Medical insurance is mainly divided into employee medical insurance and resident medical insurance, and the reimbursement ratio is also different. 1. According to the level of hospitalization expenses, the reimbursement rate of medical insurance for employees is between 1300 yuan-30,000 yuan, and the reimbursement rate is 85%. 2. The reimbursement rate is 90% for 30,000-40,000 yuan, 95% for 4 4- 10/00,000 yuan, and 85% for10-300,000 yuan. 3. Residents' medical insurance consists of urban residents' medical insurance and the new rural cooperative medical system. The reimbursement rate is 65% for first-class hospitals and 80% for second-class hospitals. 4. County-level hospital deductible line 400 yuan, municipal hospital 600 yuan, county-level hospital 600 yuan.
Legal objectivity:
People's Republic of China (PRC) social insurance law
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.
People's Republic of China (PRC) social insurance law
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.