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What is the policy on medical insurance for low-income households?
I. Take the city of Fushun in Liaoning as an example of its standard of treatment for low-income households.
The implementation of urban medical assistance and urban residents' medical insurance in parallel, low-income objects of personal payment part (including the starting line and personal payment of hospitalization medical expenses) according to the medical assistance 60% reimbursement, outpatient medical treatment annual maximum limit of 50 yuan per person, hospitalization medical treatment annual maximum limit of 2,500 yuan per person; low-income marginal households hospitalization medical treatment to give 30% assistance, the annual maximum limit of 1,500 yuan per person. Limit of 1500 yuan per person.
Beijing's health insurance policy for low-income people
1. Medical fee waiver
Special hardship recipients, minimum living standard guaranteed recipients, and people living in difficult circumstances are entitled to a waiver of 20% of the basic surgical fee and the examination fee for CT and MR*** vibration of large-scale equipments, as well as a waiver of 50% of the general hospital bed fee.
2, outpatient assistance
Urban and rural low-income and low-income people who are not entitled to basic employee medical insurance, outpatient costs incurred during medical consultations, after reimbursement by the residents' basic medical insurance or the New Agricultural Cooperative Medical Insurance, the individual portion of the burden by the civil affairs department in accordance with the ratio of 70% of the medical assistance, the annual assistance cap line of 4,000 yuan.
3. Major Disease Relief
Social assistance recipients of outpatient or inpatient medical expenses incurred as a result of a major disease, after reimbursement by the medical insurance or the New Agricultural Cooperative Medical Plan, the personal portion of the burden by the civil affairs department in accordance with the proportion of 75% of the major diseases to give relief, the annual maximum cumulative amount of 80,000 yuan of relief.
4, 15 types of assistance
Malignant tumors, end-stage renal disease, severe mental illness, type I diabetes, congenital heart disease, leukemia, hemophilia, aplastic anemia, organ transplantation (heart, lungs, liver, kidneys); multi-drug tuberculosis, acute myocardial infarction, cerebral infarction, hyperthyroidism, cleft lip and palate, opportunistic infections of AIDS (new)
5, maternity assistance
Allowed by the civil affairs department at 75% of the total annual maximum amount of 80,000 yuan. p>5. Maternity assistance
Poor pregnant women who are entitled to social assistance and hold a certificate of maternity service issued by the city's health and family planning department, after reimbursement by the medical insurance and the New Farmers' Cooperative Medical Insurance, the portion of the individual's burden within the scope of the policy will be borne by the civil affairs department in accordance with the pregnancy checkups of up to RMB 1,200 yuan, normal delivery hospital delivery assistance of up to RMB 2,600 yuan, and cesarean section hospital delivery assistance of up to RMB 4,200 yuan to give maternity assistance. The civil affairs departments will provide maternity assistance in accordance with the following criteria.
6. Hospitalization Deposit Reduction and Immediate Discharge Settlement
Urban and rural low-income and low-income people in need of hospitalization are entitled to a 70% reduction in hospitalization deposits at designated medical institutions, of which urban "three have-nots", rural five guarantees for the maintenance of the people and the civil affairs departments managed by the return of the young people to the city for the disabled due to public service (illness) are entitled to a 100% reduction in hospitalization deposits. The urban "three have-nots", rural five-guaranteed dependent persons and city youths who have returned to cities with disabilities due to public service (illness) managed by the civil affairs department can enjoy a 100% reduction in hospitalization deposit. For the reimbursement by the medical insurance or new rural cooperative part of the personal burden, by the designated medical institutions in proportion to the advance payment, urban and rural low income and low-income people only need to pay the actual part of the burden can be handled for discharge procedures.
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