What is the proportion of medical insurance reimbursement? Please read the following:

According to the different insured people, China's medical insurance can be divided into urban workers' medical insurance, urban residents' medical insurance and rural new rural cooperative medical insurance, and the reimbursement rates of these three types of medical insurance are not the same, and the reimbursement rates of common diseases and special diseases are not the same. The following will be analyzed separately.

1, medical insurance for urban workers

A. On-the-job employees: outpatient service is exempted from 2,000 yuan, that is, out of the medical expenses incurred in outpatient service, the part exceeding 2,000 yuan will be reimbursed, and the reimbursement ratio is 50%;

B. Retired employees: The fee-free amount for outpatient service is 1.300 yuan, that is, only the medical expenses incurred in outpatient service that exceed 1.300 yuan will be reimbursed, with 70% for those under 70 years old and 80% for those over 70 years old.

C. Maximum amount: No matter what kind of people, the maximum amount of outpatient and emergency medical expenses is 20,000 yuan.

D. Special diseases: within one medical insurance year, outpatient clinics for special diseases are exempted from reporting to 400 yuan, and the reimbursement rate of medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization.

2. Medical insurance for urban residents

A. General outpatient service: In a medical insurance year, there is no deductible line for general outpatient service, and the medical expenses within the scope of outpatient co-ordination fund are reimbursed at the rate of 60%. The annual maximum personal payment limit of the co-ordination fund is 400 yuan.

B. Special diseases: within one medical insurance year, special disease clinics are exempted from reporting to 400 yuan, and the reimbursement rate of medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization.

3. New rural cooperative medical insurance

A, the village clinic and village center clinic shall be reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.

B, 40% reimbursement for medical treatment in the town health center, with the limit of 50 yuan for each medical examination and operation, and the limit of prescription fee 100 yuan.

C, 30% reimbursement for medical treatment in secondary hospitals, 50 yuan for examination fees and operation fees, and 200 yuan for prescription drugs.

D, tertiary hospital treatment reimbursement 20%, each visit examination fee, operation fee limit 50 yuan, prescription fee limit 200 yuan.

E, Chinese medicine invoice with prescription, limit 1 yuan.

F, town cooperative medical outpatient compensation annual limit of 5000 yuan.

G. Special diseases: within one medical insurance year, outpatient clinics for special diseases are exempted from reporting to 400 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization.

After reading the above, I think everyone has a general understanding of the proportion of medical insurance reimbursement.

Legal objectivity:

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. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.