What does "Poverty Alleviation 351 Project" mean?

The "Poverty Alleviation 351 Project" means that the outpatient expenses and hospitalization expenses (including special chronic disease outpatient clinics) within the limit incurred by the poor in medical institutions in the province are comprehensively compensated through basic medical insurance, critical illness insurance, medical assistance, etc. Afterwards, individual annual out-of-pocket expenses for medical treatment in county-level, municipal-level, and provincial-level medical institutions shall not exceed 3,000 yuan, 5,000 yuan, and 10,000 yuan respectively (referred to as "351"), and the remaining part of the compliant medical expenses will be guaranteed by the government.

Extended information:

1. The "Poverty Alleviation 351 Project" guarantee targets: rural registered poor people confirmed by the poverty alleviation department.

2. "Poverty Alleviation 351 Project" fund settlement:

1. "One-stop" settlement of medical expenses for poor people.

When the poor are discharged from hospital, the compliant medical expenses incurred by the networked designated medical institutions can be settled immediately through the comprehensive medical insurance "one-stop" settlement information system for basic medical insurance, critical illness insurance, commercial supplementary insurance, medical assistance, and government Coverage and personal out-of-pocket expenses.

Poor people only need to pay personal out-of-pocket expenses, and basic medical insurance, critical illness insurance, commercial supplementary insurance, medical assistance and government insurance funds are advanced by medical institutions.

The medical insurance management and handling agencies of poor people in non-connected designated medical institutions will settle the expenses through the "one-stop" settlement information system when they return to the insured area. Individuals only need to bear out-of-pocket expenses, and other expenses will be advanced by the medical insurance management agency.

2. Institutions advance medical insurance expenses for regular settlement.

At the end of each month, medical institutions will classify and summarize the advanced expenses and related bills, and send them together with the remittance account information to local medical insurance management agencies. The medical insurance management agency notifies the local critical illness insurance, commercial supplementary insurance agency and civil affairs department to retrieve the medical institution and related bills for advance payments by the institution.

Each department should complete the review within 10 working days and make an advance payment to the medical institution or medical insurance management agency within 5 working days after completing the review. Original bills such as invoices, discharge summaries, and settlement statements are kept by each medical insurance management agency. The critical illness insurance undertaking unit and the civil affairs department use the agency's monthly advance fund summary table and a copy of the settlement sheet as the basis for settlement.

She County People's Government-Notice on Issuing the "Implementation Measures for the "351" Project of Healthy Poverty Alleviation"