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How to explain the assistance payment of medical insurance

The following is the content of the critical illness relief fund: 1. According to national regulations, while establishing basic medical insurance, our city has also established critical illness medical assistance insurance. The overall coordination fund of basic medical insurance and the critical illness relief fund are separately accounted for, used separately, and insured.

When people are hospitalized in designated hospitals, they are first paid by the overall fund. Within a year, the maximum payment limit of the overall fund is 27,328 yuan.

2. When insured patients incur high medical expenses due to serious illness or serious illness, the medical expenses exceeding the maximum payment limit of the overall pool fund will be paid by the critical illness relief fund. In one year, the maximum payment limit of the critical illness relief fund is 150,000 yuan.

3. The scope of use of the critical illness relief fund is not limited to a certain disease, but is closely linked to the use of the overall fund of basic medical insurance based on the occurrence of hospitalization medical expenses.

In other words, if an insured person is hospitalized due to illness, whether it is one hospitalization or multiple hospitalizations, the medical insurance fund can pay up to 177,328 yuan in medical expenses in a year. This can better ensure that patients with major diseases receive better medical expenses.

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