The reimbursement rate of the major medical aid is different in the calculation between urban workers and residents and rural places. In the urban workers and residents of the health insurance system in need of families, the reimbursement of major medical assistance starting line is 20,000 yuan, in the range of 20,000 yuan to 50,000 yuan, major medical assistance in accordance with 50% reimbursement; in the range of 50,000 yuan - 100,000 yuan, major medical assistance in accordance with 60% reimbursement; 100,000 yuan and above the range of 70% reimbursement of major medical assistance.
What are the items included in the medical insurance reimbursement
The classification of the medical insurance reimbursement as well as the items included are as follows:
1, general medical insurance. It mainly includes outpatient costs, medical costs, examination costs and so on.
2. Hospitalization insurance. It mainly covers daily hospitalization fee, cost of utilizing hospital equipment, surgery cost, medicine cost and so on.
3. Surgical insurance. Provides for all expenses incurred due to necessary surgery required by the patient.
4. Comprehensive medical insurance. Its cost coverage includes all costs of medical treatment and hospitalization and surgery, etc.
5, special disease insurance. Certain special diseases often bring the patient a catastrophic cost payment, the average resident family can hardly afford. Examples include cancer and heart disease. Provide coverage for policyholders of major diseases, can be a single, such as malignant tumors, or even malignant tumors in a certain number of cancers.
I hope the above can help you, if you have other questions please consult a professional lawyer.
Legal basis: "Chinese People's **** and State Social Insurance Law"
Article 2 of the State to establish a basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance system, to protect the citizens in old age, disease, industrial injury, unemployment, childbirth and other situations in accordance with the law, the right to obtain material help from the State and society.
Article 26: The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with the provisions of the State.
Article 28: Medical expenses in accordance with the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency and rescue medical expenses shall be paid out of the basic medical insurance fund in accordance with state regulations.