it depends on the age and hospital level of the insured.

when the insured reimburses, the minimum payment standard must be paid first. For the insured persons under 7 years old who participate in the basic medical insurance for urban workers, the minimum threshold for the first hospitalization in the year is: the tertiary hospital is 85 yuan (including the First Affiliated Hospital and the Second Affiliated Hospital of Medical University, which is 12 yuan), the secondary and specialized hospitals are 5 yuan, and the first-class hospital is 3 yuan. For those hospitalized for the second time or more during the year, the Qifubiaozhun for tertiary hospitals is 68 yuan (including the First Affiliated Hospital of Medical University and 96 yuan for the Second Affiliated Hospital), 4 yuan for secondary hospitals and specialized hospitals, and 24 yuan for primary hospitals (including therapeutic family beds, the same below). No matter how many times the elderly aged 7 or above are hospitalized each year, the minimum threshold for tertiary hospitals is 425 yuan (including the First Affiliated Hospital of Medical University and the Second Affiliated Hospital of 6 yuan), the second-level hospitals and specialized hospitals are 25 yuan and the first-level hospitals are 15 yuan.

medical expenses above qifubiaozhun and within the scope of medical insurance payment shall be paid by the overall fund in proportion. Proportion of overall fund payment: 85% of employees are hospitalized in tertiary hospitals, 88% in secondary hospitals and specialized hospitals, and 9% in primary hospitals. Retirees are hospitalized in tertiary hospitals, with 92.5% paid by the overall fund, 92% by secondary hospitals and specialized hospitals, and 95% by primary hospitals.