Limit of reimbursement for uremia special diseases

Legal analysis: reimbursement for special diseases;

1. Reimbursement ratio: "special disease" expenses incurred in outpatient service are treated as hospitalization, and are reimbursed according to hospitalization ratio, which can be accumulated with ordinary hospitalization expenses.

2. The settlement period of "special diseases" is 360 days, and the deductible line within 360 days is only 1.300 yuan (Beijing standard here), including ordinary hospitalization in my designated medical institution, with the maximum reimbursement limit of 300,000 yuan.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.