Provisions on the payment of general outpatient co-ordination fund for employee medical insurance
(1) During the year, the medical expenses incurred by the insured in the general outpatient service of designated medical institutions within the basic medical insurance catalogue shall be paid according to the following standards:
(2) In the designated community health service centers of medical insurance and general outpatient clinics of township hospitals, the deductible line for drug expenses using national essential drugs will be cancelled, and the overall fund will be paid according to the prescribed proportion.
Provisions on the types of special diseases and the payment of treatment for employees' medical insurance outpatient service
Provisions on payment of employee medical insurance hospitalization pooling fund
(1) Provisions on payment of overall funds (excluding charges by disease type)
(2) According to the provisions of disease payment management.
The insured shall be treated in the designated medical institutions that are included in the disease cost management, and the medical insurance shall be settled according to the disease cost standard, with no deductible, which shall be shared by the individual and the overall fund in proportion.
Supplementary insurance benefits for employees with large medical expenses.
Supplementary insurance for large medical expenses of employee medical insurance is to solve the medical expenses above the maximum payment limit of the basic medical insurance pooling fund. The supplementary insurance premium is paid by the overall fund, and the compensation scope is above the maximum payment limit of the employee medical insurance overall fund (10.2 million yuan) and below 500,000 yuan (inclusive), which is in line with the medical expenses for inpatient and outpatient special diseases in the medical insurance catalogue. 90% of the claims will be settled by credit card.
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