First of all, students and children:

First, in a settlement year, medical expenses below 6,543,800 yuan+0.8 million yuan that meet the scope of reimbursement occurred. The threshold of tertiary hospitals is 650 yuan, with a reimbursement rate of 50% and an upper limit of 2,000 yuan;

The qifubiaozhun for secondary and secondary hospitals is 300 yuan, and the reimbursement rate is 60%;

Three, a hospital does not set Qifubiaozhun, reimbursement rate is 65%.

Second, at least 70 years old and above:

First, in a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The threshold for tertiary hospitals is 650 yuan, and the reimbursement ratio is 50%, with an upper limit of 2,000 yuan;

The qifubiaozhun for secondary and secondary hospitals is 300 yuan, and the reimbursement rate is 60%;

Three, a hospital does not set Qifubiaozhun, reimbursement rate is 65%.

Third, other urban residents:

First, in a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occurred. The threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan;

The Qifubiaozhun for hospitalization in secondary and secondary hospitals is 300 yuan, and the reimbursement rate is 55%;

Three, a hospital does not set Qifubiaozhun, reimbursement rate is 60%.

Legal basis: Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.