1. Supplementary medical insurance is purchased.
2. The out-of-pocket expenses exceed the starting line.
3, reimbursement items in the medical insurance catalog.
4, must be in the basic medical insurance designated medical institutions.
The types and contents of medical services provided by the government are very rich, and the following are some of the major aspects:
1. Public ****health services: The government provides a series of public ****health services, which include prevention of diseases, control of infectious diseases, and improvement of the health of the population. For example, it provides services such as vaccination, health education, and chronic disease management.
2. Basic medical services: The government provides basic medical services, including disease diagnosis, treatment, and rehabilitation. These services are usually provided in public hospitals or community health centers and are designed to ensure that residents have access to basic medical care.
3. Medical services for special populations: The government also provides specialized medical services for special populations, such as children, the elderly, and the disabled. These services may include specialized medical facilities, rehabilitation equipment and services to ensure that these groups of people have access to necessary medical care.
4. Emergency services: The government usually establishes emergency centers and emergency networks to provide emergency medical assistance services to residents. These services include on-site first aid, transportation, follow-up treatment, etc., to ensure that residents can receive timely treatment in emergency situations.
5. Medical security system: The government provides residents with protection against medical expenses through the establishment of a medical security system. For example, through medical insurance, social assistance, etc., to pay for the medical expenses of residents to reduce the burden of medical care.
In summary: Supplementary medical insurance usually refers to the medical insurance added on top of the basic medical insurance, which is used to make up for the insufficiency of the reimbursement scope and reimbursement rate of the basic medical insurance. The threshold is the starting point for the reimbursement of medical expenses by the medical insurance fund, and only the portion above the threshold can be reimbursed. The reimbursement items need to be within the medical insurance catalog, and items outside the catalog cannot be reimbursed. Finally, medical expenses must be incurred at a designated medical institution for basic medical insurance; expenses incurred at non-designated medical institutions cannot be reimbursed.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 25
The State establishes and improves the basic medical insurance system for urban residents.
Basic medical insurance for urban residents is a combination of individual contributions and government subsidies.
The government shall subsidize the part of the individual contributions required by those who are entitled to the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over the age of sixty and minors from low-income families.
Article 28
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.