The general reimbursement rate of basic medical insurance for urban workers is that for medical expenses under 100,000 yuan incurred within a billing year that are eligible for reimbursement, the starting standard for a tertiary hospital is 659 yuan, and the reimbursement rate is 50% up to a maximum of 2,000 yuan, the starting standard for a second-level hospitalization is 300 yuan, and the reimbursement rate is 55%, and the reimbursement rate for a first-level hospital is 60%. The corresponding reimbursement rate is greater for two people and children.
Legal basis
The Chinese People's **** and the State Social Insurance Law, Article 25
The State establishes and perfects the basic medical insurance system for urban residents. Basic medical insurance for urban residents is a combination of individual contributions and government subsidies. The government shall subsidize the portion of individual contributions required by people enjoying the minimum subsistence guarantee, persons with disabilities who have lost their ability to work, and elderly people over 60 years of age and minors from low-income families.Article 26 of the Social Insurance Law of the People's Republic of China
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with state regulations.