"Linyi Bao" was launched under the guidance of the Municipal Medical Insurance Bureau and with the support of financial big data technology. Based on the principle of universal coverage, it is an inclusive medical supplementary insurance tailored for Linyi people. It aims to supplement the basic medical insurance, expand the scope of protection and help improve the all-round and multi-level medical security system. Because of its characteristics of unlimited age and insurable illness, it will reduce the risk of poverty caused by illness and return to poverty due to illness, which is a great benefit to urban people, especially those suffering from serious diseases.
Liu Xianjun, Vice Mayor, attended the meeting and successfully insured the first order of Linyi Insurance.
Guarantee content:
Guarantee the hospitalization expenses in basic medical insurance coverage;
During the insurance period, if the insured falls ill or has an accident, he is diagnosed by a designated medical insurance hospital and is hospitalized (including chronic diseases and special diseases). The necessary and reasonable medical expenses incurred by the insured and in line with the reimbursement scope of Linyi basic medical insurance will be reimbursed by Linyi medical insurance, and the rest will be paid by the individual.
Insured as a social basic medical insurance insured, but not settled according to the treatment of social basic medical insurance insured, it will not be reimbursed.
The guarantee of specific high drug costs outside medical insurance coverage;
During the insurance period, the insured was diagnosed and prescribed by a specialist in a designated hospital, and purchased drugs conforming to the Catalogue of Some High-priced Drugs in Linyi Insurance in a designated hospital or drugstore, and the expenses incurred within the limited payment range.
(1) The above responsibilities 1. During the insurance period, if the personal deductible is over one year, 80% of the excess patients with no previous medical history will be reimbursed, and 30% of those with previous medical history will be reimbursed.
(2) The second responsibility mentioned above. During the insurance period, if the individual has paid more than the annual deductible, the excess patients with no previous medical history will be reimbursed at the rate of 80%, and those with previous medical history will be reimbursed at the rate of 30%.
The maximum repayment amount of the above two liabilities during the insurance period is 6,543,800 yuan+0,000 yuan respectively.