What is the scope of social insurance reimbursement paid by the unit and what disease can it be?

Critical illness insurance is responsible for the following diseases in the unit:

1. Malignant tumor treatment: including chemotherapy (including endocrine-specific anti-tumor therapy), radiotherapy, isotope anti-tumor therapy, interventional anti-tumor therapy and traditional Chinese medicine anti-tumor therapy.

2, severe uremia outpatient hemodialysis peritoneal dialysis treatment.

3. Anti-rejection therapy after renal transplantation.

4. Treatment of severe mental illness: schizophrenia, depression (moderate or severe), mania, obsessive-compulsive disorder, mental retardation with mental disorder, epilepsy with mental disorder, paranoid psychosis.

Warm reminder, it should be noted that the following situations are not within the scope of reimbursement for serious illness medical insurance:

1, seeing a doctor in a non-designated hospital without approval (except for emergency rescue);

2. Suffering from occupational diseases, work-related injuries or recurrence of old injuries; Injuries caused by traffic accidents (commercial accident insurance is recommended);

3. Injury caused by my illegal behavior;

4. Food poisoning caused by accidents;

5. Being treated for suicide (except psychotic episode);

6. Injuries caused by medical accidents;

7, according to the provisions of the state and the city medical expenses should be self-care (suggested to buy commercial supplementary medical insurance).

Reimbursement ratio of unit serious illness insurance:

1, deductible: 20,000 yuan. More than 20 thousand can be reimbursed through serious illness medical insurance.

2, deductible, serious illness medical insurance reimbursement ratio is:

1) 20,000-50,000 yuan: 50% reimbursement for critical illness medical insurance;

2) 50,000 yuan-65,438+10,000 yuan: the medical insurance for serious illness is reimbursed by 60%;

3) More than RMB 65,438+10,000: 70% of the medical insurance for critical illness will be reimbursed.

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