Legal analysis: the medical expenses that meet the requirements of the outpatient department shall be reimbursed according to the following proportion, and the rest shall be paid by individuals: 1, and the medical expenses that are less than 1000 yuan shall be reimbursed by 35%; 2, medical expenses in 1000 yuan (including 1000 yuan) above, less than 5000 yuan, 45% reimbursement; 3, medical expenses in more than 5000 yuan (including 5000 yuan), less than 10000 yuan, 55% reimbursement; 4, medical expenses in 1 ten thousand yuan (including 1 ten thousand yuan) above, reimbursement of 65%.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) 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 from the basic medical insurance fund in accordance with state regulations.