Medical insurance for urban workers: annual reimbursement limit for outpatient service: 20,000 yuan. Upper limit of annual reimbursement for hospitalization: 300,000 yuan. Major diseases: The part of self-paid medical expenses that exceeds the per capita disposable income of urban residents in this city last year shall be calculated by stages and paid cumulatively. Under 50,000 yuan, the reimbursement rate starts from 50%, and over 50,000 yuan, the reimbursement rate starts from 60%, with no upper limit. Medical insurance for urban and rural residents: annual reimbursement limit for outpatient service: 3,000 yuan. Hospitalization: 200,000.
Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.