1. The minimum payment standard for medical expenses paid by the unified fund when an active employee is hospitalized or stayed in the emergency observation room for observation is 1,500 yuan.
2. For the medical expenses incurred by active employees during hospitalization or emergency observation room stay in the hospital for observation within a medical insurance year, if the accumulated medical expenses exceed the deductible standard, 85% will be paid by the unified fund. 3. The medical expenses incurred by active employees below the deductible standard
Medical expenses and the remaining medical expenses after being paid from the overall fund shall be paid from the balance of personal medical accounts over the years, and the remaining part shall be borne by the current employees.
4. The medical expenses incurred by employees during hospitalization and emergency observation room stay above the deductible standard during one medical insurance year, as well as the medical expenses for outpatient serious illness and home hospital beds, exceed the maximum payment limit of the unified fund (390,000 yuan).
Part of it, 80% will be paid by the additional fund, and the rest will be paid by the employees.
5. Medical insurance refers to social medical insurance. It is a social insurance system established by the state and society in accordance with certain laws and regulations to provide workers within the coverage with basic medical needs when they fall ill. The basic goal of medical insurance is to protect labor
meet the basic medical needs of patients and provide certain medical expense reimbursement.