Job Recruitment Website - Social security inquiry - What about social security if you can't work because of a serious illness?
What about social security if you can't work because of a serious illness?
1. If you suffer from serious diseases during your working life, you should use medical insurance for treatment in time; If medical insurance is suspended, re-insure as soon as possible, which can be activated in the social security hall or pharmacy;
2, treatment costs, basically at their own expense before reimbursement, county hospitals and designated hospitals can be directly reimbursed;
3. The reimbursement rate of the new rural cooperative medical system is 75%, and the remaining 25% can apply to the Civil Affairs Bureau for reimbursement;
4. Five-guarantee households can be reimbursed 100 yuan in the first-class hospital, and the use of the Catalogue of Agricultural Cooperative Drugs and drugs for routine inspection is restricted. The reimbursement rate of secondary and primary hospitals is 75%. Drugs and special inspection fees beyond the catalogue of agricultural cooperative drugs are paid at their own expense, and the reimbursement must be complete with five certificates. The reimbursement rate of Grade III A hospitals is 15%, which requires the referral certificate of secondary medical institutions and the approval of the local agricultural cooperative bureau.
Protection of social security rights and interests:
1. medical insurance reimbursement: according to the social security policy, the medical expenses incurred by the insured due to illness can be reimbursed through medical insurance;
2. Work-related injury insurance benefits: if a serious illness is caused by a work-related injury, you can apply for work-related injury insurance and enjoy medical treatment and disability allowance for work-related injuries;
3. Sickness allowance: When the insured is unable to work due to illness, he can receive sickness allowance according to regulations to compensate for the loss of income;
4. Unemployment insurance: If unemployment is caused by illness, eligible insured persons can apply for unemployment insurance;
5. Old-age insurance benefits: If you are unable to work due to long-term serious illness or disability, you can receive old-age insurance after reaching the statutory retirement age;
6. Social assistance: For expenses beyond the scope of social security, you can try to apply for social assistance, such as medical assistance and temporary assistance.
To sum up, in the face of the inability to work due to major diseases, medical insurance should be given priority for treatment, to ensure timely enrollment and activation of medical insurance, to enjoy the corresponding reimbursement ratio according to the policies of different levels of hospitals and the new rural cooperative medical system, and to apply to the Civil Affairs Bureau for additional reimbursement when necessary, paying attention to the need to provide complete supporting documents in certain cases to ensure smooth reimbursement.
Legal basis:
People's Republic of China (PRC) social insurance law
second
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
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