1, for medical treatment in tertiary medical institutions, 60% will be paid by residents' basic medical insurance fund, and 40% will be borne by individuals;
2, in the secondary medical institutions for medical treatment, 70% paid by the residents' basic medical insurance fund, personal burden of 30%;
3, in a medical institution, township hospitals for medical treatment, by the residents' basic medical insurance fund to pay 80%, personal burden of 20%.
Not covered by reimbursement:
1, medical expenses incurred in hospitalization in designated hospitals in the city without medical insurance hospitalization registration according to regulations will not be reimbursed by the overall fund;
2, not according to the provisions of the referral procedures for hospitalization expenses, will not be reimbursed;
3, did not fill in the "application form for placement of personnel" or without the approval of the placement of personnel, medical expenses outside the overall planning area, will not be reimbursed;
4. Other circumstances.
To sum up, in tertiary medical institutions, the residents' basic medical insurance fund pays 60%, and the personal burden is 40%; For medical treatment in secondary medical institutions, 70% will be paid by residents' basic medical insurance fund, and 30% will be borne by individuals.
Legal basis:
Article 29 of People's Republic of China (PRC) Social Insurance Law
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.
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
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.