The reimbursement ratio of serious illness medical insurance can be divided into the following three grades:
1, more than 2000 yuan and less than 5000 yuan, 90%;
2, more than 5000 yuan 1 ten thousand yuan to pay 85%;
3, 10000 yuan more than 30000 yuan to pay 80%;
4, 30 thousand yuan to 50 thousand yuan to pay 85%;
Pay 90% for 50,000 yuan and above.
In each medical year, the maximum payment limit of serious illness medical insurance is 654.38 yuan +0.5 million yuan. It is generally divided into four levels: township, county, city, province and outside the province. Generally, the township deductible line 100 goes to 200 yuan, and the reimbursement ratio is 80% to 90%. The county deductible line is 300 to 700 yuan, and the reimbursement rate is 70 to 80%. The municipal deductible line is 500 to 2000 yuan, and the reimbursement ratio is 60 to 70%. The deductible lines in and out of the province are 800 to 3000.
Payment standard for serious illness medical treatment
1, basic medical insurance for employees
The payment standard of monthly serious illness insurance is *0.5% of the payment base, in which the payment base is the average monthly salary of employees, with the maximum not exceeding 300% of the average monthly salary of employees in the province last year and the minimum not less than 60% of the average monthly salary of employees in the province last year.
2. Basic medical insurance for urban and rural residents.
Serious illness insurance does not need to be paid separately, and the serious illness insurance funds are charged in the basic medical insurance fund for urban and rural residents.
To sum up, it is Bian Xiao's relevant answer about the reimbursement ratio of hematopoietic stem cell transplantation, hoping to help you.
legal ground
People's Republic of China (PRC) social insurance law
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.