How to report the large medical insurance in social security?

Large medical insurance is jointly paid by employers and individuals. Among them, the employer pays according to 1% of the sum of all employees' salary bases, and the employees and retirees pay according to the monthly 3 yuan (the payment amount will be different according to different local policies). Medical insurance reimbursement for serious illness can generally be paid in the following ways under the premise of meeting the basic medical insurance regulations, as follows: 1. For the part of outpatient and emergency medical expenses accumulated over 2000 yuan within one year, the mutual fund for large medical expenses can pay 50%, and the individual needs to bear 50%. 2, retirees in an annual outpatient and emergency medical expenses accumulated more than 1300 yuan, retirees under the age of 70 large medical expenses mutual fund can pay 70%, personal bear 30%; If it is a retiree over 70 years old, the mutual fund for large medical expenses can pay 80%, and individuals need to pay 20%. 3. In a year, the maximum payment limit of the large mutual fund for outpatient and emergency medical expenses of employees and retirees is 20,000 yuan. 4. In a year, if the hospitalization expenses of employees and retirees exceed the maximum payment limit of the basic medical insurance fund, 70% of the large medical expenses can be paid by the mutual fund, and individuals need to bear 30%.

Legal objectivity:

"Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented 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. Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior. Medical institutions shall provide reasonable and necessary medical services for the insured.