Proportion of reimbursement for serious illness in urban residents' medical insurance

Legal analysis: 1. Among the basic medical expenses incurred by the insured for hospitalization or special treatment, 50% of the medical expenses paid by individuals below the maximum payment limit of the urban and rural residents' medical insurance co-ordination fund, which accumulated more than 1.8 million yuan in the whole year, shall be paid by the serious illness insurance fund. 2. The basic medical expenses that exceed the annual maximum payment limit of the urban and rural residents' medical insurance fund for hospitalization or outpatient treatment of the insured shall be paid by the serious illness insurance fund by 70%. 3. If the insured has been insured continuously for less than 2 years, the annual maximum amount is 6.5438+0.2 million yuan; For those who have been insured for more than 2 years but less than 5 years, the maximum annual compensation amount is 6.5438+0.5 million yuan; If he has been insured for 5 years, the maximum annual compensation amount is 6.5438+0.8 million yuan.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 26? The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement, and if they enjoy the basic medical insurance benefits within the prescribed time limit according to state regulations, they can pay the fees to the prescribed time limit.