What is the coverage of the 69 Yuan Dongguan Civil Insurance? The coverage of the 69 Yuan Dongguan Civil Insurance mainly includes out-of-pocket expenses within the medical insurance, out-of-medical insurance expenses and 23 specific high-cost drugs for special hospitalization and outpatient diseases.

Specifically, the coverage covers Dongguan Basic Medical Insurance participants, including employees and urban and rural residents.

During the coverage period, the out-of-pocket expenses within the medical insurance, the out-of-pocket expenses outside the medical insurance, and 23 specific high-cost drugs incurred by the insured due to illness or accident during hospitalization or outpatient treatment of special diseases in Dongguan City will be covered by the basic medical insurance, serious illness insurance, etc.

After insurance, social supplementary medical insurance, etc. are reimbursed, the compensation will be paid by "Dongguan Citizen Insurance".

The compensation ratio is 85%, and the maximum annual compensation is 1.5 million yuan.

To sum up: the coverage of the 69-yuan Dongguan Civil Insurance covers out-of-pocket expenses within the medical insurance, out-of-pocket expenses outside the medical insurance and 23 specific high-cost drugs incurred for special inpatient and outpatient diseases.

This is an important supplementary protection for participants of Dongguan Basic Medical Insurance, which can help them reduce their medical burden when they encounter major illnesses.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" stipulates: "The medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be calculated from the basic medical insurance in accordance with national regulations."

"Dongguan Municipal Social Medical Insurance Measures" stipulates: "On the premise of ensuring the normal payment of social medical insurance and basic medical insurance, the Municipal People's Government shall establish an adjustment fund system to adjust the adjustment in various co-ordination areas.

There is a surplus of medical insurance funds to enhance the financial capacity of the medical insurance fund. "The "Dongguan Citizen Insurance Catalog of Specific High-cost Drugs" clarifies the scope of 23 specific high-cost drugs that can be reimbursed.