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The application process for critical illness assistance is as follows:
1. Fill in the approval form for serious illness assistance;
2. Submit an application for serious illness medical assistance to the local township**;
3. Submit hospitalization invoices, discharge summaries and other materials;
4. If the conditions are met, relief funds will be issued. The conditions for critical illness insurance and critical illness assistance are that the remaining compliant expenses after reimbursement by combined treatment exceed 10,000 yuan, and the critical illness insurance is 60% reimbursement for the part exceeding 10,000 yuan, and the critical illness assistance is 30% of the part exceeding 10,000 yuan after the reimbursement of joint treatment and serious illness insurance. Purely numerically, as long as the conditions for critical illness insurance are sufficient, the conditions for critical illness assistance are also sufficient.
Serious illness medical assistance refers to a new type of medical assistance system that relies on the basic medical insurance for urban residents 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.
Social Insurance Law of the People's Republic of China Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.
Can serious illness assistance still be reimbursed after medical insurance reimbursement?
After the employee is reimbursed by the medical insurance and exceeds the prescribed amount, he can apply for serious illness assistance. Reimbursement conditions for serious illness assistance:
1. Serious illness assistance is based on the basic medical security provided by the urban residents' medical insurance and the NCMS, and the medical expenses borne by the individual after the medical insurance reimbursement are reimbursed for the second time. Therefore, the applicant must be an insured person of urban residents' medical insurance and NCMS;
2. The applicant's serious illness must be within the scope of the critical illness assistance insurance;
3. The part of the medical expenses borne by the applicant after medical insurance reimbursement must meet the local compliant medical expense reimbursement standards, and the reimbursement ratio will be different depending on the applicant's status.
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Application conditions for serious illness assistance:
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.
Here's how to apply for critical illness medical treatment:
1) First of all, it is necessary to meet the conditions for applying for serious illness assistance: urban and rural subsistence allowance recipients, urban three-nil persons, orphaned and disabled children, etc.;
2) After meeting the conditions, submit a written application to the local neighborhood committee, fill in the "Application Form for Serious Illness Medical Patients" as required, and prepare your ID card, household registration book, income certificate, etc.;
3) After the local neighborhood committee street application, the applicant's situation will be verified and submitted for democratic evaluation, which will be publicized for 3 days after the democratic evaluation comes out.
4) After the approval of the relevant municipal and district civil affairs departments, the Civil Affairs Bureau and the Health Bureau will print the serious illness medical subsidy certificate for those who meet the conditions for serious illness subsidy.
Legal basis:
Article 2 of the "Interim Provisions on Subsidies for the Living Difficulties of the Surviving Families of Employees of State Organs and Public Institutions after Their Deaths".The standard of subsidy for the living difficulties of the surviving family members is generally based on the principle of maintaining the living standards of the local people, and the specific standards are stipulated by the provinces, municipalities and autonomous regions (** the standards of the areas where state organs and institutions implement them). For those who have died in the protection and rescue of state assets or in the struggle against the enemy, the standard of allowance for the surviving family members of those who have difficulty in living may be appropriately raised.
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The application process for critical illness assistance is as follows:
1. Fill in the approval form for serious illness assistance;
2. Submit an application for serious illness medical assistance to the local township ** (sub-district office);
3. Submit hospitalization invoices, discharge summaries and other materials;
4. If the conditions are met, relief funds will be issued.
Specific procedures and precautions for applying for serious illness assistance:
1. Application: Eligible low-income residents should apply for relevant assistance from the head of the high-income household in the base state to the neighborhood committee (or village committee) of the community where their household registration is located, and issue household registration booklets, income certificates and other salary translation materials.
2. Review: The handling personnel of the community and neighborhood (village) committees will assist in the preliminary examination, evaluation and publicity of the qualifications of the applicants; The street, township social security office is responsible for the application object household survey, review qualifications, etc., you can also apply for worry-free, the platform has a boost, help, the average worry is more than 60,000, and you can also use it at any time, which is more convenient.
3. Examination and approval: The district and county civil affairs bureaus shall complete the examination and approval procedures within 30 days from the dispersal of the five sedan chairs to the examination and approval materials for families who meet the conditions for temporary assistance, and those who do not meet the requirements shall notify the applicant in writing within 30 days and explain the reasons.
4. In accordance with the principle of insurance first, then assistance, the subsistence allowance and low-income groups will be reimbursed according to the medical insurance types they participate in, and the remaining part can apply for medical assistance, that is, 60% will be reimbursed.
5. If it is one of the required materials - the serious illness expense note is damaged or lost, you can go to the payment office of the hospital to print a new expense list and the like, which can also play the role of the expense document.
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I am the main Q&A Xiaole, to help you find out the process Bitan stool: the first step is to meet the application conditions, and the scope of medical assistance mainly includes: extremely poor people, urban and rural subsistence allowance objects, rural registered poor people, and other people with special difficulties recognized by people at or above the county level; 2. After meeting the conditions, the second step needs to prepare various materials:
After preparing the materials for my ID card, household registration booklet, and materials, you can submit the application: take the application materials to the street (township and town people**) where the household registration is located, fill in the application form according to the requirements, and then submit the application; , subsistence allowance (five guarantees) certificate or medical preferential treatment certificate, as well as the hospital's diagnosis certificate, expense bills, etc.; 4. After submitting the application, you need to wait for a period of time and wait for the final review results, because it has to go through several rounds of review and publicity, and the time is about 21 days. Of course, if there is still a need, it can also be done at the same time.
The above information comes from Zhihu. <>
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The application process for pro-serious illness assistance is as follows: 1. Fill in the "Critical Illness Assistance Approval Form"; 2. Apply for serious illness medical assistance to the local township ** (sub-district office); 3. Submit hospitalization invoices, discharge summaries and other materials; 4. If the conditions are met, relief funds will be issued. Hello, I will expand for you in addition, serious illness medical assistance refers to relying on the basic medical insurance for urban residents (employees) and the new rural cooperative slag filial piety medical settlement platform, stable capital investment, service platform sharing, information resource sharing, settlement and payment synchronization, management and operation specifications, the rescue effect is obvious, can provide fast services for the people in difficulty, covering urban and rural scientific norms of a new type of medical assistance system.
Hope mine can help you <>
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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 platform, information resource sharing, synchronous settlement and payment, standardized management and operation, obvious rescue effect, and can provide fast services for the people in need, covering urban and rural areas in a scientific and standardized manner.
The application for serious illness assistance mainly includes four steps: application, village review, township ** and civil affairs bureau review and approval: spinal blindness.
First of all, you must apply to the village neighborhood committee where you are located, and the village neighborhood committee will pass the preliminary review and determine that you meet the application conditions for serious illness subsidy, and then submit it to the township ** for review, and the township ** should investigate and verify with you and the village neighborhood committee, and sign the opinion of agreeing to the application for serious illness subsidy and then submit it to the Civil Affairs Bureau for approval.
Legal basis:Article 73 of the Labor Law of the People's Republic of China Workers are entitled to social insurance benefits in accordance with the law under the following circumstances: (1) retirement; (2) Illness or injury; (3) Suffering from work-related disability or occupational disease; (4) unemployment; (5) Childbirth.
After the death of a worker, his surviving family members are entitled to survivors' allowances in accordance with the law. The conditions and standards for workers to enjoy social insurance benefits shall be prescribed by laws and regulations. Social insurance contributions must be paid in full and on time.
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