Maximum reimbursement amount for major social security diseases

The reimbursement rate of social security for serious illness is: 55% of the accumulated amount of 6.5438+0.2 million yuan but not more than 30,000 yuan; 65% for the part between 30,000 yuan and 654.38+10,000 yuan; 75% will be paid for the part above RMB 65,438+10,000 yuan, and the maximum annual payment limit is not less than RMB 300,000 yuan in principle.

Legal objectivity:

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

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

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

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.