Community health service institutions for urban non-employed residents: 70% from the overall fund and 30% from individuals; First-class hospitals: 60% of overall funds and 40% of individuals; Secondary hospitals: 50% paid by the overall fund and 50% borne by individuals; Third-level hospitals: 40% is paid by the overall fund, and 60% is borne by individuals. The proportion of children's overall fund payment is increased by 5% according to the corresponding standards of urban non-employed residents. According to reports, serious outpatient diseases include: special outpatient diseases (radiotherapy and chemotherapy for malignant tumors, outpatient renal dialysis, taking anti-rejection drugs after organ transplantation) and chronic diseases (hypertension, coronary heart disease, diabetes). Outpatient treatment of special diseases: 50% from the overall fund and 50% from individuals; Outpatient treatment of chronic diseases: In one year, if the medical expenses for outpatient treatment of chronic diseases in designated medical institutions exceed 350 yuan, the excess will be paid by the overall fund according to the standard of 50%, and the maximum payment limit of the overall fund is 2,000 yuan.
Legal basis: Article 24 of the Social Insurance Law of People's Republic of China (PRC), the state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.