The minimum payment standards and reimbursement ratios of urban residents’ basic medical insurance are determined according to the categories of insured persons.

1. Students and children. In one accounting year, if medical expenses of less than 180,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 55%; the minimum payment standard for second-level hospitals is 300 yuan, and the reimbursement ratio is 60%; There is no minimum payment standard for first-level hospitals, and the reimbursement rate is 65%.

2. Elderly people over 70 years old. In one accounting year, if medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 50%; the minimum payment standard for second-level hospitals is 300 yuan, and the reimbursement ratio is 60%; There is no minimum payment standard for first-level hospitals, and the reimbursement rate is 65%.

3. Other urban residents. In one accounting year, if medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement rate is 50%; the minimum payment standard for hospitalization in second-level hospitals is 300 yuan, and the reimbursement rate is 55%. ; There is no minimum payment standard for first-level hospitals, and the reimbursement rate is 60%.

If urban residents are hospitalized for more than two times in one accounting year, starting from the second hospitalization, the minimum standard fee will no longer be charged. If you are transferred to another hospital or hospitalized for two or more times, the difference will be made up according to the prescribed minimum payment standard for transfer or readmission to the hospital.