1, outpatient reimbursement ratio: the reimbursement ratio of outpatient medical expenses is 60% to 80%.

2. Hospitalization reimbursement ratio: the reimbursement ratio of hospitalization medical expenses is 80% to 95%.

3. Reimbursement rate for special diseases: the reimbursement rate for special diseases is 80% to 95%.

4. Reimbursement ratio of specific outpatient items: the reimbursement ratio of specific outpatient items in community medical institutions is 80% to 90%.

5. Reimbursement ratio of specific hospitalization items: the reimbursement ratio of specific hospitalization items in community medical institutions is 70% to 85%.

6. Proportion of reimbursement for going abroad for medical treatment: the proportion of reimbursement for specific projects of non-community medical institutions is 50% to 75%.

7. Proportion of reimbursement for serious illness: the proportion of reimbursement for serious illness is 75% to 95%.

The provisions of the medical insurance payment period are as follows:

1, 25 years for men and 20 years for women;

2. When men retire, the cumulative payment period is less than 30 years, and the cumulative payment period for women is less than 25 years. If the employer and individual employees make up the medical insurance premium at one time according to the regulations, it can be regarded as the expiration of the payment period;

3. The medical insurance of enterprise employees shall be regarded as the actual working years recorded in personnel files. According to the relevant laws and regulations of our country, employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

To sum up, the standard of medical insurance years may be different in different regions and different types of insurance, and the specific policies shall be subject to the provisions of local social security agencies.

Legal basis:

Article 27 of People's Republic of China (PRC) Social Insurance Law

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.