The threshold for general outpatient service is 4 yuan, and the maximum payment limit is 5, yuan. As for the expenses within the policy scope of hospitalization and outpatient service for special diseases, the overall fund shall be reimbursed according to the following proportions: for those who exceed the minimum threshold to 5, yuan, 85% of the employees are reimbursed in primary medical and health institutions, and 9% of the retirees are reimbursed; In other medical institutions, 8% of employees are reimbursed and 85% of retirees are reimbursed.

In a medical insurance year, the expenses incurred by the insured in Zhuji in the general outpatient service of the second medical insurance unit within the policy range, from the minimum threshold to the maximum payment limit, will be reimbursed by the pooling fund according to the following proportions: 75% for the employees in primary medical and health institutions and 8% for the retirees; In other designated medical institutions or in the city's designated retail pharmacies to buy drugs, 65% of employees are reimbursed, and 7% of retirees are reimbursed.

if the part exceeding 5, yuan to 1, yuan is treated in primary medical and health institutions, 9% of the employees and 95% of the retirees will be reimbursed; In other medical institutions, employees are reimbursed 85% and retirees are reimbursed 9%. More than 1, yuan to 25, yuan, 9% of the employees are reimbursed, and 95% of the retirees are reimbursed. For the part exceeding 25, yuan, 9% will be reimbursed, with no ceiling.

outpatient co-ordination is a form of medical insurance benefits. Simply put, it means that the general outpatient expenses of the insured are included in the reimbursement, and the basic medical insurance co-ordination fund and individuals * * * bear the general outpatient expenses. It means that the compensation expenses of outpatient service are centralized and paid by the outpatient co-ordination fund to compensate the medical expenses of outpatient service. Generally speaking, patients are not reimbursed for outpatient treatment, but they can go to the hospital where they often go to see a doctor for "outpatient co-ordination and fixed point", so that they can enjoy preferential treatment when they see an outpatient service there. For example, if you go to the hospital for outpatient service and then prescribe medicine, you can enjoy a discount, about 5% off. The process is probably: go to the service center of the hospital or the medical insurance office, give him the medical record book, and then he will put a form on the cover, so it will be fine. And take effect immediately. The maximum discount for one month is 3 yuan. Every place is a little different, and the specific situation needs to consult the hospital information desk.