1. List of medical expenses and drugs that meet the standards of basic medical insurance diagnosis and treatment items and medical service facilities.
2, more than the basic medical insurance fund to pay the maximum amount of medical expenses.
3, the basic medical insurance payment within the scope of individual pays a certain amount of medical expenses.
4, medical and health personnel in accordance with the provisions, enjoy the medical expenses of medical care.
5, in line with the national civil service Medicaid (public) injury. Maternity medical expenses.
(2) Outpatient Medicaid
A medical expense that meets the requirements of basic medical insurance:
On-the-job personnel are subsidized by 55% (the total outpatient medical expenses exceed 1600 yuan within one year).
Retirees' subsidy is 65% (total outpatient medical expenses exceed 1800 yuan within one year).
90% subsidy for medical staff (the total outpatient medical expenses exceed 2000 yuan in one year).
(3) Hospitalization allowance
1. Hospital bed fee subsidy: for the part exceeding the basic medical insurance bed fee 15 yuan, the daily subsidy shall be given to the working staff 10 yuan, retirees 15 yuan and medical staff 25 yuan.
2. The medical expenses incurred within one year of hospitalization for Class B drugs, Class B materials, Class B diagnosis and treatment items and accumulated personal out-of-pocket expenses above the threshold of the basic medical insurance pooling fund but below the maximum payment limit shall be subsidized according to: 85% of employees, 90% of retirees, 95% of medical staff and 100% of health care objects.
3. The subsidy standards for the use of drugs not listed in the basic medical insurance drug list during critical rescue are: 50% for employees, 60% for retirees and 90% for medical staff. This subsidy method is that doctors fill in the application form, report it to the medical insurance center for approval, and then settle it in cash, and submit the hospitalization invoice and application consent form to the medical insurance center for reimbursement according to regulations.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.