The reimbursement ratio of Medicaid for serious illness is different between urban workers and residents and rural areas in calculation. For poor families under the medical insurance system for urban workers and residents, the deductible line for reimbursement of serious illness medical assistance is 20,000 yuan, and within the range of 20,000 yuan to 50,000 yuan, the serious illness assistance is reimbursed by 50%; Within the range of 50,000-6,543.8+10,000 yuan, the serious illness relief will be reimbursed by 60%; Within the scope of 65,438+10,000 yuan, serious illness assistance will be reimbursed at 70%.
What items does medical insurance reimbursement include?
The classification of medical insurance reimbursement and the items included are as follows:
1, general medical insurance. It mainly includes outpatient expenses, medical expenses and inspection expenses.
2. Hospitalization insurance. Mainly the daily hospitalization expenses, hospital equipment use expenses, operation expenses, medical expenses and so on.
3. Surgery insurance. Provide all expenses incurred due to the patient's need for necessary surgery.
4. Comprehensive medical insurance. Its cost range includes all expenses such as medical treatment, hospitalization and surgery.
5. Special disease insurance. Some special diseases often bring disastrous expenses to patients, which ordinary families can't bear. Such as cancer and heart disease. The major diseases that provide protection for the insured can be single diseases, such as malignant tumors, or even some cancers in malignant tumors.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.