New policy for serious illness relief

The serious diseases that can be covered by the critical illness assistance in urban and rural countries include childhood leukemia (0-14 years old), chronic myelogenous leukemia, and congenital heart disease in children (0-14 years old) (including congenital atrial septal defect, breast cancer, multidrug-resistant tuberculosis, congenital ventricular septal defect, hemophilia, cerebral infarction, congenital patent ductus arteriosus and congenital pulmonary stenosis), cervical cancer, severe mental illness, cleft lip and palate, AIDS opportunistic infections, Lung cancer, esophageal cancer, gastric cancer, colon cancer, rectal cancer, BH4 deficiency, acute myocardial infarction, hyperthyroidism, type 1 diabetes, end-stage renal disease, critically ill pregnant women and other 22 categories.

So, what are the specific targets and standards for serious illness relief in rural countries? Next, let’s take a look:

1. Targets for urban and rural serious illness relief

1. People in urban and rural areas who have no ability to work, no source of economic income, and no legal caregivers;

2. Rural five-guarantee recipients;

3. Key preferential recipients who enjoy regular pension subsidies from the civil affairs department;

4. Enjoy regular quantitative living subsidies from the civil affairs department The reduction of retired workers in the 1960s; 5. Minimum living security targets for urban and rural residents; 6. Members of low-income families in urban and rural areas.

7. Extremely needy employees approved by the Federation of Trade Unions;

2. Urban and rural serious illness assistance standards

1. The accumulation time of rural serious illness medical assistance expenses and assistance amounts is based on natural Calculated on an annual basis, the maximum annual aid limit is 100,000 yuan.

2. If the annual accumulated out-of-pocket expenses of an individual for any of the 22 major diseases exceeds 3,000 yuan, assistance can be provided at a ratio of 60%; for the annual accumulated expenses exceeding 3,000 yuan or more, assistance can be provided at a 20% ratio.

3. Except for those suffering from 22 major diseases, if the annual cumulative personal out-of-pocket expenses for hospitalization and serious illness outpatients exceed 20,000 yuan, 60% of the total annual expenses will be rescued; if the cumulative annual expenses exceed 40,000 yuan, , the proportion that can be rescued is 20.

Relief conditions and reimbursement ratios of urban and rural national critical illness assistance policies

Next, let me tell you about the conditions and reimbursement ratios of urban and rural national critical illness assistance policies. Please concentrate:

1. Conditions for serious illness relief in urban and rural areas

1. Rural five-guarantee recipients and urban three-poor recipients;

2. Urban and rural subsistence allowance recipients;

3. Poor families whose actual daily basic living consumption expenditure does not meet the local minimum living security standards due to illness;

4. Orphaned and disabled children supported by the government;

5. The above assistance recipients need to have local household registration, participate in urban (employee, resident) medical insurance or new rural cooperative medical care, and be treated in designated medical institutions and be reimbursed by medical insurance.

2. Reimbursement ratio for serious illness assistance in urban and rural areas

1. The proportion of rural and village subsidy for outpatient services has been increased to 65% and 75% respectively.

2. There is no deductible for hospitalization expenses of less than 400 yuan in first-level medical institutions;

3. The subsidy ratio of second-level medical institutions can be increased to 75~80 yuan;

4. The subsidy ratio for third-level medical institutions can be increased to 55~60%.

5. The subsidy ratio for provincial third-level medical institutions can be increased to 55%.

6. For 8 major diseases such as congenital heart disease in children, the quota of subsidized diseases under the new rural cooperative medical system will be 70%. For 12 major diseases such as lung cancer, the quota for subsidized diseases under the new rural cooperative medical system will be increased to 70%.