What is the reimbursement scope of Xianyang medical insurance for serious illness cancer? It is understood that the reimbursement scope of Xianyang medical insurance for serious illness and cancer includes both specific diseases and the scope determined according to the actual medical expenses. Among them, diseases that determine the scope of medical insurance reimbursement for severe cancer according to specific diseases include thalassemia, malignant tumors and other serious diseases. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: the national social security medical insurance application reimbursement process in 2020!

The scope of medical insurance reimbursement for serious illness and cancer

1. When the medical expenses exceed the maximum payment limit of the basic medical pooling fund, 85% of the expenses below RMB 0-40,000, 90% below RMB 40,000-80,000 and 95% above RMB 80,000 will be reimbursed by the social insurance department. The maximum payment limit for each medical year is 6.5438 yuan +0.5 million yuan. For some particularly expensive serious cancers, China will establish a supplementary medical insurance reimbursement system, which will be reimbursed again on the basis of basic medical insurance reimbursement, and the actual reimbursement ratio is required to be no less than 50%.

2, chronic renal failure outpatient dialysis; Outpatient anti-rejection drugs included in the scope of medical insurance payment after organ transplantation; Outpatient chemotherapy, interventional therapy, radiotherapy or radionuclide therapy for malignant tumors; Hemophilia specialist outpatient treatment; Specialized outpatient treatment of aplastic anemia; Special outpatient treatment of thalassemia; Specialized outpatient treatment of intracranial benign tumors; Other serious diseases, cancer, etc.

It is not covered by medical insurance reimbursement for serious illness and cancer.

1, see a doctor in a non-designated hospital without approval (except for emergency rescue)

2. Party B suffers from occupational disease, work-related injury or recurrence of work-related injury.

3. Injuries caused by traffic accidents.

4, because I broke the law and caused harm.

5. Food poisoning caused by accidents.

6. Being treated for suicide.

7. Injuries caused by medical accidents.

8, according to the provisions of the state and the city should take care of medical expenses.

Bao Ge Tip: What is the scope of reimbursement for serious illness and cancer in Xianyang medical insurance? It is not difficult to know that the actual medical expenses incurred by Xianyang citizens exceed the maximum payment limit of the basic medical co-ordination fund, which can be included in the category of seriously ill cancer. At the same time, specific diseases such as malignant tumor, intracranial benign tumor and hemophilia are also covered by medical insurance reimbursement for serious cancer.