Ji'nan residents medical insurance new deal: medical expenses excess can enjoy serious illness compensation
mass network Ji'nan September 29th news (reporter Sun Chengyun) public network reporter learned from the Ji'nan social security bureau that the medical insurance of Ji'nan residents from January 1st next year (hereinafter referred to as "medical insurance new deal"), the medium and large disease insurance guarantee fan The 20 serious diseases surrounding the original new rural cooperative medical system have been expanded to all diseases by means of compensation for medical expenses. After enjoying the basic medical insurance benefits, the residents can also compensate for the personal burden of a certain amount of medical insurance.
compensation according to the amount: 10 thousand yuan (including) or above, less than 100 thousand yuan in a medical year for a resident medical care for a medical year, 50% compensation is given in the part of more than 100 thousand yuan (containing).
compensation according to disease: 2014, the original 20 categories of serious diseases were compensated separately. The personal burden of compliance medical expenses is 10 thousand yuan (above), and 73% of the compensation is given, and 10 thousand yuan is given 17% compensation.
what needs to be noted is that in a medical year, the residents' major disease insurance is calculated according to the amount and according to the disease compensation, each person has a maximum of 200 thousand yuan per year. And 20 of the basic insurance is the superposition algorithm. That is to say, the highest reimbursement (compensation) can reach 400 thousand yuan.
mass network reporter also learned that the medical insurance new policy will be in line with the national family planning policy of the insured, due to the birth medical expenses in hospital childbirth into the residents' basic medical insurance fund payment scope, the quota payment, that is, 800 yuan, 1000 yuan and 1900 yuan in caesarean section.