A student in a college in youth received 150,000 yuan for the poor due to illness.

"Thank you very much for your help when we are the most difficult, patiently explain to us the medical assistance policy, actively contact us to solve the difficulties, and give me the courage to defeat the disease ..." Recently, a special video "Meeting" was carried out between a hospital in Jinan and the Medical Insurance Bureau of Qingdao Chengyang District. In the video, the assistant Xiao Han (pseudonym) excitedly expressed his sincere gratitude to the staff of the Chengyang District Medical Insurance Bureau.

It is understood that Xiao Han is a graduate student in a certain university in a youth. He returned to his hometown of Jinan for healing due to the disease of type I diabetes. The medical expenses during the treatment reached 1.04 million yuan, which caused a serious economic burden on the family that had not wealthy families. Essence Because Xiao Han participated in the insurance at school, in accordance with the relevant provisions of the localized management of medical insurance, the staff of the Chengyang District Medical Insurance Bureau took the initiative to serve, focusing on services to ensure serious illness patients, and "dual -city linkage" with Licheng District, Jinan City, and implemented precisely. Medical assistance, exerting the comprehensive burden reduction role of the triple security system, greatly reduced the consultation costs of the small Han family.

Top payment pays 150,000 yuan

Since the establishment of the District Medical Insurance Bureau

It is learned that Xiaohan's encounter stems from a medical insurance policy promotion carried out by the Medical Insurance Bureau of Chengyang District. At the policy propaganda meeting, Xiao Han's counselor told the staff about her situation. Because of her type I diabetes, her condition was seriously entered into ICU and bears huge medical expenses. Originally, Xiaohan graduated from graduate students this year and had a great future, but suddenly it caused a heavy blow to the family. They were not showing the subsequent treatment costs. The staff keenly captured the information and learned about the details from the counselor. It was initially judged that it belongs to the method of rescue of poor families due to disease -based expenditures, and allows the counselor to contact the students to organize relevant materials.

Due to the serious illness of Xiao Han, he could not come to Qingdao to handle relevant rescue business, which made it difficult for staff to commit it. According to the process of medical assistance, the assistant needs to prepare the relevant materials to apply for identity identity to the street rescue window to confirm whether it meets the relevant rescue conditions. However, Xiao Han was unable to go to the Youth Office business in the field, and many materials could not be provided. "Especially if her family situation and property certificate cannot be provided, the business cannot be handled. Before this, we have not had such precedents such as different authentication, and there is no experience to follow." The relevant person in charge of the District Medical Insurance Bureau said. However, in order to give Xiaohan rescue in a timely manner, the District Medical Insurance Bureau took the initiative to contact the staff of a street office where the small Han family where the Little Han family in Licheng District of Jinan was in charge of civil affairs assistance, and they came to the family's family situation and property income. "The other party actively and quickly understands the situation and provides us the materials as soon as possible, which eventually contributed to this process of identification."

According to the materials provided, Xiao Han's father died of illness. His mother was a retired worker. The family only rely on the meager pension to maintain her life. Family, enjoy the medical assistance policy of Qingdao. So immediately start the expense calculation process, calculate all the costs of all the flowers since they are sick, and hold a special work conference. "Medical assistance means that after the basic medical insurance reimbursement of medical expenses, the personal payment fee of more than 20,000 yuan is reimbursed proportionally, with a maximum reimbursement of 150,000 yuan. For the situation of Xiao Han Inquiries of medical assistance. The leaders of the bureau also attached great importance to deciding special affairs and special treatment. From our receiving materials to all money allocated in place, it took only one month. More than 70,000 yuan has greatly alleviated the financial burden of the family, "said the relevant person in charge of the District Medical Insurance Bureau. It is reported that this is also the first case of the top cases since the establishment of the Chengyang Medical Insurance Bureau in 2019.

Strengthen early warning

Promote "should be guaranteed" and "precise rescue"

"Double Cities Links" to rescue difficulties for help is a "microcosm" for the Chengyang District Medical Insurance Bureau to practice the people -centered development ideas and actively integrate into the humanistic ecological and happy homeland of the district. It is reported that in order to protect the health of the people, the Chengyang District Medical Insurance Bureau has taken multiple measures, and continuously weave a secret medical security network to ensure that the health and happiness of the masses is stable.

