Legal analysis: (1) The proportion of reimbursement for outpatient expenses of on-the-job personnel: less than or equal to 3,000 yuan: 80% for medical reimbursement at public expense and 20% for personal burden; More than 3,000 yuan: 90% for medical reimbursement at public expense and10% for personal burden; Then the reimbursement ratio of hospitalization expenses: less than or equal to 1 10,000 yuan: 90% for medical reimbursement at public expense and10% for personal burden; /kloc-more than 0/10,000 yuan: 94% for medical reimbursement at public expense and 6% for personal burden; (2) The reimbursement rate of outpatient expenses for retirees: less than 3,000 yuan: 90% for medical reimbursement at public expense and10% for personal burden; More than 3,000 yuan: 95% reimbursement, 5% personal burden; The reimbursement rate of retirees' hospitalization medical treatment: less than or equal to 10000 yuan: the reimbursement rate is 95%, and the personal burden is 5%; /kloc-more than 0/10,000 yuan: 97% for medical reimbursement at public expense and 3% for personal burden; (3) 90% of the outpatient expenses of students who enjoy free medical care are reimbursed, and the personal burden is10%; Hospitalization reimbursement is 95%, and personal burden is 5%.
Legal basis: Article 27 of People's Republic of China (PRC) Social Insurance Law. Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits according to the provisions of the state if they reach the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state. Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.