Recently, the Beijing Municipal Health Insurance Bureau issued a notice on further improving the city's medical insurance policy for serious illness, which pointed out that starting from January 1, 223, the threshold for medical insurance for serious illness was 3,44 yuan. When the Qifubiaozhun needs to be adjusted, it will be announced by the Beijing Municipal Health Insurance Bureau in due course.

Notice of Beijing Municipal Bureau of Medical Security on Further Improving the Medical Security Policy for Serious Diseases in this Municipality: In accordance with the spirit of Opinions of General Office of the State Council on Improving the Medical Insurance and Assistance System for Serious and Serious Diseases (Guo Ban Fa [221] No.42), in order to promote the complementary connection of the three systems of basic medical insurance, serious illness insurance and medical assistance, We will implement the principle of "insurance first and rescue later" and further improve the medical insurance mechanism for serious illness of urban workers and the medical insurance system for serious illness of urban and rural residents in this Municipality (hereinafter referred to as "medical insurance for serious illness"). Relevant matters are hereby notified as follows: 1. The medical insurance for serious illness is for urban workers and urban and rural residents in this Municipality. Two, serious illness medical insurance expenses were paid by the basic medical insurance fund for urban workers and urban and rural residents. Three, from January 1, 223, the medical insurance for serious illness Qifubiaozhun is 344 yuan. When the Qifubiaozhun needs to be adjusted, it will be announced by the Beijing Municipal Health Insurance Bureau in due course. Four, the city's basic medical insurance insured to enjoy the basic medical insurance benefits, the basic medical insurance policy within the scope of the individual pays medical expenses, more than a serious illness medical insurance Qifubiaozhun above, included in the scope of serious illness medical insurance. Personal out-of-pocket medical expenses within the scope of the basic medical insurance policy include: (1) medical expenses below the threshold of the basic medical insurance fund; (two) the basic medical insurance fund Qifubiaozhun above to below the maximum payment limit shall be borne by the individual in proportion to the medical expenses; (3) Medical expenses that should be borne by individuals in advance for the drugs listed in the Catalogue of Drugs for Basic Medical Insurance, Work Injury Insurance and Maternity Insurance in Beijing; (four) the medical expenses that should be borne by the individual in advance in the catalogue of basic medical insurance diagnosis and treatment items and the scope of medical service facilities; (five) the medical expenses that can be included in the scope of reimbursement according to the provisions above the maximum payment limit of the basic medical insurance fund and the medical expenses that meet the requirements of (three) and (four). Five, the implementation of medical insurance for serious illness "subsection calculation, cumulative payment". Personal out-of-pocket medical expenses above Qifubiaozhun (excluding) accumulated within 5, yuan (including) shall be paid by the basic medical insurance fund for 6%; More than 5 thousand yuan of personal medical expenses, 7% paid by the basic medical insurance fund, not capped. Six, about poor dependents, the minimum living security object and living difficulties subsidies, urban and rural low-income family relief workers and other needy people, the medical insurance for serious illness Qifubiaozhun reduced by 5%, Qifubiaozhun above (excluding) part of the cumulative 5 yuan (including) within the individual medical expenses, by the basic medical insurance fund to pay 65%; More than 5 thousand yuan of personal medical expenses, paid by the basic medical insurance fund 75%. Seven, from January 1, 223, the city's basic medical insurance insured in the designated medical institutions for serious illness medical security costs to implement a "one-stop" real-time settlement. Eight, this notice shall be implemented as of January 1, 223. If the previous provisions are inconsistent with this notice, this notice shall prevail. Beijing Municipal Health Insurance Bureau December 27, 222