Jiaxing City stipulates that major illness and cancer insurance shall be settled according to the medical insurance settlement year. Within a year, special drug expenses incurred by insured persons at designated designated medical institutions or designated retail pharmacies that are within the payment scope of critical illness and cancer insurance shall be settled in accordance with the reimbursement regulations of Jiaxing critical illness and cancer medical insurance. The following is an introduction to how much Jiaxing critical illness and cancer medical insurance can reimburse. Regarding the guide to medical insurance reimbursement, I have just compiled the relevant content. I hope it will be helpful to you: 2020 National Social Security and Medical Insurance Application Reimbursement Process!
The minimum payment standard for special drugs, serious illness and cancer insurance is 20,000 yuan, and the maximum annual payment limit is 450,000 yuan.
For the special drug expenses of insured persons within a year, the reimbursement ratio for the part of drug expenses above the minimum payment standard and below the maximum limit is:
More than 5,000 yuan to 20,000 yuan (inclusive), the fund Responsible for 50%;
From 20,000 yuan to 200,000 yuan (inclusive), 60% will be reimbursed;
From 200,000 yuan to 450,000 yuan (inclusive), 70% will be reimbursed;
The drug costs above the maximum limit of special drugs, serious illness and cancer insurance shall be borne by the insured personally.
After the critical illness and cancer insurance fund is paid, the special drug costs that should be borne by the individual are not included in the scope of medical hardship assistance stipulated in the "Jiaxing Basic Medical Security Measures Main Urban Implementation Rules".
Brother Bao’s Tip: How much does Jiaxing’s critical illness and cancer medical insurance reimburse? For some drug expenses above the minimum standard but below the maximum limit, the fund will bear the proportion: from 20,000 yuan to 200,000 yuan (inclusive), the fund will bear 60%; from 200,000 yuan to 450,000 yuan (inclusive), the fund will bear 70%. The above part of the drug costs shall be borne by the insured persons personally.