1, 45,000 yuan to 654.38+10,000 yuan (including 654.38+10,000 yuan), with 94% paid by the large medical insurance fund and 6% paid by the insured; 65438+ 10,000 yuan to 200,000 yuan (including 200,000 yuan), 96% paid by the large medical insurance fund and 4% paid by the insured; More than 200,000 yuan, 98% is paid by the large medical insurance fund, and 2% is paid by the insured.

2, the insured use belongs to the basic medical insurance fund to pay part of the cost of diagnosis and treatment projects and the basic medical insurance drug list of class B drugs of medical expenses, should be paid by the individual 10% in advance, approved the use of blood medical expenses, should be paid by the individual 30% in advance, the balance by large medical insurance and the insured in accordance with the provisions of the proportion.

3, the insured use in accordance with the provisions of the basic medical insurance in vivo replacement of artificial organs, in vivo implant materials, which are domestic, by the individual pays 35%, large medical insurance to pay 65%; If it is imported, the individual will pay 50% and the large medical insurance will pay 50%.

Large medical insurance refers to the medical expenses that the insured exceeds the maximum payment limit of the basic medical insurance pooling fund due to serious illness or serious illness. On the basis of basic medical insurance, municipal medical insurance has established a large-scale medical insurance system.

After the insured person enters the large medical insurance payment, the medical expenses that meet the requirements of the basic medical insurance for in-patient and outpatient emergency rescue, outpatient treatment of serious diseases and chronic diseases shall be accumulated by the large medical insurance fund and the insured person in proportion, with the same burden.