The medical insurance reimbursement threshold is as follows: 1. The insured must go to a designated medical institution covered by the basic medical insurance to purchase medicines, or go to a designated retail pharmacy determined by the social insurance agency to purchase medicines with a medical prescription issued by a doctor in a designated hospital; 2.

The medical expenses incurred by a person when seeing a doctor must comply with the scope and payment standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facility standards before they can be paid by the basic medical insurance fund in accordance with regulations; 3. The insured must

Among the medical expenses that are within the payment scope of basic medical insurance, the portion of the expenses above the minimum payment standard of the social medical co-ordination fund and below the maximum payment limit shall be paid by the social medical co-ordination fund in a uniform proportion.

Resident medical insurance reimbursement conditions: 1. Students and children.

In one accounting year, if medical expenses of less than 180,000 yuan are incurred that meet the scope of reimbursement, the minimum payment standard for third-level hospitals is 500 yuan; 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 scope of reimbursement, the minimum payment standard for third-level hospitals is 500 yuan; 3. Other urban residents.

In one accounting year, if medical expenses of less than 100,000 yuan are incurred that meet the scope of reimbursement, the minimum payment standard for third-level hospitals is 500 yuan.

Legal basis: Article 23 of the "Social Insurance Law of the People's Republic of China" requires employees to participate in employee basic medical insurance, and the employer and employees shall jointly pay basic medical insurance premiums in accordance with national regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other people with flexible employment can participate in the basic medical insurance for employees, and individuals must pay the basic medical insurance premiums in accordance with national regulations.