2. Outpatient specific high-cost drug guarantee, deducting 20,000 deductible (poor population 1 10,000 deductible), 40% of previous diseases can be reimbursed, and 85% of non-previous diseases can be reimbursed;
3. The drug guarantee for rare diseases can be reimbursed 40% after deducting the deductible of 20,000 yuan (the deductible of 10,000 people who enjoy the poverty alleviation policy).
Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers
Twenty-eighth personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.
Twenty-ninth serious illness hospitalization medical expenses, according to the following methods to pay:
(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 9%-0%.
(two) the maximum payment limit is controlled in principle at 3-5 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.
(three) medical expenses above the minimum deductible and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Give appropriate care to the proportion of retirees who bear medical expenses.
The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the proportion of sharing medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government.
Thirtieth medical expenses below Qifubiaozhun and above the maximum payment limit shall not be paid by the overall fund.