1. Annual reimbursement limit, reimbursement deductible line, reimbursement ratio 1, annual reimbursement ceiling for urban workers' medical insurance outpatient service: 20,000 yuan. Deductible: On-the-job personnel 1.800 yuan, with the reimbursement rate starting from 70%. Retirees 1300 yuan, the reimbursement rate is 85%. Upper limit of annual reimbursement for hospitalization: 300,000 yuan. Deductible line: No matter whether employees or retirees are hospitalized for the first time1.From 300 yuan, the reimbursement rate is 85%. Second hospitalization, since 650 yuan, reimbursement rate: 85%. Major diseases: The part of self-paid medical expenses that exceeds the per capita disposable income of urban residents in this city last year shall be calculated by stages and paid cumulatively. Under 50,000 yuan, the reimbursement rate starts from 50%, and over 50,000 yuan, the reimbursement rate starts from 60%, with no upper limit. 2. Upper limit of annual reimbursement for outpatient medical insurance for urban and rural residents: 3,000 yuan. The deductible line: level-1 hospital 100 yuan, and the reimbursement rate is 55%. Reimbursement rate from 550 yuan, 50% for hospitals of level 2 and above. Hospitalization: 200,000. Deductible: 75% for children 150 yuan and adult 300 yuan. Remarks: The above expenses do not include expenses not included in medical insurance, such as out-of-pocket expenses and self-funded items. Also, the registration fee (medical service fee) is not included in the deductible line and the capping line. 2. What expenses can be reimbursed? What can't be reimbursed 1. Reimbursable medical expenses that meet the scope of the three major catalogues of Beijing Medical Insurance. Among them, outpatient special diseases include: malignant tumor radiotherapy and chemotherapy, bone dialysis, and insured persons taking anti-rejection drugs after kidney transplantation. After going through the examination and approval procedures for special diseases, relevant medical expenses can be reimbursed. 2. Non-reimbursable expenses (1) are not clinically necessary, the effect is uncertain, and there are special medical services, such as registration fees, out-of-hospital consultation fees, case fees, home visits fees, expedited examination and treatment fees, additional fees for roll call surgery, special medical services, health examination fees, weight loss, weight gain, increase items, medical consultation, medical appraisal, etc. (II) Medical treatment in non-designated hospitals, except for injuries caused by emergency treatment, drug purchase in non-designated retail pharmacies, occupational diseases, work-related injuries, traffic accidents, medical accidents or other liability accidents, as well as medical expenses caused by drug abuse, fighting, suicide, self-mutilation and alcoholism. As well as medical treatment abroad, other countries and Beijing stipulate that the expenses shall be borne by the individual. In order to protect the legitimate rights and interests of related workers in China, workers can reimburse related medical expenses after retirement. The proportion of related reimbursement is more than 80% of the total medical expenses according to age, which greatly reduces the pressure on retirees, guarantees their later life and legally protects the legitimate rights and interests of relevant personnel.