1, primary and secondary school students and infants, and the funding standard is 750 yuan per person per year.

2, primary and secondary school students and infants per person per year in 90 yuan.

Two, outpatient and emergency treatment respectively enjoy outpatient and emergency treatment and hospitalization treatment:

1, the outpatient and emergency deductible line is 300 yuan/year, and the reimbursement rate of the first-level hospital is 65%, that of the second-level hospital is 55%, and that of the third-level hospital is 50%;

2, hospitalization level hospital Qifubiaozhun 50 yuan/time, medical insurance reimbursement rate of 80%;

3. The Qifubiaozhun for secondary hospitals is 100 yuan/time, and the proportion of medical insurance reimbursement is 70%;

4, tertiary hospitals Qifubiaozhun 300 yuan/time, medical insurance reimbursement rate of 60%.

For those who are insured beyond the time limit, except for newborns and newly qualified personnel, a waiting period of 3 months will be set, and residents will enjoy medical insurance benefits after the waiting period expires.

Three, hospitalization standard hospitalization medical expenses, more than Qifubiaozhun above, the proportion of fund payment shall be adjusted accordingly, specifically:

1, hospitalized in a community health service center (or a first-class medical institution), and the fund payment ratio was adjusted from 75% to 80%;

2, hospitalized in secondary medical institutions, the fund payment ratio is adjusted from 65% to 70%;

3. For hospitalization in tertiary medical institutions, the proportion of fund payment is adjusted from 55% to 60%.

Legal basis:

Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban Workers

Twenty-eighth personal accounts are used to pay medical expenses beyond the scope of the overall fund; If the personal account is insufficient to pay, it shall be borne by me.

Twenty-ninth serious illness hospitalization medical expenses, according to the following methods to pay:

(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 9%-0%.

(two) the maximum payment limit is controlled in principle at 3-5 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.

(three) medical expenses above the minimum deductible and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion.

Give appropriate care to the proportion of retirees who bear medical expenses. The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the proportion of sharing medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government. Thirtieth medical expenses below Qifubiaozhun and above the maximum payment limit shall not be paid by the overall fund.