Job Recruitment Website - Social security inquiry - What is a large mutual fund?
What is a large mutual fund?
Large mutual assistance refers to large medical expenses mutual assistance. The sources of large medical mutual aid funds are composed of the state, units and individuals. On the basis of participating in the basic medical insurance, the employer pays 1% of the total wages, and employees and retirees pay 3 yuan money every month to solve the problems of outpatient service, emergency service and hospitalization. When the mutual fund for large medical expenses is insufficient to pay, the finance will give appropriate subsidies.
Two, the treatment of large medical expenses mutual fund
The mutual fund for large medical expenses shall pay large medical expenses in accordance with the provisions of the basic medical insurance in the following ways:
1. For the part of outpatient and emergency medical expenses exceeding 2,000 yuan within one year, 50% of the large medical expenses will be paid by mutual funds and 50% by individuals.
2. For retirees whose outpatient and emergency medical expenses exceed 1300 yuan in a year, 70% will be paid by the mutual fund for large medical expenses and 30% will be paid by the individual; For retirees over 70 years old, 80% of the large medical expenses are paid by mutual funds and 20% by individuals.
3 workers and retirees outpatient and emergency medical expenses within a year of large medical expenses mutual fund maximum payment limit of 20000 yuan.
4. Employees and retirees exceed the maximum payment limit of the basic medical insurance pooling fund (excluding the following Qifubiaozhun and personal burden) for hospitalization medical expenses, outpatient medical expenses for taking anti-rejection drugs after radiotherapy and chemotherapy for malignant tumors, renal dialysis and kidney transplantation, and 70% for mutual funds for large medical expenses and 30% for individuals. However, the maximum amount of medical expenses paid by mutual funds in one year is 654.38+10,000 yuan.
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