The medical insurance reimbursement regulations in Shanxi Province are as follows: urban residents: the reimbursement ratio of first-class hospitals: 85%; Secondary hospitals: 70%; Tertiary hospitals: 60%; Emergency hospitalization: 50%; Referral from tertiary hospitals in different places: 55%. Proportion of reimbursement for general outpatient service: medical expenses above Qifubiaozhun that meet the scope of outpatient co-ordination payment, and the proportion of outpatient co-ordination fund payment is 50%. Reimbursement ratio of urban workers: within 5,000 yuan (including 5,000 yuan), the individual pays for the first-level medical version 15%, the second-level hospital 17%, and the third-level hospital19%; 5000 yuan to 15000 yuan (including 15000 yuan), individuals pay 13% in the first-level hospital, 15% in the second-level hospital and17% in the third-level hospital; If the individual pays more than RMB 15000, the first-level hospital pays 1 1%, the second-level hospital pays 13%, and the third-level hospital pays 15%.

Legal objectivity:

Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations. Article 29 of the Social Insurance Law, the part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.