2, retirees in a year outpatient and emergency medical expenses accumulated more than 1300 yuan, retirees under the age of 70, large medical expenses mutual fund to pay 70%, individuals pay 30%; For retirees over 70 years old, 80% of the large medical expenses are paid by mutual funds and 20% by individuals.
3, large medical expenses mutual fund in a year to pay employees and retirees outpatient and emergency medical expenses of the maximum amount of 20 thousand yuan.
4, employees and retirees in a year more than the basic medical insurance pooling fund maximum payment limit (excluding Qifubiaozhun below and personal burden) hospitalization medical expenses, malignant tumor radiotherapy and chemotherapy, renal dialysis, kidney transplantation after taking anti-rejection drugs outpatient medical expenses, large medical expenses mutual fund to pay 70%, individuals pay 30%. However, the maximum amount of medical expenses paid by mutual funds in one year is 654.38+10,000 yuan.
Legal basis: Article 2 of the Social Insurance Law of People's Republic of China (PRC) The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., to guarantee citizens' right to receive material assistance from the state and society in case of old age, illness, industrial injury, unemployment and maternity.