Legal analysis: (1) The reimbursement ratio of outpatient expenses for on-the-job personnel (calculated by combining the medical expenses on campus and off-campus in the year): 3,000 yuan: 80% for medical expenses at public expense, and 20% for personal burden; 3,000 yuan: 90% for medical reimbursement at public expense and personal burden10%; Proportion of reimbursement for hospitalization expenses of on-the-job personnel (during the year): 1 10,000 yuan: 90% for reimbursement for public medical care and10% for personal burden; 1 10,000 yuan: 94% for medical reimbursement at public expense and 6% for personal burden; (2) The reimbursement ratio of retirees' outpatient expenses (calculated in combination with the medical expenses on and off campus in that year): 3,000 yuan: 90% for public medical care, and10% for personal burden; 3,000 yuan: 95% for medical reimbursement at public expense and 5% for personal burden; Reimbursement ratio of retirees' hospitalization expenses (during the year): 1 10,000 yuan: 95% for medical reimbursement at public expense and 5% for personal burden; 1 10,000 yuan: 97% for medical reimbursement at public expense and 3% for personal burden; (3) 90% of the outpatient expenses of students who enjoy free medical care are reimbursed, and the personal burden is10%; The hospitalization expenses are reimbursed by 95%, and the personal burden is 5%.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.
Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services. Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.