Serious illness medical insurance is organized and implemented by the medical insurance center. Serious illness medical co-ordination fund shall be borne by the insured unit according to the standard of 72 yuan per person per year, and the county financial allocation shall be borne by the county finance as a subsidy for civil servants. At the beginning of the year, the serious illness medical co-ordination fund will be paid to the medical insurance center in one lump sum, and the medical insurance center will participate in the serious illness medical insurance of commercial insurance companies.
For medical expenses that meet the requirements of basic medical insurance payment, the maximum payment limit of the basic medical insurance pooling fund is more than 6.5438+0.5 million yuan, 90% of the medical insurance for serious illness is paid, and the personal burden of employees is 654.38+0.00%.
Example: Beijing's "one old and one small" serious illness medical insurance system
The so-called "one old man" refers to the elderly who have no medical security in cities and towns in Beijing. The specific criteria are: urban elderly people with non-agricultural household registration in this city who are not covered by the basic medical insurance for urban workers, urban elderly people over 60 years old, and urban residents with women over 50 years old.
The so-called "primary school" refers to students and children who have no medical security in Beijing towns. The specific criteria are: registered students of all kinds of ordinary colleges and universities (full-time academic education), ordinary primary and secondary schools, secondary vocational schools (including secondary specialized schools, technical schools and vocational high schools), special education schools and work-study schools with non-agricultural household registration in this city, and non-school children under the age of 16 (including kindergarten children, scattered infants and other non-school children).
The above two kinds of people are called "one old and one small", and the serious illness medical insurance system established by "one old and one small" is collectively called "one old and one small" serious illness medical insurance system. This is one of the medical insurance systems in the social security system.
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