1. According to the Notice on Doing a Good Job in Serious Illness Insurance for Urban Residents issued by the Municipal Human Resources and Social Security Bureau, six out-of-pocket expenses can be reimbursed twice. Among them, including the personal burden beyond the reimbursement ratio, medical expenses below the deductible line and above the capping line.
Two or six levels of medical expenses are:
1, medical expenses below the threshold of the basic medical insurance fund for urban residents;
2, the basic medical insurance fund for urban residents Qifubiaozhun above to below the maximum payment limit according to the proportion of medical expenses borne by individuals;
3, inspection, treatment projects using large medical equipment and individual costs in 200 yuan (inclusive) above should be paid by individuals for medical expenses;
4, the basic medical insurance diagnosis and treatment project directory, medical service facilities within the scope of class B medical expenses should be paid by individuals;
5, "the city's basic medical insurance, industrial injury insurance and maternity insurance drug list" in the class B drugs should be paid by individuals;
6 above the maximum payment limit of the basic medical insurance fund for urban residents, the medical expenses that can be included in the scope of reimbursement according to the provisions of the basic medical insurance fund for urban residents and the medical expenses that meet the above 3, 4 and 5 in the table.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.