1. General outpatient service: the minimum payment standard is that there is no minimum payment standard for medical institutions on campus and the minimum payment standard for 300 yuan off campus; Reimbursement ratio:

(1) Level III and corresponding medical institutions 40%;

(2) 50% for secondary and corresponding medical institutions;

(3) 70% are in other medical institutions and community health service institutions. Attention should be paid to the medical expenses that meet the scope of medical insurance expenses in designated retail pharmacies and ambulances, and the proportion of fund commitment should be implemented according to the general outpatient standards of secondary medical institutions.

2, hospitalization and outpatient medical expenses:

(1) Qifubiaozhun. 800 yuan, a tertiary medical institution; 600 yuan, a secondary medical institution; 300 yuan, other medical institutions and community health service institutions;

(2) The reimbursement ratio between hospitalization Qifubiaozhun and 6.5438+0.8 million yuan:

Level III and corresponding medical institutions. 7 1%;

Secondary and corresponding medical institutions are 75%;

80% are in other medical institutions and community health service institutions.

3. The reimbursement rate of 1.8 million yuan is 80%.

Legal basis: Article 23 of the Social Insurance Law of People's Republic of China (PRC).

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.