Social security and medical insurance reimbursement scope for serious illness

What exactly do the 25 kinds of serious diseases in the medical insurance for serious diseases refer to?

Supplementary medical insurance for serious illness is a special medical insurance fund established to ensure the medical needs of urban workers for major diseases. It is used to pay the medical expenses (excluding out-of-pocket expenses) that the insured who participated in the basic medical insurance for urban workers in the year exceeded the maximum payment limit of the basic medical insurance (40,000 yuan). Every insured person who participates in the basic medical insurance pays the medical insurance premium for serious illness to the municipal and district social insurance bureaus every year in 48 yuan. Medical expenses exceeding the maximum payment limit of the basic medical pooling fund shall be reimbursed by the social security department for 85% below RMB 0-40,000, 90% below RMB 40,000-80,000 and 95% above RMB 80,000. The maximum payment limit for each medical year is 6.5438 yuan +0.5 million yuan. So what are the 25 kinds of serious diseases in the medical insurance for serious diseases? Bian Xiao Anti-cancer Health Network introduces you in detail. What are the 25 kinds of critical illness in medical insurance for critical illness?

Not all diseases are "serious diseases", and not everything can be reimbursed. China's insurance industry has standardized the expressions of the 25 most common diseases in critical illness insurance products. The names of these 25 diseases are as follows:

1, malignant tumor-excluding some early malignant tumors 2, acute myocardial infarction?

3, sequelae of stroke-permanent sexual dysfunction?

4. Major organ transplantation or hematopoietic stem cell transplantation-allogeneic transplantation is required. 5. Coronary artery bypass grafting (or coronary artery bypass grafting)-Do you need thoracotomy?

6. End-stage renal disease (or uremia stage of chronic renal failure)-dialysis treatment or kidney transplantation?

7. Multi-limb loss-complete amputation 8. Acute or subacute severe hepatitis?

9. Benign brain tumor-do you need craniotomy or radiotherapy?

10, decompensated period of chronic liver failure-excluding 1 1 caused by alcoholism or drug abuse, encephalitis sequela or sequelae of meningitis-permanent dysfunction 12, deep coma-excluding 13 caused by alcoholism or drug abuse, and binaural deafness-permanent irreversibility/kloc.

16, heart valve surgery-need to open the chest?

17, severe Alzheimer's disease-complete loss of independent living ability 18, severe brain injury-permanent sexual dysfunction?

19, severe Parkinson's disease-total loss of autonomous living ability 20, severe third-degree burns-body surface area at least 20% 2 1, severe primary pulmonary hypertension-heart failure 22, severe motor neuron disease-total loss of autonomous living ability?

23. Loss of language ability-complete loss and active treatment for at least 12 months24. Severe aplastic anemia?

25. Aortic surgery-requires thoracotomy or laparotomy.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.