The specific amount of hospitalization expenses that medical insurance can reimburse is as follows: 1. The reimbursement ratio of employee medical insurance is divided according to the level of hospitalization expenses. The reimbursement ratio is 85% for those between 1,300 yuan and 30,000 yuan, and 85% for those between 30,000 yuan and 40,000 yuan.

The reimbursement ratio is 90%, the reimbursement ratio between 40,000 yuan and 100,000 yuan is 95%, and the reimbursement ratio between 100,000 yuan and 300,000 yuan is 85%; 2. Residential medical insurance is composed of urban residents’ medical insurance and new

Formed by the merger of rural cooperative medical care, the reimbursement ratio is 65% for first-level hospitals, and the minimum payment line is 300 yuan; the reimbursement ratio for second-level hospitals is 65% for less than 6,000 yuan, and 80% for more than 6,000 yuan.

The minimum payment line for county-level secondary hospitals is 400 yuan, and the minimum payment line for city-level secondary hospitals is 600 yuan; for tertiary hospitals, the minimum payment line for county-level tertiary hospitals is 600 yuan, and the reimbursement rate is 65%, which is higher than 6,000 yuan.

The reimbursement rate is 80%, while the minimum payment threshold for municipal tertiary hospitals is 800 yuan, and the reimbursement rate for patients below 12,000 yuan is 55%.

The reimbursement rate for expenses above RMB 12,000 is 75%.

The medical insurance reimbursement process for hospitalization expenses is as follows: 1. Prepare the original ID card and original social security card; 2. Prepare relevant proof of discharge, such as ID card, social security guarantee, medical record, prescription, expense list, discharge diagnosis certificate, etc.; 3

. Go to the hospital charge office to handle settlement procedures and make reimbursements.

To sum up, as long as the hospitalization expenses are within the scope of medical insurance reimbursement, they can be reimbursed.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

Pay.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.