the reimbursement scope of medical insurance in pu' er city 1. the applicant has gone through the registration procedures and paid the medical insurance premium in full; 2. the cooperative medical system has designated medical institutions for medical treatment; 3. The insured person incurred hospitalization medical expenses when he went to the medical institution for medical treatment, and paid cash in advance, and kept relevant documents and materials < P > The reimbursement rate of medical insurance in Pu 'er City 1. After seeing a doctor in the outpatient and emergency department of the hospital, the medical expenses of more than 1,8 yuan can be reimbursed, and the reimbursement rate is 5%; 2. For retirees under the age of 7, expenses above 1,3 yuan can be reimbursed, and the reimbursement rate is 7%; 3. If it is a retiree over 7 years old, 8% of the expenses above 1,3 yuan can be reimbursed. Note: No matter what kind of people, the maximum amount of medical expenses paid for outpatient and emergency treatment is 2, yuan. If it is hospitalization expenses, when the basic medical insurance is used for the first time in a year, the minimum payment is 13 yuan for both employees and retirees. And the second and later hospitalization medical expenses, Qifubiaozhun determined by 5%, is 65 yuan. The maximum payment of the basic medical insurance pooling fund (hospitalization expenses) in a year is currently 7, yuan. The standard of hospitalization reimbursement is related to the hospital level where the insured person lives: Note: If he lives in a tertiary hospital. 1, from Qifubiaozhun to 3 yuan, employees pay 15%, that is, 85% reimbursement; 2, 3 thousand yuan to 4 thousand yuan of expenses, employees pay 1%, 9% reimbursement; 3, more than 4 thousand yuan to the highest payment limit, 95% can be reimbursed, as long as employees pay 5%; 4. The proportion paid by retirees is 6% of that paid by employees.

payment standard of medical insurance in pu' er city according to the relevant documents of pu' er social insurance management center, all types of employers in the city uniformly pay medical insurance premiums at 1% of the total wages of their employees in the previous year, and individual employees pay medical insurance premiums at 2% of their salary income in the previous year. The payment base of medical insurance in Pu 'er City: 446 yuan, that is, the medical insurance paid by the unit is 446*8%=8.92 yuan; Personal medical insurance is 446*2%=44.6 yuan. The base of paying medical insurance is based on whether the salary is 6%-3% of the average salary.