Hospitalization expenses of more than 1,500 yuan can be reimbursed, with the overall fund paying 85% of the amount within 510,000 yuan, and the additional fund paying 80% for more than 510,000 yuan. The details are as follows: For hospitalization medical expenses that meet the regulations, the individual must first bear the overall fund minimum payment standard of 1,500 yuan, and the cumulative

For the part exceeding the minimum payment standard, 85% will be paid by the overall fund, and the maximum payment limit of the overall fund is 510,000 yuan. For the part exceeding the above, 80% will be paid by the additional fund, and the remaining part will be paid by the individual.

The funds in the account over the years can be used for personal expenses for hospitalization, and the insufficient funds in the account over the years will be paid in personal cash.

If there are out-of-pocket expenses and classified out-of-pocket expenses that are not within the scope of medical insurance payment, the individual must bear them separately.

Extended information Information required to apply for hospitalization reimbursement in Shanghai: While enjoying medical insurance benefits, when temporarily staying in other provinces and cities, and incurring compliant emergency and emergency hospitalization medical expenses at local medical insurance designated hospitals, the medical expenses can be reimbursed from the date of issuance of the medical expense receipt.

Within 6 months, bring your own ID card (if you entrust someone else to do it for you, you will also need to provide the agent’s ID card), medical insurance card, special receipts for medical expenses, relevant medical history information and copies.

For emergency hospitalization, you must also provide a discharge summary and copy, a detailed list of hospitalization medical expenses and a copy to the medical insurance affairs center or street medical insurance service point in each district of the city to apply for review and reimbursement.