In a first-class hospital, 9% is paid for the part above the minimum threshold to the maximum payment limit; In secondary hospitals, 85% is paid for the part with the minimum threshold of 1, yuan, and 9% is paid for the part with the maximum payment limit of more than 1, yuan; In tertiary hospitals, 8% will be paid for the part with the minimum threshold of 5, yuan, 85% for the part with the minimum threshold of 5, yuan to 1, yuan, and 9% for the part with the maximum payment limit of more than 1, yuan. Retirees will be increased by 5% on the basis of the above payment ratio.

legal basis: article 29 of the social insurance law of the people's Republic of China: the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical trading units.

the social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.