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What app is used to pay residents' medical insurance?
The functions of residents' medical insurance include: reducing the economic burden. When the insured is sick, especially some serious diseases, it can reduce the financial burden of the family to a certain extent. To a certain extent, the insured can live with more peace of mind. The compensation amount greatly exceeds the overall expenses paid by individuals, effectively preventing poverty caused by illness and returning to poverty due to illness. Improve the social security system so that residents who are unable or ineligible to purchase employee medical insurance can also have their own medical insurance. The biggest role of medical insurance for urban and rural residents is to let the insured person reimburse after illness, whether it is outpatient or hospitalization.
Medical insurance is divided into three grades, the first grade is the best and the third grade is the worst.
The specific differences are as follows:
The personal account of the first insured person is used to pay the medical expenses within the scope of the general outpatient medical insurance catalogue of the insured person. Community health center basic medical expenses personal account to pay 70%, the overall fund to pay 30% in accordance with the provisions.
Second-class insured; Three types of insured persons, belonging to Class A drugs and Class B drugs, are paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; 90% of the single diagnosis and treatment or medical materials belonging to the medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment amount shall not exceed 120 yuan; The total outpatient medical expenses paid by the community outpatient co-ordination fund to each second-grade and third-grade insured within a medical insurance year shall not exceed 1000 yuan.
legal ground
People's Republic of China (PRC) social insurance law
Article 25 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.
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