Is the large medical expense subsidy paid once a year?

Large medical expenses subsidies are paid once a year.

Large medical mutual insurance for employees is generally paid once a year. Large medical mutual insurance for employees is a part of medical insurance in social insurance for urban employees. It is mainly a system to compensate and reimburse the insured for medical expenses that exceed the maximum payment limit of basic medical insurance due to major diseases.

The reimbursement provisions for large medical insurance are as follows:

1. For the part of outpatient and emergency medical expenses exceeding 2,000 yuan within one year, 50% of the large medical expenses can be paid by mutual funds and 50% borne by individuals;

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%.

To sum up, large medical expenses subsidies are actually large medical expenses, also known as employee medical insurance for serious illness. On the basis of medical insurance for employees, employees with work units can participate in large medical expenses subsidies. Large medical expenses can be reimbursed for some medical expenses that exceed the ceiling line of employees' basic medical insurance, which is essentially a supplementary medical insurance.

Legal basis:

Article 25 of People's Republic of China (PRC) Social Insurance Law

The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.