Under what circumstances can you enjoy critical illness medical insurance?
People with the following diseases can apply for critical illness insurance: childhood leukemia, congenital heart disease, end-stage renal disease, breast cancer, cervical cancer, severe mental illness, drug-resistant tuberculosis, AIDS opportunistic infections, hemophilia, and chronic myelogenous leukemia.
, cleft lip and palate, lung cancer, esophageal cancer, gastric cancer, type I diabetes, hyperthyroidism, acute myocardial infarction, cerebral infarction, colon cancer, and rectal cancer.
The patient's annual high medical expenses exceed the local per capita disposable income of urban residents and the per capita net income of rural residents in the previous year as the criterion. The specific amount is determined by the local government.
Extended information: With the goal of striving to avoid catastrophic household medical expenses for urban and rural residents, the major illness insurance compensation policy is reasonably determined, and the actual payment ratio is not less than 50%; the payment ratio is formulated according to the level of medical expenses. In principle, the higher the medical expenses, the payment ratio
The higher.
With the continuous improvement of financing, management and security levels, the reimbursement ratio for major diseases will be gradually increased to minimize the burden of personal medical expenses.
We should ensure the connection between basic medical insurance, critical illness insurance and medical assistance for serious and serious diseases, establish a critical illness information notification system, promptly understand the medical insurance payment status of patients with serious illnesses, strengthen policy linkage, and effectively avoid the problem of poverty due to illness or return to poverty due to illness.
The designated medical institutions, medication and diagnosis and treatment scope for urban and rural medical assistance shall be implemented in accordance with the relevant policies and regulations of basic medical insurance and critical illness insurance respectively.