Legal subjectivity: The medical insurance overall payment threshold refers to the medical insurance threshold. The regulations vary from place to place. Generally speaking, for the portion of the medical expenses incurred by a tertiary hospital up to 30,000 yuan, the overall fund pays 85% and the employee pays 15%;

Medical expenses incurred in secondary hospitals: for the part with a minimum payment standard of 30,000 yuan, the overall fund pays 87% and employees pay 13%; others.

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

Pay.

Article 29 of the "Social Insurance Law of the People's Republic of China" 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.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.