Job Recruitment Website - Social security inquiry - What conditions do employees need to apply for serious illness relief?
What conditions do employees need to apply for serious illness relief?
1, rural five guarantees;
2. People in cities and towns who have no ability to work, no source of economic income and no dependents (hereinafter referred to as "three noes" in cities and towns);
3. Minimum living guarantee for urban and rural residents;
4, enjoy the civil affairs department regular quantitative living allowance in the sixties to streamline retired workers;
5, enjoy the key entitled groups of the civil affairs department regular pension subsidies;
6. Poor workers approved by the Federation of Trade Unions;
7. Urban and rural low-income family members;
8. In a natural year, if the medical expenses incurred by the insured in the basic medical insurance for employees are hospitalized due to illness, and the individual pays more than 6.5438+0 million yuan, the employee's serious illness relief can be started;
9. The seriously ill patients and destitute people in the poverty-stricken population with the establishment of the file card can be fully funded by individuals who participate in the basic medical insurance for urban and rural residents at their own expense.
Process for employees to apply for serious illness relief:
1. Submit application materials: employees need to submit application materials to the social insurance agency of their unit or place of residence, including the Application Form for Employees' Serious Illness Relief, ID card, social security card, medical expenses list, medical certificate and other materials;
2. Review the application materials: the social insurance agency will review the application materials to confirm whether the applicant meets the application conditions for employee's serious illness relief, such as the employee has paid social insurance continuously for 1 year, and the disease treatment expenses have exceeded the payment scope of the social insurance fund;
3. Payment of relief funds: after verification by the social insurance agency, the relief funds will be directly transferred to the employee's bank account, and the employee can go to the designated hospital with the social security card;
4. Supervision and inspection: The social security department will supervise and inspect the use of employees' serious illness assistance to ensure that the assistance funds are used for disease treatment and avoid the abuse of the assistance funds.
To sum up, the standards and application procedures for workers' serious illness assistance in different regions may be different, which need to be determined according to local regulations.
Legal basis:
Article 73 of People's Republic of China (PRC) Social Insurance Law
Social insurance agencies shall establish and improve business, finance, safety and risk management systems.
Social insurance agencies shall pay social insurance benefits in full and on time.
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