Maximum annual reimbursement of employee medical insurance

Legal analysis: the maximum reimbursement amount of medical insurance for urban workers: outpatient reimbursement of 20 thousand yuan. The hospitalization reimbursement is300,000. Maximum reimbursement amount of medical insurance for urban residents. Outpatient reimbursement is 2000 yuan. The hospitalization reimbursement is 6.5438+0.7 million yuan.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.