I. Students and children (less than 6.5438+0.8 million yuan)

1 and the reimbursement rate of tertiary hospitals is 55%;

2. The reimbursement rate of secondary hospitals is 60%;

3. The reimbursement rate of the first-level hospital is 65%.

Two, the elderly over 70 years old (654.38+ ten thousand yuan)

1 and the reimbursement rate of tertiary hospitals is 50%;

2. The reimbursement rate of secondary hospitals is 60%;

3. The reimbursement rate of the first-level hospital is 65%.

Three, other urban residents (6.5438+ten thousand yuan)

1 and the reimbursement rate of tertiary hospitals is 50%;

2. The reimbursement rate of secondary hospitals is 55%;

3. The reimbursement rate of the first-level hospital is 60%.

Proportion of medical insurance reimbursement for essential drugs

1, level-I hospital reimbursement

The reimbursement rate of essential drugs in first-class hospitals is 20%;

The proportion of non-implementation of basic drug reimbursement is 40%

2, secondary hospital reimbursement

42% reimbursement for essential drugs.

3, tertiary hospital reimbursement

55% reimbursement for essential drugs.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.