2065438+2002 Shanghai medical insurance reimbursement ratio: insured residents need to raise the minimum threshold for each hospitalization, community health service center (or first-level medical institution) 50 yuan, second-level medical institution 100 yuan, and third-level medical institution 300 yuan. For medical expenses exceeding the minimum deductible, the proportion of urban residents' medical insurance fund payment is adjusted as follows, and the rest medical expenses are borne by the insured: for those over 70 years old who seek medical treatment in community health service centers (or first-class medical institutions), the proportion of fund payment is adjusted from 70% to 85%; 75% of those who seek medical treatment in secondary medical institutions; For medical treatment in tertiary medical institutions, 65% will be paid. For people over 60 and under 70, the proportion of fund payment is adjusted from 60% to 85% for those who seek medical treatment in community health service centers (or first-class medical institutions); 75% of those who seek medical treatment in secondary medical institutions;

For medical treatment in tertiary medical institutions, 65% will be paid. /kloc-For those aged over 0/8 and under 60, primary and secondary school students and infants who seek medical treatment in community health service centers (or first-class medical institutions), the proportion of fund payment will be adjusted from 50% to 75%; 65% of those who seek medical treatment in secondary medical institutions; 55% of those who seek medical treatment in tertiary medical institutions. Through the above adjustment, the overall reimbursement rate of medical expenses for urban residents in this city has increased from the original 6 1% to about 70%. In 20 12 years, the outpatient emergency payment policy of urban residents' medical insurance will remain unchanged.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.