1, within the scope of the annual medical insurance policy for on-the-job and retirees, outpatient medical expenses can be reimbursed as a whole if they reach 500 and 300 yuan or above.

2. In the past, the fund payment limits for on-the-job and retirees were 5,000 yuan and 6,000 yuan respectively. From next year, this limit will be raised to 1.2 million yuan.

3. Designated retail pharmacies? Moreover, the limit of compliance medical expenses paid by each fund in designated outpatient clinics is tentatively set at 2000 yuan, which is included in the maximum payment limit of overall reimbursement 12000 yuan.

4. The transfer amount of retirees' personal accounts was uniformly adjusted from 1 in 2024 to the basic pension in Wuxi in 2023. The average level is 2.5%, and the specific measures and standards shall be separately determined by the municipal medical insurance department according to the provincial regulations.

The amount of Wuxi medical insurance pooling account refers to the upper limit of the amount that the insured who participates in Wuxi medical insurance can use in the medical insurance pooling account. Medical insurance co-ordination account refers to a part of the personal account of the insured person of medical insurance, which is used to pay the medical expenses within the coverage of medical insurance. To sum up, the insured of Wuxi Medical Insurance needs to pay a certain medical insurance fee every year, which will be included in the medical insurance pooling account. When the insured needs to use medical insurance to reimburse related expenses, the corresponding amount can be deducted from the medical insurance pooling account.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

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