The person concerned can generally be reimbursed 50% to 95% of the cost by using his or her health insurance card. The reimbursement rate for employee health insurance is divided according to the actual medical expenses incurred by the insured person, usually the minimum reimbursement rate for hospitalization is 85 percent and the maximum reimbursement rate is 95 percent; the reimbursement rate for urban and rural residents' health insurance is divided according to the level of the hospital, which ranges from 50 percent to 80 percent. Because of the different economic levels in different regions, the reimbursement rate in medical reimbursement may also be slightly different."
Medicare card reimbursement is generally based on a sliding scale, typically 60 to 70 percent. In a billing year, incurred in line with the scope of reimbursement of less than 100,000 yuan of medical expenses, tertiary hospitals starting standard of 659 yuan, reimbursement rate of 50 percent of the upper limit of 2,000 yuan; secondary hospital hospitals hospitalization starting standard of 300 yuan, reimbursement rate of 55 percent; first-class hospitals do not have a standard of reimbursement for the 60 percent of the starting standard.
I hope the above can help you, if there are still questions please consult a professional lawyer.
Legal basis:
Article 2 of the Social Insurance Law of the People's Republic of China
The state establishes a social insurance system of basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., and guarantees the right of citizens to obtain material assistance from the state and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and maternity.
Article 26
The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28
Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.