Proportion of large medical insurance payment

Large medical insurance refers to the medical expenses that the insured exceeds the maximum payment limit of the basic medical insurance pooling fund due to serious illness or serious illness. On the basis of basic medical insurance, the municipal medical insurance co-ordinates the establishment of large medical insurance. 1. What is the proportion of large medical insurance payment? 1. The base and proportion of the mutual fund for large medical expenses shall be jointly paid by the employer and the individual. The employer shall pay 1% of the sum of the salary bases of all employees, and the employees and retirees shall pay in 3 yuan every month. 2. Treatment of mutual fund for large medical expenses 2. Reimbursement of large medical insurance medical expenses If the insured person pays large medical expenses by the designated hospital, the insured person will pay the self-payment ratio to the designated hospital according to the regulations, and the designated hospital will reimburse the large medical insurance office; The insured person goes to the referral hospital for medical treatment. Because the large medical expenses are paid in advance by the individual, such personnel should submit medical records, invoices and lists to the large medical insurance office for reimbursement; For insured persons who have incurred large medical expenses in designated hospitals, they can submit medical records, invoices and lists to the big medical insurance office for reimbursement after discharge. Applicants should follow the relevant reimbursement procedures when reimbursing medical expenses to ensure the smooth realization of reimbursement. Third, the concept of large medical insurance Large medical insurance refers to the medical expenses that exceed the maximum payment limit of the basic medical insurance pooling fund due to the insured's serious illness. On the basis of basic medical insurance, a large-scale medical insurance system will be established by the municipal medical insurance as a whole. In addition, the medical expenses incurred by urban workers in large-scale medical insurance hospitalization and special disease outpatient service are reimbursed by the urban workers' medical insurance fund, and after being reimbursed by the basic medical insurance pooling fund according to regulations, the accumulated expenses above the deductible line to the maximum limit throughout the year are paid by the large-scale medical insurance fund according to regulations. Workers and retirees who participate in the basic medical insurance for urban workers enjoy large medical insurance benefits after paying large medical insurance premiums in accordance with regulations. I hope the above contents about the proportion of large-scale medical insurance payment, the reimbursement method of large-scale medical insurance medical expenses and the concept of large-scale medical insurance will be helpful.

Legal objectivity:

People's Republic of China (PRC) social insurance law

second

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to get material help from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

People's Republic of China (PRC) social insurance law

essay

The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.