The maximum compensation is 6.5438+0.5 million yuan. Medical assistance for serious illness refers to a new medical assistance system that relies on the basic medical insurance for urban residents (employees) and the settlement platform of the new rural cooperative medical system, with stable capital investment, * * * using the service platform, * * * enjoying information resources, synchronizing settlement and payment, standardized management and operation, obvious relief effect, fast service for people with difficulties and scientific coverage of urban and rural areas.

First, what is the maximum compensation for serious illness assistance stipulated by employee medical insurance?

There is no need to apply for Medicaid for major diseases; In each social security year, the insured person's hospitalization and outpatient treatment of specific projects exceed the basic medical expenses corresponding to the maximum payment limit of the overall fund, which is paid by the serious illness subsidy. The maximum payment limit of the serious illness subsidy in each social security year is 6.5438+0.5 million yuan.

Annual payment limit

0-65438+ million yuan

65438+ more than 10,000 yuan-1.5 million yuan

Second, the relief object

(a) rural five objects;

(two) urban workers who have no ability to work, no source of economic income, and no dependents (hereinafter referred to as "three no-workers" in cities and towns);

(three) the minimum living guarantee for urban and rural residents;

(four) to enjoy the regular quantitative living allowance of the civil affairs department in the 1960s;

(five) the key entitled groups who enjoy regular pensions and subsidies from the civil affairs departments;

(6) Poor workers approved by the Federation of Trade Unions;

(seven) urban and rural low-income family members.

Third, the form of assistance.

Medical assistance for serious illness adopts the five-in-one model of "financing participation, basic medical expenses reduction, special outpatient assistance, hospitalization medical assistance and serious illness charity assistance" as medical assistance for serious illness. The recipients need not apply, examine and approve in person, but can be directly included in the database of urban and rural medical insurance and medical assistance, and fully implement the synchronous settlement service of basic medical expenses reduction, medical insurance compensation, medical assistance and individual self-financing.

Social insurance law

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

After employees join the company, the employer will pay social insurance for each employee, including work-related injury insurance, old-age insurance and unemployment insurance. If an employee has an accident, he can also be reimbursed through social security. At the same time, if the parties have met the conditions for serious illness subsidies, they can apply for serious illness subsidies, and will also subsidize 6.5438+0.5 million yuan every year. That's all I made up.