1. Outpatient reimbursement ratio: 65% of the students and children in the school (park) will be paid for medical treatment and prescription in the designated medical institutions in the urban area and the designated B-level retail pharmacies.

2. Proportion of reimbursement for hospitalization: for students and children, after the medical expenses incurred in each hospitalization are calculated according to the regulations, the rest will directly enter the corresponding settlement section according to the actual accumulated medical expenses of specific items of hospitalization and outpatient service in that year: the part of accumulated medical expenses within 40,000 yuan will be settled by the medical insurance fund; 40,000 yuan to 6.5438+10,000 yuan, 80% of the medical insurance fund; 65438+ 10,000 yuan to 200,000 yuan, and the medical insurance fund pays 85%; 200,000 yuan to 350,000 yuan, and the medical insurance fund pays 90%.