Legal analysis: the proportion of medical insurance reimbursement is 85%. If it exceeds the basic limit, the social security department will reimburse 85% for the amount below RMB 0-40,000, 90% for the amount below RMB 40,000-80,000, and 95% for the amount above RMB 80,000. Students and children: medical expenses below RMB 6,543,800+RMB 8,000 within a settlement year. The lowest threshold for tertiary hospitals is 500 yuan, and the lowest threshold for hospitals with 55% reimbursement rate is 300 yuan. There is no minimum threshold for hospitals with 60% reimbursement rate, and the reimbursement rate is 65%.

Older people over 70 years old: within a settlement year, medical expenses below 6,543,800 yuan are eligible for reimbursement. The minimum qifubiaozhun for tertiary hospitals is 500 yuan, the minimum qifubiaozhun for reimbursement is 300 yuan, and the minimum qifubiaozhun for reimbursement is 60%. The minimum threshold for reimbursement is 65%.

Other urban residents: medical expenses less than 654.38+10,000 yuan within a settlement year. The minimum qifubiaozhun for tertiary hospitals is 500 yuan, and the minimum qifubiaozhun for hospitalization with 50% reimbursement rate is 300 yuan. The minimum threshold for hospitals with 55% reimbursement rate is 60%.

Legal basis: Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents Article 27 The hospitalization medical expenses of insured residents within the policy scope of designated medical institutions for basic medical insurance in the overall planning area shall be paid by the urban and rural residents' medical insurance fund in proportion: township hospitals and community health service institutions shall not be less than 80%; County-level medical institutions are not less than 70%; Municipal medical institutions are not less than 60%. Each overall planning area reasonably determines the specific payment ratio according to the income and expenditure of urban and rural residents' medical insurance fund.