Legal analysis: hospitalization reimbursement ratio:
1, first-class and the following designated medical institutions deducted 100 yuan / times the threshold fee, the first class of Class A drugs reimbursement: 80% of the first class, the second class of 85% of the class of drugs first out-of-pocket 10%, and then reimbursement at the rate of 80%, 85% of the proportion of the 2, the second-class designated medical institutions deducted 300 yuan / times the threshold fee, Class A drugs reimbursement: first class 60%, second 65% of the class of drugs first 10% out-of-pocket, and then reimbursement at the rate of 60%, 65% 3, third-level designated medical institutions deduct 800 yuan / time threshold fee, Class A drugs first reimbursement: 40% of the first class, second 45% of the class of drugs first 10% out-of-pocket, and then reimbursement at the rate of 40%, 45%.
Currently, the annual reimbursement ceiling: up to 280,000 yuan for first class and up to 320,000 yuan for second class.
Outpatient reimbursement:
The 2019 outpatient reimbursement limit is $140 per person-year, with a flat rate of $80 per person-year.
Legal basis: the Law of the People's Republic of China on Social Insurance Article 2 The state establishes a social insurance system for basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to receive material assistance from the state and society in accordance with the law in cases of old age, sickness, industrial injury, unemployment and maternity.