The coverage of Shanghai Huibao version in 2023 is:

1. Specific hospitalization out-of-pocket medical expenses insurance: including the insured’s local second-level and above medical insurance due to illness or accident For hospitalization in the general inpatient department of a designated hospital, after the basic medical insurance is settled, after deducting the annual deductible, the reasonable and necessary specific hospitalization out-of-pocket medical expenses will have an annual deductible of 20,000, 70% of which is reimbursed for non-former patients, and 50% for former patients. %, the insurance amount is 1 million. The cost of surgical materials for a single hospitalization is RMB 200,000 per year, and PET-CT is limited to once a year;

2. Domestic specific high-cost drug expense insurance: including the insured’s medical expenses in second-level and above hospitals in Shanghai Register, be diagnosed with a specific disease by a designated specialist, and purchase and use it in the outpatient clinics of secondary and above hospitals in Shanghai or pharmacies with drug sales qualifications in Shanghai that meet the applicable diseases and indication restrictions in the "Domestic Specific High-cost Drug Catalog" Non-existing patients can be reimbursed 70% of the cost of medicines. People with pre-existing conditions can be reimbursed 30%, with an insured amount of 1 million;

3. Proton and heavy ion medical insurance: Covers the insured person receiving proton heavy ion therapy due to malignant tumors at a medical institution with proton and heavy ion treatment qualifications in Shanghai. The reasonable and necessary cost of positioning and radiotherapy planning for ion therapy, as well as the cost of proton heavy ion radiotherapy (excluding bed fees, chemotherapy fees and other expenses). Non-former patients can be reimbursed 70%, and former patients can be reimbursed 30%.

4. Overseas special drug cost insurance: including the insured’s medical expenses at Hainan Boao Super Hospital, Boao International Hospital, Boao Evergrande International Hospital, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Hainan Hospital (Hainan Boao Research After registering with a hospital) and appointing a specialist to diagnose a specific disease and write an outpatient medical record and issue a prescription, the cost of purchasing and using drugs in the overseas special drug catalog that meet the indications and indication restrictions in the outpatient or inpatient departments of the above four hospitals , 70% can be reimbursed for patients without pre-existing conditions, and 30% can be reimbursed for patients with pre-existing conditions, with an insured amount of 300,000;

5. CAR-T drug treatment cost insurance: including the insured’s diagnosis and certification by a designated specialist, If you meet the requirements for CAR-T and receive CAR-T treatment in a CAR-T designated hospital, 100% of the cost of purchasing and using CAR-T drugs that meet the indications and indication restrictions at a CAR-T designated hospital can be reimbursed, guaranteed. The amount is 500,000.