Serious illness insurance is to reimburse the high medical expenses incurred by urban and rural residents due to serious illness. The purpose is to solve the problem of "poverty caused by illness and returning to poverty due to illness", so that most people will not fall into economic difficulties because of illness. Below, I sorted out the related contents of 202 1 on reimbursement of Tianjin residents' serious illness insurance, hoping to help you!
1. 202 1 How much is the reimbursement of Tianjin residents' serious illness insurance?
Within a year, the insured person is hospitalized (including outpatient specific diseases), and after being reimbursed by the basic medical insurance, the medical expenses above the deductible line and below 300,000 yuan (inclusive) within the policy scope shall be included in the scope of residents' serious illness insurance according to regulations.
Second, hospitalization reimbursement:
Proportion of hospitalization reimbursement: adult residents, first-class hospitals (low 75%, medium 80%, high 85%), second-class hospitals (low 70%, medium 75%, high 80%), and third-class hospitals (low 65%, medium 70%, high 75%); Students and children, 85% in first-class hospitals, 80% in second-class hospitals and 75% in third-class hospitals.
Qifubiaozhun for hospitalization: First-class, second-class and third-class hospitals are unified as 500 yuan. If you are hospitalized for more than 2 times in a year, there will be no deductible from the second hospitalization.
Three, Tianjin residents medical insurance payment standard
1. Anyone who participates in the basic medical insurance for residents in this city can enjoy insurance benefits such as residents' serious illness insurance, residents' maternity insurance and accidental injury additional insurance for free. The relevant premiums are allocated from the residents' basic medical insurance fund according to the prescribed standards, and individuals will not pay separately.
2. Insured persons who enjoy full government subsidies.
Adult residents with severe disabilities (cities do not enjoy subsistence allowances, poor dependents and low-income families), adult residents with subsistence allowances and low-income family members, spouses of retired cadres who enjoy special care and have no fixed income, are fully subsidized by the government to pay individual fees according to regulations.
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