Medicare reimbursement ratio:
1. Outpatient and emergency medical expenses: the portion of medical expenses exceeding 2,000 yuan in total within the annual period (January 1 to December 31) of an active employee that are in line with the scope of basic medical insurance.
2. Settlement ratio: 50% reimbursement for the part of over 2,000 yuan for dispatched staff during the contract period, and 50% out-of-pocket payment by individuals; the maximum amount of outpatient and emergency reimbursement paid to dispatched staff is 20,000 yuan cumulatively in a year.
3. Participants should keep the outpatient medical bills (including receipts and prescription bottoms for the parts below the large amount) of the outpatient treatment in the designated hospitals as the vouchers for reimbursement of medical expenses.
4. Outpatient medical treatment for three special diseases: when a participant suffering from malignant tumor radiation therapy and chemotherapy, kidney dialysis, or taking anti-rejection drugs after kidney transplantation needs outpatient medical treatment, the second or third level designated hospital where the participant seeks medical treatment will issue a "Diagnostic Proof of Disease" and fill in the "Declaration and Approval Form of Special Diseases for Medical Insurance" and submit it to the district medical insurance center for approval and filing. The form will be submitted to the district medical insurance center for approval and filing. Outpatient medical treatment and medicine collection for these three special diseases are limited to the approved designated hospitals, and cannot be purchased at designated retail pharmacies. The medical expenses incurred in accordance with the scope of outpatient special diseases, refer to the hospitalization for settlement.