Legal analysis: the proportion of medical insurance reimbursement for employees in Xi: general outpatient treatment: 90% for first-class medical institutions, 70% for second-class medical institutions, 40% for third-class medical institutions, and 70% for general medical expenses paid by pooling funds. The reimbursement rate of Mente: 95% for first-class medical institutions, 90% for second-class medical institutions and 85% for third-class medical institutions. The proportion of hospitalization reimbursement: 95% in first-class medical institutions, 90% in second-class medical institutions, 85% in third-class medical institutions, and 90% in malignant tumor surgery. The process of applying for medical insurance reimbursement is as follows:

1. After the patient is admitted to the hospital, the medical insurance patient can go through the social security registration formalities in the hospital with his ID card, medical insurance card and other documents;

2. When the patient is discharged from the hospital to settle the medical expenses, it is necessary to wait until the admission fee office handles the discharge settlement formalities with the admission registration form and ID card, and there is no need to submit an expense account to the social security center; After being audited by relevant departments, the applicant can receive the Social Medical Insurance Medical Expense Reimbursement Form for reimbursement.

3. For reimbursement of medical expenses, if the medical expenses incurred by the insured in the agreed medical institutions meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards, they can only be paid from the basic medical insurance fund in accordance with state regulations. The emergency expenses and medical service expenses of the insured shall be reimbursed according to the local actual situation and the formulation of specific management measures.

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.