1, 45,000 yuan above to 100,000 yuan (including 100,000 yuan) part of the large medical insurance fund to pay 94%%, the insured person out of pocket 6%%; more than 100,000 yuan to 200,000 yuan (including 200,000 yuan) part of the large medical insurance fund to pay 96%%, the insured person out of pocket 4%%; 200,000 yuan or more part, the large medical insurance fund pays 98%%, the insured person out of pocket 4%%; 20 For the part above 200,000 yuan, the large medical insurance fund pays 98%, and the insured person pays 2% out of pocket.
2. The medical expenses of the participants who use the diagnostic and therapeutic items which are partly paid by the basic medical insurance fund and the Class B drugs in the Basic Medical Insurance Drug Catalogue shall be paid by the individuals 10%, and the medical expenses for the use of the blood which is approved shall be paid by the individuals 30%, and the balance of the expenses shall be borne by the large-scale medical insurance and the participants proportionally according to the regulations.
3, the use of the insured person in line with the provisions of the basic medical insurance in the body replacement of artificial organs, the body of the material, which is domestic, by the individual out-of-pocket 35%%, large medical insurance to pay 65%%; belong to the imported, by the individual out-of-pocket 50%, large medical insurance to pay 50%, large medical insurance refers to solve the problem of participants due to major illnesses, serious illnesses arising from medical expenses exceeding the maximum payment limit of the basic medical insurance fund. The medical expenses of the integrated fund maximum payment limit, on the basis of the basic medical insurance, medical insurance municipal coordination to establish a large medical insurance system.
Participants in the large medical insurance payment, its hospitalization, outpatient emergency rescue and outpatient treatment of serious diseases, chronic diseases in line with the provisions of the basic medical insurance medical costs, by the large medical insurance fund and the participants in proportion to the proportion of segmented cumulative, **** the same burden.
Online reimbursement business refers to the use of software for electronic reimbursement processing, the realization of reimbursement at any time, anywhere, the leadership can be at any time for the approval of documents to achieve online reimbursement of e management, reimbursement and budgets are closely integrated with the real-time budgetary control of the early warning management, the end of the approval process automatically generates financial vouchers to achieve docking with the financial system and the centralized management of netbanking payments. Help companies to manage the costs beforehand, during the control, after the analysis.