Proportion of reimbursement for serious illness

First, generally speaking, the proportion of medical reimbursement for serious illness is:

One-time hospitalization medical expenses for employee's illness or non-work-related injury, or the accumulated part exceeding 2,000 yuan within 30 days, belong to the payment scope of employee's serious illness medical insurance pooling fund, and shall be calculated step by step and paid cumulatively:

1, more than 2000 yuan but less than 5000 yuan, 90% will be paid.

2, more than 5000 yuan 1 ten thousand yuan to pay 85%;

3, 10000 yuan more than 30000 yuan to pay 80%;

4, 30 thousand yuan to 50 thousand yuan to pay 85%;

Pay 90% for 50,000 yuan and above.

Two, to participate in the basic medical insurance of the insured, in the event of medical expenses exceeding the maximum payment limit of the basic medical insurance fund, by the social insurance department:

1, 0-40,000 yuan will be reimbursed by 85%;

2, 40 thousand yuan-80 thousand yuan reimbursement 90%;

3 more than 80 thousand yuan according to 95% reimbursement. The maximum payment limit for each medical year is 6.5438 yuan +0.5 million yuan.

Article 26 of the Social Insurance Law stipulates that 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.

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The above answer is only for the current information combined with my understanding of the law, please refer carefully!

If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.