I. Reimbursement of medical expenses. The user will be paid 90% of the portion of the total hospitalized approved medical expenses above 600,000 yuan and up to 1,000,000 yuan (inclusive) incurred by the user within the social security year under the basic medical insurance coverage.
II. Malignant tumor out-of-pocket drug coverage. If the user is recognized as a malignant tumor disease by Zhuhai Basic Medical Insurance, 90% will be paid for the portion of the accumulated out-of-pocket medicines for treatment above RMB 10,000 and up to RMB 300,000 (inclusive) in the insured year.
III. Compensation for PET-CT examination of malignant tumors. Users diagnosed with malignant tumor or recurrence for the first time in the insured year can enjoy one PET-CT examination program compensation, and 60% of the examination cost (excluding photographic agent) will be paid.
Fourth: Compensation for personally borne medical expenses. 90% of the total amount of personally borne medical expenses above 30,000 yuan and up to 300,000 yuan (inclusive) incurred by the user for hospitalization within the scope of expenses in the insured year will be paid.
V. Fixed compensation for 10 major diseases. Users who are diagnosed with malignant tumor, acute myocardial infarction, major organ transplantation, hematopoietic stem cell transplantation, double blindness, benign brain tumor and heart valve surgery for the first time within the insured year will receive a one-time flat-rate compensation of 20,000 yuan.
Da Ai Wu Border Insurance is a non-profit beneficiary program led by the Zhuhai municipal government and is an additional supplementary medical insurance product underwritten by China Life Zhuhai. The premium of Great Love Boundless Insurance is 190 yuan/year/person. Coverage includes:
1. Hospitalization approved expenses within the annual payment of social security, the cost of coverage is in the range of 600-1 million yuan, reimbursement ratio of 90%, if under 600,000 is not reimbursed.
2. malignant tumors out-of-pocket drug program reimbursement. For this content first of all to comply with the provisions of the anti-tumor drug costs in the range of 10,000-300,000 yuan, the reimbursement rate of 90%, if less than 10,000 yuan will not be reimbursed, and with the disease insured for the first year can only get 60% of the benefits. Next is the PET-CT examination program reimbursement aspect of the examination costs, according to the 60% reimbursement rate.
3. Individual medical expenses reimbursement. The reimbursement rate is 90% for medical expenses between 30,000 and 300,000 yuan, and 90% for expenses less than 30,000 yuan, which will not be reimbursed by the insurance.
4. Fixed cash compensation. The first diagnosis of the disease meets the provisions of the 10 major diseases, you can get 20,000 yuan of subsidies now. This clause is the first diagnosis of direct payment.