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What are the contents of large medical expenses subsidy insurance in social insurance?
Large medical expense subsidy insurance is a kind of supplementary medical insurance established by the government for the basic medical insurance organization of urban workers, aiming at subsidizing the part of the insured whose annual medical expenses exceed the maximum limit line. \ x0d \ x0d \ Units and employees who participate in the basic medical insurance, and at the same time, each insured person and unit shall pay a large amount of Medicaid to the social insurance agency to pay the medical expenses of the insured person who exceeds the cap line. \ x0d \ x0d \ The payment standard of large Medicaid is: \ x0d \ x0d \ The employer pays 48 yuan for each insured person every year, and the insured person pays 48 yuan every year. Large medical expenses subsidies should be guaranteed once a year. The employer and the insured shall pay the annual large medical expenses subsidy in full before June 30 each year. Those who fail to pay on time or in full shall not enjoy the large medical expenses subsidy in that year. \ x0d \ x0d \ In a natural year, if the basic medical expenses of the insured exceed the maximum payment limit of the basic medical insurance, and their diagnosis and treatment items, service facilities standards and medication scope meet the relevant provisions of the basic medical insurance, 90% will be paid by the large medical expenses subsidy, and the individual pays 10%. The annual cumulative maximum payment limit of large medical expenses subsidy is 6.5438+0.5 million yuan. \ x0d \ x0d \ At the end of outpatient treatment and hospitalization for special diseases of insured persons, the part of basic medical expenses exceeding the maximum payment limit of basic medical insurance is included in the scope of large-scale medical expenses subsidy, which belongs to the part paid by individuals and medical institutions, and belongs to the part paid by large-scale medical subsidies, and the medical institutions shall declare and settle with social insurance agencies in accordance with the settlement provisions of basic medical insurance. \ x0d \ x0d \ large medical expenses subsidies shall be implemented once a year. The employer and the insured shall pay a large amount of Medicaid in full before 30+0 of 65438 every year. The starting and ending time of enjoying large medical expenses subsidies is calculated according to the natural year. In the medical insurance computer management system, the payment information of large medical expenses will be blocked from 24: 00 on February 3 1 every year, and will be unlocked after the insured units and insured personnel pay large medical subsidies in full in the new year. \ x0d \ x0d \ The large medical expenses incurred by the insured during the interruption of payment will not be paid, and the employer will solve them by itself.
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