Serious illness relief policy, what is a serious illness relief policy

Legal Analysis: Serious illness medical assistance refers to urban and rural residents suffering from major illnesses and causing difficulties in medical and family life, who are given limited financial assistance and enjoy preferential medical policies; Assistance will be provided to groups with special difficulties (including urban subsistence allowance recipients, rural subsistence allowance recipients, rural five guarantee recipients, urban workers in extreme poverty and their family members), and subsidized them to participate in the urban residents' medical insurance or the new rural cooperative medical care system.

Legal basis: "Opinions of the General Office on the Comprehensive Implementation of Critical Illness Insurance for Urban and Rural Residents" 3. Improve the level of protection of critical illness insurance.

1) Full coverage of urban and rural residents. Critical illness insurance covers the basic medical insurance for urban and rural residents, and the coverage is connected with the basic medical insurance for urban and rural residents. If the insured suffers from a serious illness and incurs high medical expenses, the serious illness insurance will provide protection for the eligible medical expenses borne by the individual after being paid by the basic medical insurance for urban and rural residents in accordance with the regulations.

For high medical expenses, the annual cumulative compliant medical expenses borne by the individual may exceed the annual per capita disposable income of urban residents and rural residents in the previous year as the main basis for calculation. According to the changes in the income of urban and rural residents, establish a dynamic adjustment mechanism, and study and refine the scientific definition standards for serious diseases, which shall be determined by the local government according to the actual situation. The specific scope of compliant medical expenses is to be determined separately by each province (autonomous region, municipality) and the Xinjiang Production and Construction Corps in light of actual conditions.

2) Gradually increase the proportion of payments. In 2015, the proportion of critical illness insurance payment should reach more than 50%, and with the continuous improvement of the financing ability and management level of critical illness insurance, the proportion of payment should be further increased to reduce the burden of personal medical expenses more effectively. The proportion of critical illness insurance payment is formulated according to the level of medical expenses, and the higher the medical expenses, the higher the payment ratio.

Encourage local governments to explore specific methods to appropriately favor groups in need, and strive to improve the accuracy of the basic protection of the serious illness insurance system.

Serious illness medical assistance refers to a new type of medical assistance system that relies on the basic medical insurance for urban residents (employees) and the new rural cooperative medical settlement platform, with stable capital investment, shared service platforms, information resource sharing, synchronous settlement and payment, standardized management and operation, obvious relief effects, and can provide fast services for the people in need, covering urban and rural areas in a scientific and standardized manner. Recipients:

1) Rural Five Guarantees;

2) Persons who are unable to work, have no economic income, and are unable to provide legal support (support) to dependents (referred to as "three no-personnel" in urban areas);

3) Recipients of the minimum subsistence guarantee for urban and rural residents;

4) Employees who are relegated in the 60s who enjoy the regular and quantitative living allowance of the civil affairs department;

5) Key preferential recipients who enjoy regular bereavement allowances from civil affairs departments;

6) Employees in extreme poverty approved by the Federation of Trade Unions;

7) Urban and rural low-income family members.

Form of assistance: Serious illness medical assistance is based on the five-in-one method of "subsidy and participation in insurance, reduction and exemption of basic diagnosis and treatment fees, special outpatient fixed amount assistance, inpatient medical assistance, and charitable assistance for serious illnesses", and the aid objects no longer need to implement individual application, review and approval, and can be directly included in the urban and rural medical insurance and medical assistance database, and fully implement the synchronous settlement service of basic diagnosis and treatment fee reduction, medical insurance compensation, medical assistance, and personal self-responsibility.

Legal basis: "Opinions on Further Improving the Medical Assistance System and Comprehensively Carrying Out Medical Assistance for Serious and Serious Diseases" I. General Requirements (1) Guiding Ideology. Thoroughly implement the spirit of the 18th National Congress of the Communist Party of China and the 2nd, 3rd and 4th Plenary Sessions of the 18th Central Committee of the Communist Party of China, with the goal of improving the social assistance system and protecting the basic medical rights and interests of the people in need, further improve the working mechanism, improve policies and measures, strengthen standardized management, strengthen overall planning, continuously improve the level of medical assistance management services, and minimize the burden of medical expenses on the needy.

Legal analysis: The serious illness relief policy is to provide limited assistance and preferential medical treatment for urban and rural residents who are sick and poor; Provide pre-medical assistance to extremely poor households: urban subsistence households, rural subsistence households, rural five-guarantee households, and urban poor and their families, and subsidize them to participate in urban residents' medical insurance or the new rural cooperative medical system.

