As a civil servant enjoying the highest benefits in our country, in the event of a major illness, in addition to the use of basic medical insurance reimbursement, but also the use of major medical insurance for a higher level of reimbursement. However, many people do not know the details of the reimbursement of civil servants' major medical insurance, I will provide you with a detailed introduction.
The details of reimbursement of major medical insurance for civil servants are surprisingly ......
In order to alleviate the medical problems of civil servants, China has introduced a relevant major medical insurance system to protect civil servants. So what are the details of the reimbursement of major medical insurance for civil servants?
A. The reimbursement standard of the medical insurance for civil servants
The reimbursement standard of the medical insurance for civil servants is mainly based on the calculation of grades and cumulative payment. The details are as follows:
90% of the medical expenses for the part of 2,000 yuan (excluding) - 5,000 yuan (including);
85% of the medical expenses for the part of 5,000 yuan - 10,000 yuan (including);
80% of the medical expenses for the part of 10,000 yuan - 30,000 yuan (including);
80% of the medical expenses for the part of 10,000 yuan - 30,000 yuan (including);
85% of the medical expenses for the portion of 30,000 yuan - 50,000 yuan (inclusive);
90% of the medical expenses for the portion of 50,000 yuan (excluding 50,000 yuan) or more.
The scope of reimbursement of civil servants' major medical insurance
The scope of reimbursement of civil servants' major medical insurance is mainly for the civil servants or retirees who need to be hospitalized due to illness or non-work-related injuries, and incur a one-time medical expense of more than 2,000 yuan or the accumulated medical expenses for 30 days. Specific costs for emergency rescue and hospitalization in the hospitalization of hospitalization within 7 days of the medical costs, kidney dialysis, malignant tumors, radiation therapy and chemotherapy, inpatient treatment of medical costs, organ transplantation to take anti-rejection of outpatient medical costs, etc..
Three, the civil service medical insurance reimbursement limit
The civil service medical insurance reimbursement payment limit is based on the local economic level and policy, so there will be different limits in different areas. As China continues to improve the medical protection for the general public, the reimbursement and payment limits for civil servants' major medical insurance have been increased by different margins in recent years, for example, the annual payment limit for civil servants' major medical insurance has been increased to 320,000 yuan in Nanchang City; and the annual payment limit for civil servants' major medical insurance has been increased to 300,000 yuan in Beijing City.
These are the details of the reimbursement of civil servants' major medical insurance.
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Major medical insurance refers to the reimbursement of the insured person in the event of a major illness, the high cost of medical expenses incurred as a result of the illness. In order to solve the financial difficulties of patients due to illness, the reimbursement rate is generally not less than 50%.