What is the situation when the extremely poor people need to pay their own money for hospitalization

Mondo Social Updated on 2024-01-19

In Guangxi, the medical insurance for the extremely poor is paid in full, and medical assistance is provided for medical treatment, with a one-year limit of 4,000 yuan for outpatient treatment for special chronic diseases and a one-year limit of 60,000 yuan for hospitalization.

Medical assistance policy for civil affairs assistance recipients.

Under such a policy, the extremely poor people basically do not have to spend their own money to see a doctor, but there are some exceptions. I wrote about the 3 situations encountered before (exceeding the quota, not within the scope of assistance, and participating in insurance in other places), and now I have encountered other situations and supplemented them.

What is the situation when the subsistence allowance and the extremely poor are not reimbursed for medical treatment?

One possible scenario is a failure or error in the identification of special objects in the hospital. At the time of medical insurance settlement, those who should have been identified as extremely poor objects were not identified or were incorrectly identified.

For example, if you are a person who is in extreme poverty, you are recognized as a low-income person by the hospital when you are hospitalized, so you need to pay for the medical expenses that you pay out of pocket.

If you are sure that you are already in extreme poverty before you are hospitalized, then after encountering this situation, you can directly take the invoice to the hospital to apply for a refund and resettlement, or you can take it to the medical insurance bureau to apply for reimbursement.

It is advisable to solve it directly in the hospital. Going to the hospital may be solved on the same day, and it takes a long time to go to the medical insurance bureau to go through the process.

In other cases, we will add it after encountering it.

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