Proportion of medical insurance reimbursement for urban and rural residents in Hubei Province

Legal analysis: the reimbursement rate of threshold fee above 3,000 yuan is 88%, that of 3,000-5,000 yuan is 90%, that of 5,000-10000 yuan is 92%, and that of10000 yuan is 95% above the maximum payment limit, including 80% for Class B drugs and 70% for precious drugs and special drugs. The reimbursement rate of tertiary hospitals is 55%; The reimbursement rate of secondary hospitals is 65%; The reimbursement rate of first-class hospitals is 75%.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.