Legal analysis: 1. Students and children:

1. Within a settlement year, if medical expenses of less than 180,000 yuan are incurred that meet the scope of reimbursement, the minimum payment standard for third-level hospitals is 650 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan;

The minimum payment standard for second- and second-level hospitals is 300 yuan, and the reimbursement ratio is 60%;

Third- and first-level hospitals The hospital does not set a minimum payment standard, and the reimbursement rate is 65%.

Second, if you are 70 years old or above:

1. In one accounting year, if you incur medical expenses of less than 100,000 yuan that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 650 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan;

The minimum payment standard for second- and second-level hospitals is 300 yuan, and the reimbursement ratio is 60%;

Third- and first-level hospitals The hospital does not set a minimum payment standard, and the reimbursement rate is 65%.

Third, other urban residents:

1. In one accounting year, if medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 659 yuan , the reimbursement ratio is 50% and the upper limit is 2,000 yuan;

The minimum hospitalization standard for second- and second-level hospitals is 300 yuan, and the reimbursement ratio is 55%;

Third- and first-level hospitals do not The minimum payment standard is set and the reimbursement ratio is 60%.

Legal basis: "Social Insurance Law of the People's Republic of China" Article 28 In line with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses, in accordance with the national Provides payment from the basic medical insurance fund.