What does it mean to pay in large amount for outpatient service?

outpatient large-scale payment refers to the outpatient expenses paid by the medical insurance fund. In a year, the accumulated amount of outpatient large-scale payment of medical insurance is up to 2, yuan. If it exceeds the limit of 2, yuan, the medical insurance fund will not reimburse it, and individuals need to bear the expenses themselves. In addition, in addition to the large outpatient payment, the medical insurance fund also includes the preferential policies normally given to the insured by other countries, such as retirement supplementary insurance payment. You can consult the local social security department for specific reimbursement details.

The specific provisions of the annual outpatient large-sum payment are as follows:

1. After the annual outpatient large-sum payment of retirees exceeds 1,3 yuan, the medical insurance payment of retirees over 7 years old exceeds 8%, the personal payment is 2%, the medical insurance payment of retirees under 7 years old is 7%, the personal payment is 3%, and the medical insurance payment is no longer paid after 2, yuan;

2. After the annual large-scale outpatient expenses exceed 2, yuan, the excess medical insurance will pay 5%, and the individual will pay 5%. After the medical insurance has paid 2, yuan, it will not be paid.

3. The large expenses for special diseases such as renal dialysis and malignant tumor can exceed 2 trillion yuan. After more than 2, yuan, 7% will be paid for part of medical insurance and 3% for individuals. The maximum cumulative payment for the above-mentioned medical insurance for diseases is 1,

Legal basis: Article 23 of the Social Insurance Law of the People's Republic of China

Employees shall participate in the basic medical insurance for employees, and the employer and employees shall pay the basic medical insurance premiums in accordance with the national regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.