Legal basis: "Opinions on Further Improving the Medical Assistance System and Comprehensively Carrying Out Medical Assistance for Serious and Serious Diseases" I. General Requirements (1) Guiding Ideology. Thoroughly implement the spirit of the 18th National Congress of the Communist Party of China and the 2nd, 3rd and 4th Plenary Sessions of the 18th Central Committee of the Communist Party of China, with the goal of improving the social assistance system and protecting the basic medical rights and interests of the people in need, further improve the working mechanism, improve policies and measures, strengthen standardized management, strengthen overall planning, continuously improve the level of medical assistance management services, and minimize the burden of medical expenses on the needy.

Legal Analysis: Rescue Recipients:

1) Rural Five Guarantees;

2) Persons who are unable to work, have no economic income, and are unable to provide legal support (support) to dependents (referred to as "three no-personnel" in urban areas);

3) Recipients of the minimum subsistence guarantee for urban and rural residents;

4) Employees who are relegated in the 60s who enjoy the regular and quantitative living allowance of the civil affairs department;

5) Key preferential recipients who enjoy regular bereavement allowances from civil affairs departments;

6) Employees in extreme poverty approved by the Federation of Trade Unions;

7) Urban and rural low-income family members.

Form of assistance: Serious illness medical assistance is based on the five-in-one method of "subsidy and participation in insurance, reduction and exemption of basic diagnosis and treatment fees, special outpatient fixed amount assistance, inpatient medical assistance, and charitable assistance for serious illnesses", and the aid objects no longer need to implement individual application, review and approval, and can be directly included in the urban and rural medical insurance and medical assistance database, and fully implement the synchronous settlement service of basic diagnosis and treatment fee reduction, medical insurance compensation, medical assistance, and personal self-responsibility.

Legal basis: Interim Measures for Social Assistance

1) Family members with minimum subsistence allowances;

2) Persons supported by persons living in extreme poverty;

3) Other persons with special difficulties as provided for by the people at or above the county level.

Article 29: The following methods are to be used for medical assistance:

1) Subsidies shall be given to the recipients of assistance for the portion of their individual contributions to participate in the basic medical insurance for urban residents or the new type of rural cooperative medical care;

2) Subsidies will be given to the basic medical expenses that are difficult for individuals and their families to bear after being paid by basic medical insurance, serious illness insurance and other supplementary medical insurance.

The standards for medical assistance shall be determined and announced by the people at or above the county level in accordance with the level of economic and social development and the situation of medical assistance funds.

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Legal Analysis: Rescue Recipients:

1) Rural Five Guarantees;

2) Persons who are unable to work, have no economic income, and are unable to provide legal support (support) to dependents (referred to as "three no-personnel" in urban areas);

3) Recipients of the minimum subsistence guarantee for urban and rural residents;

4) Employees who are relegated in the 60s who enjoy the regular and quantitative living allowance of the civil affairs department;

5) Key preferential recipients who enjoy regular bereavement allowances from civil affairs departments;

6) Employees in extreme poverty approved by the Federation of Trade Unions;

7) Urban and rural low-income family members.

Form of assistance: Serious illness medical assistance is based on the five-in-one method of "subsidy and participation in insurance, reduction and exemption of basic diagnosis and treatment fees, special outpatient fixed amount assistance, inpatient medical assistance, and charitable assistance for serious illnesses", and the aid objects no longer need to implement individual application, review and approval, and can be directly included in the urban and rural medical insurance and medical assistance database, and fully implement the synchronous settlement service of basic diagnosis and treatment fee reduction, medical insurance compensation, medical assistance, and personal self-responsibility.

Legal basis: Interim Measures for Social Assistance

1) Family members with minimum subsistence allowances;

2) Persons supported by persons living in extreme poverty;

3) Other persons with special difficulties as provided for by the people at or above the county level.

Article 29: The following methods are to be used for medical assistance:

1) Subsidies shall be given to the recipients of assistance for the portion of their individual contributions to participate in the basic medical insurance for urban residents or the new type of rural cooperative medical care;

2) Subsidies shall be given to the recipients of assistance who are paid by basic medical insurance, serious illness insurance and other supplementary medical insurance, and whose basic medical expenses are difficult for individuals and their families to bear in accordance with the regulations.

The standards for medical assistance shall be determined and published by the people at or above the county level in accordance with the level of economic and social development and the situation of medical assistance funds.