What are the major illnesses covered by medical insurance

1) Malignant tumors—excluding some early malignant tumors

2) Acute myocardial infarction

3) Stroke sequelae—permanent dysfunction

4) Major organ transplantation or hematopoietic stem cell transplantation—allogeneic transplantation is required

5) Coronary artery bypass grafting (or coronary artery bypass grafting)— Requires thoracotomy

6) End-stage renal disease (or uremic stage of chronic renal failure)—needs dialysis treatment or kidney transplantation

7) Multiple limb loss—complete Sexual isolation

8) Acute or subacute severe hepatitis

9) Benign brain tumor - craniotomy or radiotherapy required

10) Chronic liver function Decompensation of failure—excluding alcohol or drug abuse

11) Sequelae of encephalitis or meningitis—permanent functional impairment

12) Deep coma—excluding Caused by alcoholism or drug abuse

13) Deafness in both ears - permanent and irreversible

14) Blindness in both eyes - permanent and irreversible

15) Paralysis - permanent and complete< /p>

16) Heart valve surgery—thoracotomy required

17) Severe Alzheimer’s disease—complete loss of ability to live independently

18) Severe brain damage— Permanent functional impairment

19) Severe Parkinson's disease - complete loss of ability to live independently

20) Severe third-degree burns - at least 20% of the body surface area

< p>21) Severe primary pulmonary hypertension - with symptoms of heart failure

22) Severe motor neurone disease - complete loss of independent living ability

23) Loss of language ability - complete loss And have been actively treated for at least 12 months

24) Severe aplastic anemia

25) Aortic surgery - thoracotomy or laparotomy is required

26 )Diverse sclerosis-CT or MRI examination supports diagnosis

27) Insulin-dependent diabetes-continuous dependence on exogenous insulin for more than 180 days

28) Severe acute necrotizing pancreatitis - except due to alcohol 29) Vegetative state - lasting for not less than one month 30) Muscular dystrophy - complete loss of independent living ability

31) Chronic respiratory failure - permanent and irreversible 32 ) Systemic lupus erythematosus - type III or above lupus nephritis

*The definitions of major diseases 1-25 among the above 32 major diseases refer to the "Disease Definitions of Major Disease Insurance" formulated by the China Insurance Industry Association The definitions of the 25 critical diseases specified in the "Usage Specifications" Which diseases belong to the critical illness medical insurance? What are the 25 critical illnesses specifically referred to in the critical illness medical insurance? Supplementary medical insurance for serious illness is a special medical insurance fund established to protect the medical needs of urban employees for major diseases. It is used to pay for insured persons who participate in the basic medical insurance for urban employees. The accumulated medical insurance during the year exceeds the maximum payment limit of the basic medical insurance (40,000 yuan). yuan) of medical expenses (excluding out-of-pocket expenses). All insured persons participating in the basic medical insurance must pay 48 yuan in critical illness medical insurance premiums to the municipal and district social insurance bureaus per person every year. In the event of medical expenses exceeding the maximum payment limit of the basic medical co-ordination fund, the social insurance department shall pay: 0 - 85% will be reimbursed if the amount is less than 40,000 yuan, 90% will be reimbursed if the amount is 40,000-80,000 yuan, and 95% will be reimbursed if the amount is more than 80,000 yuan. In each medical year, the maximum payment limit is RMB 150,000. So what exactly do the 25 critical illnesses in critical illness medical insurance refer to? I will introduce it to you in detail on the Anti-Cancer Health Network.