Beijing： Starting from tomorrow, there is no minimum payment standard for medical assistance, and the ceiling line for poverty-stricken families due to illness has been raised to 150,000 yuan.

Seven departments, including Beijing Medical Insurance Bureau, recently jointly issued the "Implementation Opinions on Improving the Medical Insurance and Assistance System for Serious and Serious Diseases", proposing that starting from 2023, there will be no minimum payment standard for medical assistance, and the ceiling line for family assistance caused by illness will be raised from 80,000 yuan to 150,000 yuan, and the proportion of assistance will remain unchanged.

It is clear in the implementation opinions that there will be no deductible standard for medical assistance from 2023. The outpatient and inpatient medical expenses borne by individuals within the scope of basic medical insurance reimbursement are all included in the scope of medical assistance in Beijing. Medical assistance covers all needy workers and urban and rural residents who have heavy medical expenses and have Beijing household registration and participate in basic medical insurance, as well as social assistance objects such as poor, low-income and low-income people who have participated in basic medical insurance as recognized by the civil affairs department. At the same time, all social assistance objects participating in employee medical insurance and residents’ medical insurance are given equal assistance, realizing full coverage of Beijing household registration personnel. The implementation opinions will be implemented as of January 1, 2023. If there is any inconsistency between the medical assistance policy and the implementation opinions, the implementation opinions shall prevail.

The objects of medical assistance in Beijing are divided into two categories: the first category is social assistance objects, including destitute dependents and educated youth who are disabled due to work (illness) and returned to the city under the management of civil affairs departments; In the early 1960s, the civil affairs department managed to streamline retired old workers who enjoyed 40% of the original salary; The minimum living security object and the subsidy personnel for living difficulties; Urban and rural low-income family rescuers. The second category is the seriously ill patients from poor families due to illness, that is, the registered permanent residents in Beijing and their family members who live together have serious difficulties in their basic life because they do not meet the conditions for the identification of social assistance objects in Beijing, and their medical expenses are relatively high in a natural year. After basic medical insurance, serious illness insurance, commercial insurance reimbursement and various kinds of assistance, the medical expenses borne by the family exceed the family’s affordability.

The medical expenses incurred by social assistance recipients during medical treatment, after being reimbursed by basic medical insurance and serious illness insurance, can enjoy three types of assistance according to the policy: outpatient assistance, hospitalization assistance, and assistance for seriously ill patients in poor families due to illness. In the outpatient service, the poor dependents in the social assistance object, the educated youth who are disabled and return to the city because of work (illness) managed by the civil affairs department, and the personal burden within the scope of the policy are given assistance according to 100%, and there is no maximum payment limit for annual assistance; Among the social assistance objects, the retired old workers who enjoyed 40% of the original salary in the early 1960s managed by the civil affairs department were reduced, and the personal burden within the policy scope was given 80%, without setting the maximum payment limit for annual assistance; In addition to the above-mentioned personnel, the social assistance object will be given assistance according to 80% of the personal burden within the policy scope, and the maximum payment limit for annual assistance is 8,000 yuan.

In terms of hospitalization assistance, the poor dependents in the social assistance object and the educated youth who are disabled due to work (illness) managed by the civil affairs department will be given assistance according to 100% of the personal burden within the scope of the policy, and there is no annual maximum payment limit for assistance; Among the social assistance objects, the retired old workers who enjoyed 40% of the original salary in the early 1960s managed by the civil affairs department were reduced, and the personal burden within the policy scope was given 85%, with no annual maximum payment limit for assistance; In addition to the above-mentioned personnel, the social assistance object will be given assistance according to 85% of the personal burden within the policy scope, and the maximum payment limit for annual assistance is 160,000 yuan.

After deducting the basic medical insurance, serious illness insurance, commercial insurance reimbursement and various kinds of assistance, the personal burden part within the policy scope will be given medical assistance in stages according to the proportion of 30% below 30,000 yuan (inclusive), 40% above 30,000 yuan to 50,000 yuan (inclusive) and 50% above 50,000 yuan.

In addition, for the social assistance recipients who have been referred for the first visit at the grass-roots level, the hospitalization in the designated medical institutions of basic medical insurance in Beijing will be "paid after the first visit", and their hospitalization deposit will be completely exempted. For those who did not participate in Beijing’s basic medical insurance in the implementation opinions, after being reimbursed by other cities’ basic medical insurance, the outpatient and inpatient medical expenses borne by individuals within the policy scope can be given assistance according to the above corresponding categories of assistance standards.