Maximum payment of social security serious illness insurance

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The medical insurance fund shall be paid according to the following standards:

The medical insurance fund pays 80% of the part below 5000 yuan;

More than 5000 yuan 10000 yuan, medical insurance fund to pay 85%;

/kloc-more than 0/0000 yuan, the medical insurance fund pays 90%.

The above is only for Class B drugs, and the proportion of Class A drugs is different. Class c can't get medical insurance, so they have to pay for it themselves.

Social security serious illness insurance, also known as "serious illness insurance for urban and rural residents", is to reimburse the high medical expenses incurred by urban and rural residents due to serious illness, and solve the problem of "poverty caused by illness and returning to poverty due to illness", so that most people will no longer fall into economic difficulties due to illness.

Twenty diseases are included in the rural serious illness insurance, and the reimbursement rate is not less than 90%, including childhood leukemia, congenital heart disease, end-stage renal disease, breast cancer, cervical cancer, severe mental illness, drug-resistant tuberculosis, AIDS opportunistic infection, hemophilia, chronic myeloid leukemia, cleft lip and palate, lung cancer, esophageal cancer, gastric cancer, type I diabetes, hyperthyroidism, acute myocardial infarction, cerebral infarction, colon cancer and rectal cancer.

The serious illness medical insurance policy adjusts the insurance premium financing ratio to: pay supplementary insurance premium according to 4% of the sum of the actual number of employees insured by the employer and the total wages of employees and retirees in the previous year, and the benefits enjoyed by them shall be implemented with reference to the Interim Measures for Supplementary Medical Insurance for Provincial Employees; The other is based on the employees of the employer, and the supplementary insurance premium is paid at 10% of the total wages of the employees, of which 4% is pre-tax expenses and 6% is after-tax profit retention expenses. The treatment it enjoys shall be implemented with reference to the Interim Measures for Medicaid of civil servants in provincial organs.