(2) The medical expenses incurred by the insured shall be shared by individuals, students and children's serious illness medical insurance funds in proportion. Among them: 70% is paid by the medical insurance fund for students and children with serious illness, and 30% is borne by individuals. In a medical insurance year, the maximum cumulative payment of the medical insurance fund for serious illness of students and children is 6.5438+0.7 million yuan.
The medical insurance for serious illness of students and children mainly pays for hospitalization expenses; Outpatient medical expenses for taking anti-rejection drugs, hemophilia and aplastic anemia after radiotherapy and chemotherapy for malignant tumor, renal dialysis and kidney transplantation (including combined liver and kidney transplantation); Emergency rescue observation and income hospitalization, medical expenses within 7 days before hospitalization observation; Medical expenses for emergency rescue and observation of death within 7 days. The medical expenses incurred must conform to the basic medical insurance of this Municipality and the medical insurance for serious illness of students and children, the catalogue of diagnosis and treatment items and the medical expenses within the scope of medical service facilities.