What is the scope of medical insurance reimbursement in Kunming?

As we all know, with the continuous promotion of medical insurance, the scope of reimbursement for medical insurance is also increasing, but there are still some diseases that are not included in medical insurance. 20 16 Kunming medical insurance reimbursement scope has made some latest provisions. After the maximum payment limit of 80,000 yuan for basic medical insurance is used up, it will automatically enter the supplementary medical insurance payment for severe cancer, and the proportion of hospitalization reimbursement will be uniformly increased to 90%, with a maximum reimbursement of 250,000 yuan. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: the national social security medical insurance application reimbursement process in 2020!

1. Hospitalization expenses: Medical expenses within the three catalogues (drug list, diagnosis and treatment service items and service setting standards) stipulated by the state and the province shall be paid by the overall fund within the minimum payment standard and the maximum payment limit according to the reimbursement ratio of different levels of medical institutions. Individuals only need to pay their own medical expenses for hospitalization, and the rest will be settled by medical insurance centers and hospitals.

2. Outpatient expenses for special chronic diseases: chronic diseases in Kunming include psychosis, epilepsy, Parkinson's disease, coronary heart disease, bronchiectasis, bronchial asthma, chronic obstructive pulmonary disease, chronic heart failure, cerebrovascular accident, diabetes, liver cirrhosis, senile prostatic hyperplasia II and III, chronic glomerulonephritis, nephrotic syndrome, active tuberculosis, chronic active hepatitis, primary or secondary hypertension, rheumatoid arthritis, hyperthyroidism (hypothyroidism), and so on. In accordance with the above provisions of the insured outpatient medical treatment, within the prescribed scope of medication, diagnosis and treatment, more than Qifubiaozhun outpatient medical expenses can be reimbursed by the overall fund about 80%. The maximum annual reimbursement is about 2000-5000 yuan. For the problem of buying insurance for hypertension, I just sorted out the relevant content, hoping to help you: the latest raiders! Insurance strategy for people with hypertension!

Special diseases include malignant tumor, chronic renal failure, anti-rejection therapy after organ transplantation, systemic lupus erythematosus, aplastic anemia and hemophilia (new). Outpatient treatment in accordance with the hospitalization treatment to enjoy the overall fund reimbursement.

Bao Ge Tip: The scope of medical insurance reimbursement in Kunming needs special emphasis. After the maximum payment limit of 80,000 yuan of basic medical insurance in Kunming is used up, it will automatically enter the supplementary medical insurance payment for serious and extra-large cancer, and the proportion of hospitalization reimbursement will be raised to 90%, with a maximum reimbursement of 250,000 yuan.