The reimbursement standards for medical mutual assistance in Yunnan are as follows:

1. On-the-job employees can only be reimbursed for medical expenses of more than 2, yuan after seeing a doctor in the outpatient and emergency departments of the hospital, and the reimbursement rate is 5%;

2. For retirees under the age of 7, the expenses above 1,3 yuan can be reimbursed, and the reimbursement rate is 7%;

3. For retirees over 7 years old, 8% of the expenses above 1,3 yuan can be reimbursed.

Information to be provided for reimbursement of medical mutual insurance:

1. Original reimbursement application form stamped by the trade union of the insured unit;

2. proof of participation in employee medical mutual insurance;

3. Original and photocopy of the insured's ID card;

4. The original and photocopy of the settlement form of urban workers' overall payment issued by the designated medical institution of basic medical insurance or social insurance institution; To participate in comprehensive insurance, you need to provide the original and photocopy of the claim calculation of China Life Insurance Company;

5. Original and photocopy of discharge certificate or illness certificate (mental patient) or death certificate;

6. Original and photocopy of settlement invoice or medical expense list;

7. Original and photocopy of other supporting materials (such as special disease outpatient examination and approval form, family sickbed examination and approval form, etc.) deemed necessary by the Association.

to sum up, the scope of reimbursement for mutual medical assistance: the medical expenses incurred by the insured in the agreed medical institutions can be paid from the basic medical insurance fund if they meet the standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities.

Legal basis:

Article 8 of the Social Insurance Law of the People's Republic of China

If the medical expenses incurred by the insured in the agreed medical institutions meet the standards of the basic medical insurance drug list, diagnosis and treatment items and medical service facilities, they shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, they can seek medical treatment in non-agreement medical institutions; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.