Jiangsu Health Insurance No. 1 is the first commercial supplemental medical insurance for the whole province, which is connected with the basic medical insurance, and can effectively alleviate the problem of high medical expenses of the residents, so that the burden of the insured people in the province to see a doctor can be reduced again!
Jiangsu medical insurance 1 for the province's all health insurance participants, participants are not limited to age, health status, past medical history, occupation type, etc., to support the province between the immediate family members of the purchase of mutual aid. 13 cities are Nanjing, Yangzhou City, Suzhou, Suqian City, Xuzhou City, Lianyungang City, Yancheng City, Huai'an City, Taizhou City, Zhenjiang City, Changzhou City, Wuxi City, Nantong City.
What is the coverage of Jiangsu Medical Benefits:
(1) The coverage of the basic medical insurance coverage of the individual out-of-pocket part, focusing on the protection of hospitalization, outpatient treatment and the use of national negotiation "dual-channel" drugs occurring in the directory of the medical insurance cost, after the basic medical insurance coverage of the individual out-of-pocket expenses of the higher part of the cost. The annual deductible for this liability is 10,000 yuan, 65% for "over 0 to 100,000 yuan" and 77% for "over 100,000 yuan", with a maximum benefit of 1 million yuan.
(2) To protect the part beyond the scope of basic medical insurance coverage, focusing on hospitalization and outpatient treatment, reasonable and necessary out-of-pocket expenses incurred outside the directory of medical insurance, including out-of-pocket expenses for medicines and high-value medical consumables outside the directory of medical insurance, to effectively alleviate the burden of patients' out-of-directory medical insurance expenses. The liability has an annual deductible of 20,000 yuan. "The annual deductible is 20,000 yuan. 55% of the total amount is paid for the deductible of 0 to 100,000 yuan, and 67% of the total amount is paid for the deductible of 100,000 yuan, up to a maximum of 1,000,000 yuan.
(3) Reinsurance for Major Diseases: In order to alleviate the heavy burden of medical expenses on patients suffering from major diseases, the medical expenses borne by individuals will be reimbursed (including total out-of-pocket and out-of-pocket expenses including deductibles of 10,000 yuan and 20,000 yuan) after the coverage of the above two insurance liabilities. The liability deductible is 50,000 yuan, and the benefit percentage is 45%, with a maximum benefit of 1 million yuan.
(4) Supplementary coverage for some special critical illnesses.