What are the application conditions for serious illness medical insurance in Shanghai?

Legal analysis: anyone who has not participated in other basic medical insurance in this city and has a household registration in this city and is 18 years old or older; Primary and secondary school students and infants with household registration in this city; Full-time undergraduate students, vocational college students and part-time graduate students who receive general higher education in universities and research institutes in this city; Other qualified personnel can participate in urban and rural medical insurance and serious illness medical insurance in Shanghai. Pay the fee at the nearest community affairs acceptance service center and designated bank outlets, or pay the fee online through the network information office, with the tender, Alipay, WeChat, designated bank and Shanghai Taxation official website Electronic Taxation Bureau. The payer who has passed the medical insurance audit can go offline to the nearest community affairs center. The details of the registration scope of serious illness are as follows: chemotherapy (including endocrine-specific anti-tumor therapy), radiotherapy, isotope therapy, interventional therapy and traditional Chinese medicine treatment; Outpatient hemodialysis peritoneal dialysis for severe uremia; Anti-rejection therapy after renal transplantation; Schizophrenia, depression (moderate or severe), mania, obsessive-compulsive disorder, mental retardation with mental disorder, epilepsy with mental disorder, paranoid psychosis.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.