Legal analysis: the proportion of medical insurance reimbursement is: 1. The amount of medical insurance reimbursement is: reimbursement amount-total medical expenses-self-expense-self-payment-deductible line) × reimbursement ratio, and the reimbursement ratio is about 85%. Second, if it exceeds the basic limit, then the social security department will reimburse 85% within 0-40 thousand yuan, 90% within 40-80 thousand yuan, and 95% above 80 thousand yuan. The reimbursement rate of residents' medical insurance is as follows: 1. The medical expenses within the scope of the outpatient co-ordination fund shall be reimbursed according to the proportion of 60%, and the annual maximum personal payment limit of the co-ordination fund is 400 yuan; 2, the insured residents pay every 5 years, the proportion of reimbursement of hospitalization medical insurance fund increased by 5 percentage points, the cumulative not more than 65+00 percentage points.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.