Since the establishment of the Medical Insurance Bureau of Chengyang District, it has actively promoted the "guarantee of the insurance" and firmly implemented the expansion of the insured. The total number of insureds in the region exceeded 860,000, of which the number of foreign population holding a residence permit was more than 15,000. From January to June this year, the cumulative settlement of various medical expenses for the insureds was about 570 million yuan, which effectively played the role of the "pressure reduction valve" in society. Continuously promote the "long protection protection", focus on supplementing the shortcomings, and promote the high -quality development of long -term care insurance in rural areas. At present, more than 4,000 disabled and dementia patients in the region enjoy long -term care treatment. From January to June this year, the patient's family economic burden is reduced 32.5 million yuan; the pre -assessment mechanism for long -term care benefits for the elderly for the elderly, actively on -site services to ensure that patients enjoy the treatment in a timely manner.

"The little Han family did not understand the medical assistance policy before, which is also the result of our initiative to rescue. In order to avoid the omissions caused by the unknown policy, we also continuously explore new forms, do a good job of early warning and testing, take the initiative to serve the front service. Actively promote the 'precise rescue assistance'. "It is reported that the Chengyang District Medical Insurance Bureau has continuously improved the medical assistance working mechanism, implemented the help office, promoted process re -construction, and vigorously promoted the" online office "and" hand -in -hand office "to greatly improve work efficiency.

In addition, since 2022, the medical insurance department has actively cooperated with the poverty alleviation department to further consolidate the results of poverty alleviation and strengthen early warning and monitoring. , Timely sharing relevant departments such as poverty alleviation, civil affairs, and streets passed to patients in a timely manner, and allows relevant departments to verify the family conditions of the people, and accurately help the poverty -stricken medical assistance work to increase the efficiency. According to statistics, in the first half of 2022, the average of more than 300 people was screened in the first half of 2022. After medical insurance rescue, the average personal burden was reduced to 32,000 yuan, which greatly reduced the medical burden of the masses and enhanced the sense of gain and happiness of the difficult people. Popular science sticker

Medical Rescue Article

1. Identity category

Poor family members of expenditure -type

2. Application conditions

If the poor apply for medical assistance due to expenditure, the following conditions shall be available at the same time:

1. Within 6 months before the application, the home disposable income deducting the essential expenditure of self -negative medical care and education, the monthly per capita disposable income is lower than the local urban and rural monthly minimum insurance standards;

2. The per capita disposable income of the family in the first 12 months before the application is lower than that of the local annual per capita disposable income;

3. Family property (mainly referring to real estate, motor vehicles and financial assets, excluding the only real estate) does not exceed 200,000 yuan.

For non -Qingdao household registration applications, one of the following conditions must be met:

1. In the first year before the month of application for rescue, apply for a residence permit for one year, employment or entrepreneurship, fixed residence, and family members in this city, and family members who have paid social insurance for one year in this city. family;

2. Students studying in all kinds of full -time general colleges and universities in this city.

3. Application process

(1) Application. Applying to the street (town) of the household registration, the non -city household registration families in the poor families of the expenditure type shall apply to the street (town) of the place where the residence is located.

(2) Acceptance and identification. After the street staff accepts the residents' application for medical assistance, information verification, investigation, verification, publicity, and approval are performed in accordance with the procedures. The family economic status information is completed within 15 working days. The investigation and verification, review, and approval shall be completed within 20 working days (the publicity period is 5 working days).

(3) The validity period of identity. The identity of the poor family members of the expenditure type is valid. If the medical assistance is applied again since then, the application should be reorganized after 6 months. The relevant medical expenses should not be repeatedly rescued.

(4) Rescue settlement. Residents of difficult residents provided valid bills such as medical treatment to the street (town), and the streets (town) were entered into relevant settlement information through the medical assistance system in a timely manner. After completing the audit and allocation of medical insurance agencies Financial account or bank account.

Fourth, rescue standard

Members of expenditure -type poor families will be rescued at a total of 80%of the cumulative individual burden within 6 months before the application, and the annual rescue amount does not exceed 150,000 yuan each year.

Peninsula all media reporter Ge Mengjie

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