What are the new policies of Beijing's major medical insurance?

The medical insurance for major illnesses is allocated by the government from the medical insurance fund, and purchased from commercial insurance organizations to give "secondary reimbursement" to the insured. The new Beijing medical insurance includes the second reimbursement, reimbursement standards, financial security, conditions of participation, scope of payment and reimbursement ratio. What are the new policies of Beijing medical insurance? This article will give you a detailed introduction. Beijing medical insurance new policy "big disease medical insurance ... Want to know more about the new policy of Beijing's major medical insurance what knowledge, follow me together to see it.

The major medical insurance by the government from the health insurance fund to allocate funds to commercial insurance organizations to buy, to the participants, to give "secondary reimbursement". Beijing's new major medical insurance, including the second reimbursement, reimbursement standards, financial security, conditions of participation, scope of payment and reimbursement ratio. What are the new policies of Beijing medical insurance? This article will provide you with a detailed introduction. The company's annual insurance program is a new one.

2 The medical expenses incurred by a participant during the year that exceed the maximum payment limit of the basic medical insurance can also be partially or fully covered by the medical insurance for major diseases.

3 As an example, the starting line of Beijing's New Agricultural Cooperative Medical Insurance for Major Diseases is 20,226 RMB. Within the starting line, you can enjoy a reimbursement rate of 50%-75%, and above the starting line, in addition to reimbursement from the New Agricultural Cooperative Medical Insurance, you can enjoy a reimbursement rate of 50%-60% from the Medical Insurance for Major Diseases.

2, the major medical reimbursement standards

in line with the Beijing urban and rural residents of the basic medical insurance reimbursement range of costs, in the basic medical insurance reimbursement "after the high cost of the urban and rural residents of the major medical insurance in Beijing into the scope of payment for the "second reimbursement".

3, the major medical insurance fund guarantee

from the urban residents of the basic health insurance and the new rural cooperative fund to set aside a certain percentage or amount as the major medical insurance funds, before the end of the major medical insurance to cover all urban and rural residents of the basic health insurance participants, the insured patients with serious illnesses need to bear the burden of medical expenses to give protection, the proportion of payment to reach more than 50%, and then to gradually increase, and effectively reduce the burden of patients with serious illnesses to seek medical treatment.

4, the conditions of participation in the major medical insurance

1 students and children

2 urban elderly

3 unemployed residents

4 people with disabilities

In addition, there is a job, there is a formal occupation does not belong to this scope.

5, Beijing urban and rural residents of the scope of payment of major medical insurance

1 urban residents of the basic medical insurance fund below the starting standard of medical expenses;

2 urban residents of the basic medical insurance fund above the starting standard of medical expenses to the maximum limit of payment below the proportion of the medical expenses should be borne by the individual;

3 inspection, treatment programs using large-scale medical equipment and the cost of a single item of 200 yuan () or more should be the individual's responsibility;

3 checking, treatment programs using large-scale medical equipment and single cost of 200 yuan () or more. Including) should be borne by the individual first of the medical costs;

4 basic medical insurance diagnostic and treatment items catalog, medical services and facilities in the scope of Category B should be borne by the individual first of the medical costs;

5 "Beijing Municipal Basic Medical Insurance, Work Injury and Maternity Insurance Drugs Catalog" of the Category B drugs should be borne by the individual first of the medical costs;

6 urban residents of the basic medical insurance The medical expenses above the maximum payment limit of the fund can be included in the scope of reimbursement with reference to the payment regulations of the basic medical insurance fund for urban residents, as well as the medical expenses in line with 3, 4 and 5.

6, the proportion of reimbursement of major medical insurance

major medical insurance to implement the "section calculation, cumulative payment"; starting standard above (excluding) part of the cumulative 50,000 yuan (including) within the individual out-of-pocket medical expenses, the major medical insurance fund to pay 50%, more than 50,000 yuan (excluding) more than 50,000 yuan (excluding) out-of-pocket medical expenses, the major medical insurance fund to pay 60%, the major medical insurance fund to pay 60%, the major medical insurance fund to pay 60%, the major medical insurance fund to pay 60%, the major medical insurance fund to pay 60%, the major medical insurance fund to pay 60%, and the major medical insurance fund to pay 60%. The major medical insurance fund to pay 60%, not capped; major medical insurance a medical insurance year settlement once.

The information on these issues, I will organize here, I hope to be able to help you. Our country's laws in the gradual improvement, we also look forward to helping more people.