How to apply for community medical assistance? In life, people are generally sick and lack of funds. There will be some medical assistance in the community. Eligible people can apply for medical insurance reimbursement according to law, but there are certain conditions for medical reimbursement. Below, I sorted out how to apply for community medical assistance.
How to apply for community medical assistance 1 1. How to apply for community medical assistance
As long as you provide the original documents to the reimbursement place and want to apply for community medical assistance, you can submit a written application for community medical assistance to the community.
Second, apply for community medical assistance.
Leaders:
Hello!
I am a resident of XX community in XX street, XX city, and live with my parents. Because of his father's spinal fracture and diabetes, his retirement salary is not enough to pay for medical expenses. Diabetes has reached a very serious stage. He can't eat, his limbs are swollen and his life is in danger at any time. My mother has a serious heart disease. She is too old to work. At the same time, the family income only depends on the meager pension of the old father to maintain family life. Life is hard now.
As a result of long-term unemployment, I have no fixed source of income. I have been living on the government's minimum living allowance, and my wife has no job, so she can only do odd jobs in her spare time to supplement her family to take care of her parents. I have another daughter in the Spring Festival this year. Unfortunately, there is no breast milk, so I have to rely on expensive milk powder to feed. All this is undoubtedly worse in my life.
This is really "the house leaks when it rains all night, and the ship is late and meets the headwind." In desperation, I hope the government will lend a helping hand to our families, and I especially request financial assistance to tide over the current difficult period. I firmly believe that the government will help us solve practical difficulties, solve our life crisis and lend us a helping hand! Our whole family is looking forward to hearing from you.
I am here to convey
Salute!
Applicant:
XX year XX month XX day
Third, what is Medicaid?
Medicaid, also known as medical care, refers to the medical services for diseases that the insured can enjoy. The types of medical services provided by sickness insurance in different countries are different, but they generally include the treatment of general doctors, certain hospitalization and necessary drug supply. Some countries also provide experts, surgery, obstetric care and dental treatment for patients, as well as various drugs and some auxiliary equipment.
Generally speaking, there is no requirement for the eligibility period of Medicaid, and if there is, it is generally shorter than the eligibility period of cash subsidy for illness. Most countries provide dependent relatives of insured employees with the same medical services as insured employees. There is no difference in the qualification requirements for these two types of personnel. Dependents include spouses and young children, and sometimes other adults or young relatives who live with the insured and rely on the insured to support them.
How to apply for community medical assistance? How to apply for medical assistance
1, eligible insured persons go to the village (community) to apply for the Examination and Approval Form for Serious Illness Relief;
2. The applicant shall fill in the Examination and Approval Form for Serious Illness Relief, and attach the original materials such as hospitalization invoice and discharge summary. Each hospitalization expense can only be used for one rescue application;
3, the applicant will "serious illness relief approval form", hospitalization invoices, discharge summary and other materials sent to the village (community) to verify and sign opinions;
4, (community) reported to the town (street) to verify and sign opinions;
5, send (street) the new rural cooperative medical system office, after investigation, review and collective discussion, initially determine the list of relief objects;
6, intends to rescue the relevant information to the village (community) publicity, publicity time for 7 days;
7, the office of the new rural cooperative medical system according to the publicity results, decided to rescue the object list, and through the town (street) to issue relief funds.
Second, the object of medical assistance for serious illness
(a) rural five objects;
(two) urban workers who have no ability to work, no source of economic income, and no dependents (hereinafter referred to as "three no-workers" in cities and towns);
(three) the minimum living guarantee for urban and rural residents;
(four) to enjoy the regular quantitative living allowance of the civil affairs department in the 1960s;
(five) the key entitled groups who enjoy regular pensions and subsidies from the civil affairs departments;
(6) Poor workers approved by the Federation of Trade Unions;
(seven) urban and rural low-income family members.
How to apply for community medical assistance 3. How to apply for Medicaid
If you apply for medical assistance afterwards, you can generally apply according to the following procedures:
(1) Prepare application materials: my ID card, household registration book, minimum living security (five guarantees) certificate or medical preferential card, as well as hospital diagnosis certificate and expense documents.
(2) Submit an application: Take the application materials to the street (township people's government) where the household registration is located, fill in the application form as required, and then submit the application.
To meet the conditions, the civil affairs departments at the county level shall, according to the medical assistance funds, the number of people rescued, the poverty level of the recipients and the medical expenses borne by individuals, approve them to enjoy the prescribed medical assistance treatment. For those who do not meet the conditions for assistance, return the materials and explain the reasons.
Second, the individual medical insurance payment standard
Pension insurance payment ratio: 20% for the unit (all included in the overall fund) and 8% for the individual (all included in the personal account).
The proportion of medical insurance payment: 8% for the unit and 2% for the individual;
Unemployment insurance payment ratio: 2% for the unit and 0/%for the individual;
Work-related injury insurance payment ratio: the unit pays 1% for you every month, and you don't have to pay a penny yourself;
Personal medical insurance means that individuals use various insurance tools to build their own medical security system, including social medical insurance and commercial medical insurance.
Individuals who want to apply for medical insurance need to bring their ID cards, unemployment certificates and endowment insurance manuals to the business window of the local medical insurance center.
Third, how to reimburse social medical insurance?
1, different hospitals have different reimbursement rates for different medical insurance: if a person spends 10000 yuan in a hospital, if he is hospitalized in a first-class hospital, 500 yuan will be deducted first; If you are hospitalized in a secondary hospital, first subtract 1000 yuan; If you are hospitalized in a tertiary hospital, you will be reduced by 2000 yuan first; After excluding "non-medical insurance drug expenses" and "other non-medical insurance expenses", the remaining employees reported 80%, retired or unemployed, and unemployed 50%. (Note: Medical insurance reimbursement only covers Class A drugs, that is, medical insurance drugs, and Class B drugs are not covered by medical insurance and cannot be reimbursed)
2. The proportion of on-the-job employees' hospitalization medical expenses reimbursement. Except for the self-funded part and 10%, the part of Class B expenses that exceeds the deductible expenses of hospital medical insurance enjoys the proportion of overall payment. Different hospitals have different deductible expenses, and the proportion of overall payment is also different. The proportion of medical insurance for employees is over 80% (82%/84%/87% in Wuhan), and that for residents is about 70% (80%/65%/50% in Wuhan).
3. The social security card has not adjusted any proportion of medical reimbursement. According to the Regulations of Beijing Municipality on Basic Medical Insurance issued in 2005, the social supplementary medical insurance for retirees under 70 years old is 50%. Payment institutions need to prepare copies of medical insurance manuals, medical bills, receipts and details when handling reimbursement procedures. For details, please also consult the labor security telephone number 12333.