Patients with major diseases can enjoy the "second reimbursement" of medical insurance

Xingsha Times (Reporter Luo Zhan) "Thank you too much for your medical insurance staff. I did not buy a serious illness to supplement medical insurance. It was so surprising that it was too surprising." Recently, the history of the residents of Datang Village, Datang Town, Chunhua Town, Changsha County, Changsha County After handling the business of the county's medical insurance bureau window, he praised the staff and wrote a gratitude to the opinion of the county government service center window. Not long ago, he received a reimbursement of more than 140,000 yuan, which was the second reimbursement after the basic medical insurance reimbursement.

On July 27 this year, Shi Mouming came to the window of Changsha County Medical Insurance Bureau to apply for major illness supplementary medical insurance. It was hospitalized three times due to cerebral aneurysm. Dis -hospital was discharged on April 7, and was admitted to the hospital on May 6 to May 7), and was hospitalized at the Liuyang City Jili Hospital (May 10th to May 22). For yuan, the commercial security disease paid 27606.23 yuan, of which 373169.11 yuan was paid in cash.

"After receiving this situation, I patiently told him about medical insurance policies and handled it as soon as possible." On the same day, Luo Min, staff member of the county medical insurance bureau window, received Shi Mouming. After understanding his situation in detail, he helped him improve him to improve him Related information, and supplemented the medical insurance policy of major illness in urban and rural residents in Changsha County, finally reimbursed 143399.47 yuan.

The reporter was informed that in order to further improve the multi -level medical security system and reduce the burden of medical expenses for major illness of urban and rural residents, the implementation of the "strong provincial capital" strategy of Changsha County, the first to explore the establishment of government -led urban and rural residents' major disease supplementary medical care in the province. Insurance.

"The insurance is unlimited age and does not limit the disease. The application of effective participation objects for urban and rural residents in the county can be enjoyed." The relevant person in charge of the County Medical Insurance Bureau introduced that the main protection scope of the insurance is the individual within the scope of the policy of the insurance object. Paying the medical expenses of hospitalization (including special medicines and approved for approval) has achieved effective connection with basic medical insurance policies.

In addition, the insurance settings set up 30,000 yuan, and the compensation ratio was formulated according to the principle of "segments, cumulative compensation", with a compensation ratio of 35%to 45%, and the highest compensation limit of the year The average reimbursement ratio will be increased by about 5%to 8%. At the same time, it is very convenient. It adopts a market -oriented operation method. The commercial insurance company is responsible for organizing the insurance company to actively notify the participating people to apply for insurance benefits to further optimize the application process of the application process And apply for materials, reimbursement services are more convenient and timely.

As of June 30, about 640 people reached the claims standard and were expected to pay about 6.7 million yuan. At present, Changsha County's urban and rural residents' basic medical insurance and major illness medical insurance individuals have the highest annual reimbursement limit of about 550,000 yuan, and the maximum reimbursement of the annual medical insurance for major diseases reached 200,000 yuan.

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