What is the amount of money that can be reimbursed by the medical insurance in a year?

The basic medical insurance for urban workers is 500,000 yuan, and the basic medical insurance for urban and rural residents is 250,000 yuan.

From January 1, 2019, the maximum payment limit for hospitalization under the basic medical insurance for active employees and retirees participating in the basic medical insurance for urban workers was raised from 300,000 yuan to 500,000 yuan. Among them, the maximum payment limit of the large medical mutual aid fund is raised from 200,000 yuan to 400,000 yuan, and the maximum payment limit of the integrated fund is 100,000 yuan.

The maximum hospitalization payment limit for basic medical insurance for urban and rural residents has also been raised from 200,000 yuan to 250,000 yuan.

The starting standard for urban and rural residents' major medical insurance was adjusted to the per capita disposable income of 20% of low-income households among urban residents in the city in the previous year (hereinafter referred to as the starting standard, based on data publicly released by the Beijing Municipal Bureau of Statistics).The starting standard for the urban and rural residents' major medical insurance in 2019 is 30,404 yuan.

Among the insured persons who participate in the basic medical insurance for urban and rural residents, there are four categories of difficult persons who enjoy the city's urban and rural residents' minimum subsistence guarantee and living difficulty subsidies, enjoy urban and rural low-income assistance, special hardship supporters, and low-income farmers;

The starting standard of their urban and rural residents' major disease insurance is reduced by half (the starting standard of urban and rural residents' difficulties in major disease insurance in 2019 is 15,202 yuan). standard is 15,202 yuan), the proportion of individual out-of-pocket medical expenses up to 50,000 yuan accrued in the part above (excluding) the starting standard is increased from 60% to 65% by the major disease insurance fund, and the proportion of individual out-of-pocket medical expenses above 50,000 yuan (excluding) is increased from 70% to 75% by the major disease insurance fund.

People's Daily Online - Maximum payment limit for medical insurance hospitalization reimbursement raised