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Hello, the cooperative medical pays 300 yuan a year, and it costs 1 million yuan for a serious illness, and the reimbursement is not very much, at most tens of thousands of yuan, thank you.
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Cooperative medical care pays 300 a year, how much does it cost 1 million to reimburse for a serious illness? About 700,000 should be reimbursed.
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If you have a serious illness with an annual payment of 300 for medical treatment, you will have a second reimbursement for the cooperative medical treatment of 1 million, which is estimated to be 780,000 yuan.
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Cooperative Medical Hospitalization** reimbursement of 70% to 80%.
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60 70% or so, it depends on the drugs used, and some may not be reimbursed.
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The maximum annual reimbursement for cooperative medical care is 300,000, so if you spend millions, you can only report 300,000 at most.
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How much is the reimbursement for 300 cooperative medical research for a serious illness and a million? This is definitely okay, if it is in a big hospital, it is generally reimbursed by me for more than 80%.
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The cooperative medical treatment pays 300 yuan a year, and it costs 1 million yuan for a serious illness, how much is the reimbursement?
Answer: The specific situation is analyzed on a case-by-case basis, and how much reimbursement can be made depends on the number of self-funded items.
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In this case, the reimbursement for hospitalization in the hospital should be at least 75%, and the reimbursement rate will increase if you participate in NCMS.
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He reimburses you on a pro-rata basis. Some of them are well-reported, and some are not.
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The medical insurance regulations of different cities are different, and for this specific question, you can consult the medical insurance service center where the insurance is located. They will give an accurate answer.
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How much does the cooperative medical pay 300 and spend 1 million for a serious illness? Then you look at the agreement you signed at the time, and you can pay as much as you want.
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Reimbursement is not necessarily, and reimbursement depends on the proportion.
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Summary. How much can a serious illness cost 300,000 NCMS to report.
NCMS Critical Illness Insurance compensates according to the level of medical expenses. After the blind person who participates in the NCMS judgment is compensated according to the current NCMS basic medical security policy, the annual cumulative compliant medical expenses borne by the individual are deducted from the starting line of the NCMS serious illness insurance, and the compensation ratio is 50% within 50,000 yuan; For the part between 50,000 yuan and 100,000 yuan, the compensation ratio is 60%; For the part above 100,000 yuan, the compensation ratio is 70%.
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300,000 yuan was spent on a serious illness, and the reimbursement amount of NCMS needs to be determined on a case-by-case basis. The reimbursement ratio for hospitalization for serious illnesses is divided into the level of designated medical institutions, and the higher the level, the lower the reimbursement ratio. Generally, it is divided into four levels: township level, county level, city, provincial level and outside the province, as follows:
1. The general township-level starting line is 100-200 yuan, and the reimbursement ratio is 80-90%;
2. The county-level starting line is 300-700 yuan, and the reimbursement ratio is 70-80%;
3. The municipal starting line is 500-2000 yuan, and the reimbursement ratio is 60-70%;
4. The provincial and non-provincial starting line is 800-3,000 yuan, the reimbursement ratio is 50-60%, the ceiling line is about 150,000 yuan, and the total medical expenses are more than 60,000 or 80,000 yuan in some areas, and the reimbursement ratio will be increased accordingly.
Social Insurance Law of the People's Republic of China
Article 4 Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with the law have the right to inquire into the records of payment and personal rights and interests, and to request the social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.
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Summary. Hello, dear, I'm glad to answer for you: a serious illness cost 300,000 NCMS can report 210,000.
Serious illness cost 300,000 NCMS can be reported 210,000, and more than 100,000 can be reimbursed 70%. NCMS Critical Illness Insurance compensates according to the level of medical expenses. After the participating patients are compensated according to the current NCMS basic medical security policy, the annual cumulative compliant medical expenses borne by the individual are deducted from the NCMS serious illness insurance threshold, and the compensation ratio is 50% within 50,000 yuan; For the part between 50,000 yuan and 100,000 yuan, the compensation ratio is 60%; For the part above 100,000 yuan, the compensation ratio is 70%.
Hello, dear, I'm glad to answer for you: a serious illness cost 300,000 NCMS can report 210,000. Serious illness cost 300,000 NCMS can be reported 210,000, and more than 100,000 can be reimbursed 70%.
NCMS Serious Illness Shelter Banquet Pants Insurance will be compensated according to the level of medical expenses in the chain. After the participating patients are compensated according to the current NCMS basic medical security policy, the annual cumulative compliant medical expenses borne by the individual are deducted from the NCMS serious illness insurance threshold, and the compensation ratio is 50% within 50,000 yuan; For the part between 50,000 yuan and 100,000 yuan, the compensation ratio is 60%; For the part above 100,000 yuan, the compensation ratio is 70%.
Different regions**, the reimbursement is not the same, thank you.
The reimbursement ratio of remote medical insurance is the same as that of local medical insurance. It is also worth noting that there is no need to report the emergency department locally.
Non-emergency cases must be reported. At the same time, whether the types of yao products, jujube diagnosis and treatment items, and service facilities to be reimbursed for medical treatment in other places can be reimbursed depends on the local reimbursement scope of the city where the medical treatment is treated.
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The reimbursement ratio and scope of NCMS depends on your region, the level of medical institution, the type of disease, and other factors. Generally speaking, NCMS is divided into three categories: outpatient reimbursement, inpatient reimbursement, and serious illness reimbursement. Where:
Outpatient reimbursement is mainly for outpatient expenses for chronic diseases and special diseases, and the reimbursement ratio varies from region to region and hospital, generally ranging from 20%-75%. Hospitalization reimbursement is mainly for general hospitalization expenses, and the reimbursement ratio varies from region to region and hospital, generally ranging from 30%-80%. Reimbursement for critical illness is mainly for critical illness or high medical expenses, and the reimbursement ratio varies from region to hospital and generally ranges from 50% to 70%.
If you spend 300,000 yuan on serious illness expenses, then you can enjoy the critical illness reimbursement policy, and the specific reimbursement amount needs to be determined according to the specific regulations and actual situation in your area.
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The actual reimbursement rate of hospitalization expenses for patients with serious illnesses in rural areas shall not be less than 70%, and the maximum reimbursement rate can reach 90%.
On January 16, 2013, the Ministry of Health introduced that in 2013, the focus of China's rural medical insurance will be shifted to serious diseases. 20 diseases such as lung cancer and gastric cancer are all included in the scope of critical illness insurance, and the actual reimbursement rate of hospitalization expenses for patients with serious illnesses is not less than 70%, and can reach up to 90%. 20 Illnesses Covered by Critical Illness Benefit:
Childhood leukemia, congenital heart disease, end-stage renal disease, breast cancer, cervical cancer, severe psychiatric diseases, drug-resistant tuberculosis, AIDS** infection, hemophilia, chronic myeloid leukemia, cleft lip and palate, lung cancer, esophageal cancer, gastric cancer, type I diabetes, hyperthyroidism, acute myocardial infarction, cerebral infarction, colon cancer, rectal cancer.
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The reimbursement rate for serious illnesses in rural cooperative medical care should be around 70%. Yes, this ratio.
The specific refund process is as follows:
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Rural cooperative medical care, the annual payment is only for the current year, you have never paid it before, and you can pay this year's 280 yuan this year.
Rural Cooperative Medical Insurance.
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