community and neighborhood village committees shall assist in the preliminary examination, evaluation and publicity of the qualifications of the applicants; The sub-district and township social security offices are responsible for the household investigation and examination of the qualifications of the applicants;
3. The district and county civil affairs bureaus shall complete the examination and approval procedures within 30 days of receiving the approval materials for families that meet the conditions for temporary assistance; If the applicant does not meet the requirements, the applicant shall be notified in writing within 30 days and the reasons shall be explained.
4. In accordance with the principle of "insurance first, then assistance", the subsistence allowance and low-income groups will first be reimbursed according to the medical insurance types they participate in, and the remaining part can apply for medical assistance, that is, another 60% will be reimbursed. It is understood that most of these people participate in the medical insurance of "one old" or unemployed residents, and the original amount of hospitalization reimbursement is 60%; As a result, 84 per cent of these personnel will be reimbursed.
At present, the hospitalization cost of unemployed urban residents is 10,000 yuan. Because they are low-income people, there is no minimum payment line for hospitalization reimbursement. According to the medical insurance policy for unemployed residents that he participated, the reimbursement ratio for hospitalization is 60%, and he can be reimbursed by the medical insurance for 6,000 yuan first.
The out-of-pocket part of 4,000 yuan can apply for temporary medical assistance, and another 60% will be reimbursed, that is, another 2,400 yuan. To sum up, 10,000 yuan of medical expenses can be reimbursed 8,400 yuan.
What materials are required for hospitalization reimbursement for low-income households?
1. A copy of the applicant's ID card (the front and back are copied on a piece of paper);
2. A copy of the applicant's household registration book (the first page of the household registration book and the page of the applicant are copied on a piece of paper);
3. A copy of the subsistence allowance and low-income certificate (the outer skin and content of the certificate are copied on a piece of paper);
4. One individual application;
5. The division of the reported drug expenses.
What is the reimbursement rate?
In accordance with the principle of "insurance first, then assistance", the low-income and low-income groups will first be reimbursed according to the type of medical insurance they participate in, and the remaining part can apply for medical assistance, that is, another 60% will be reimbursed. It is understood that most of these people participate in the medical insurance of "one old" or unemployed residents, and the original amount of hospitalization reimbursement is 60%; As a result, 84 per cent of these personnel will be reimbursed.
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Summary. Dear, dear, rural low-income households can also apply for medical assistance after reimbursement of hospitalization of 10,000 yuan, and the inpatient medical expenses paid by individuals within the scope of the policy and the expenses of second-class outpatient special diseases will be assisted at a rate of 70%, with an annual limit of 20,000 yuan.
Dear, hello, rural low-income households can also apply for medical assistance after reimbursement of hospitalization of 10,000 yuan, and the cost of inpatient medical expenses paid by individuals within the scope of the policy will be 70% of the cost of special diseases in the second class of outpatient clinics, with an annual limit of 20,000 yuan.
How to apply. Dear, to apply for a second reimbursement, the applicant needs to quietly bring his ID card and medical insurance card to the designated medical institution to go through the reimbursement procedures. If the insured person entrusts others to handle it, he or she shall also provide the original and copy of the second-generation resident slag certificate of the first person.
2. Submit relevant materials. 3. Conduct an audit. 4. After the review is passed, the insured person can get the second reimbursement of medical insurance.
2. Materials required for reimbursement: ID card, medical insurance compensation statement, medical institution expense invoice, discharge summary, diagnosis certificate, outpatient medical record, bank remittance account number, etc. 3. The second reimbursement of medical insurance is also called critical illness insurance underwriting, which refers to the residents who participate in the urban residents' medical insurance or the New Rural Cooperative Medical System, if the medical expenses exceed their personal affordability, in addition to the normal reimbursement, they can also apply for a serious illness insurance reimbursement, and there is no upper limit.
Low-income households, insured in Shangluo City, hospitalized in Tangdu Hospital of Xi'an, can all reimbursements be reimbursed?
Dear, hello, the low-income household Huai Liang teased your insured place in Shangluo City, and if you are hospitalized in Xi'an Tangdu Lead Selling Hospital, you need to go to the local record in advance, and then go to the hospital to make a referral when you are hospitalized, so that all the expenses of 80 100 can be reimbursed.
Hit that ** office referral.
Dear, if you have filed with the medical insurance office, you need to call the medical insurance referral center **, and transfer your file to Xi'an Tangdu Hospital, dear, you need to call the medical insurance office of your city and county**.
The designated medical institution belongs to that department.
Dear, the designated medical institutions are under the jurisdiction of the Medical Insurance Bureau and the Social Security Bureau.
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