The reimbursement ratios of Yantai residents’ medical insurance in 2023 are as follows: 1. Students and children.

Within a accounting year, medical expenses that meet the reimbursement scope are incurred: (1) The reimbursement ratio for third-level hospitals is 55%; (2) The reimbursement ratio for second-level hospitals is 60%; (3) There is no minimum payment standard for first-level hospitals, and reimbursement is

The proportion is 65%; 2. Elderly people over 70 years old.

Within a accounting year, medical expenses that meet the reimbursement scope are incurred: (1) The reimbursement ratio for third-level hospitals is 50%; (2) The reimbursement ratio for second-level hospitals is 60%; (3) There is no minimum payment standard for first-level hospitals, and reimbursement is

The proportion is 65%; 3. Other urban residents.

In one accounting year, medical expenses that meet the reimbursement scope are incurred: (1) The reimbursement ratio for third-level hospitals is 50%; (2) The hospitalization reimbursement ratio for second-level hospitals is 55%; (3) There is no minimum payment standard for first-level hospitals.

The reimbursement rate is 60%.

The following materials need to be brought when reimbursing: 1. Original ID card or social security card; 2. Original disease diagnosis certificate issued by a specialist at a designated medical institution; 3. Original outpatient medical records, examination, test result reports and other medical information;

4. Original outpatient fee receipt from a unified financial and taxation medical institution; 5. Outpatient fee detailed list printed by the hospital computer or the original payer of the prescription issued by the doctor; 6. Designated pharmacies: original tax merchandise sales unified invoice and computer printed list; 7.

If you are applying on behalf of someone else, you need to provide the original ID card of the agent.

The specific process for medical insurance reimbursement is as follows: 1. The applicant submits the application materials, and the accepting department will review the application materials within 5 days from the date of receipt of the application materials and decide whether to accept them; 2. If the application materials are incomplete, within the above 5 days

The applicant shall be notified of all the content that needs to be supplemented and corrected at once; 3. The applicant shall supplement and correct the materials within 5 days from the date of receipt of the "Notice of Supplementing and Correcting Materials"; 4. Failure to make corrections within the time limit shall be deemed to have withdrawn the application; 5. However, after supplementing and correcting the materials,

The applicant can resubmit the application within the legal validity period; 6. The Social Security Fund Management Bureau will review the materials and approve the application, and the applicant will be reimbursed after receiving the social medical insurance medical expense reimbursement form.

To sum up, the reimbursement ratio of resident medical insurance is basically 50%.

Different people, in different hospitals, have different reimbursement ratios.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

Pay.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

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