1, outpatient reimbursement

1) 35% of insufficient medical expenses 1000 yuan (excluding);

2)/kloc-45% of the medical expenses within the range of 0/000 yuan (inclusive) to 5,000 yuan (exclusive);

3) 55% of the medical expenses ranging from 5000 yuan (inclusive) to 10000 yuan (exclusive);

4)/kloc-65% of medical expenses above RMB 0/0000 (inclusive).

2, hospitalization reimbursement

1) If the medical expenses are less than 10000 yuan (excluding), the reimbursement rates in tertiary, secondary and primary medical institutions are 55%, 65% and 75% respectively;

2) For the portion of medical expenses 1 10,000 yuan (inclusive) to 20,000 yuan (exclusive), the proportion of reimbursement for medical treatment in tertiary, secondary and primary medical institutions is 60%, 70% and 80% respectively;

3) The proportion of reimbursement for medical expenses above 20,000 yuan in tertiary, secondary and primary medical institutions is 65%, 75% and 85% respectively.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.