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What is the total amount of residents' medical insurance?
General outpatient service: For the insured whose medical insurance type is urban workers, the maximum payment limit of the pooling fund is 300 yuan/person/month, including medical expenses and medical expenses. The maximum payment limit of urban and rural residents, minors and students as a whole fund is 1 10,000 yuan/person/year, and only drug expenses can be reimbursed; The maximum payment limit of other people's co-ordination fund is 600 yuan/person/year, and only drug expenses can be reimbursed.
Outpatient designated chronic diseases (chronic diseases): For the insured whose medical insurance type is urban workers, the maximum payment limit of the overall fund is 200 yuan/disease type/month, which is not cumulative or cumulative. However, the maximum payment limit of urban and rural residents' overall fund is 50 yuan/disease type/month, and the maximum payment limit of outpatient specific items (special items) is different for different diseases. The insured can consult the Social Security Bureau or inquire about the hospital social security announcement information.
Hospitalization: There is a deductible for hospitalization. The deductible line for urban employees and flexible employees is 1.600 yuan, and the deductible line for retirees is1.654,38+0.20 yuan. The cumulative annual maximum payment limit of the overall fund of the two is 445,500 yuan, and the annual maximum payment limit of serious illness subsidy is 222,700 yuan. The minimum payment line for urban and rural residents is 1000 yuan, the annual cumulative maximum payment limit for overall planning fund is1820,000 yuan, and the annual maximum payment limit for serious illness subsidy is12 ~1800,000 yuan.
Workers in a medical insurance year hospitalization, emergency observation room stay in hospital for observation of medical expenses is higher than Qifubiaozhun, and outpatient illness or family bed medical expenses, below the maximum payment limit, by pooling funds in accordance with the provisions of the proportion of payment.
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