1, 0-40,000 yuan, with 85% reimbursement.
2, 40 thousand yuan-80 thousand yuan, 90% reimbursement.
3 more than 80 thousand yuan according to 95% reimbursement.
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
1, which shall be paid from the industrial injury insurance fund;
2, should be borne by a third person;
3, should be borne by public health;
4. Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
To sum up, cancer is a disease within the scope of reimbursement for serious illness medical insurance. If you meet certain conditions, you can apply for a second reimbursement. The specific reimbursement ratio and reimbursement procedures are determined according to local policies. There may be some differences in the proportion of cancer reimbursement between regions. According to the relevant laws and regulations, the medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Legal basis:
Social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.