the outpatient service covers all the insured persons in the employee medical insurance. The ordinary outpatient expenses incurred by the insured persons in the designated medical institutions that meet the scope of the basic medical insurance policy, which exceed the Qifubiaozhun, are included in the payment scope of the outpatient service pooling fund. 223 Wuxi employee medical insurance outpatient co-ordination treatment outpatient co-ordination covers all employees' medical insurance insured persons, and the ordinary outpatient expenses incurred by insured persons in designated medical institutions that meet the scope of basic medical insurance policies, which exceed the Qifubiaozhun, are included in the scope of outpatient co-ordination fund payment. 1. Payment standard (deductible line). From January 1st, 223, the annual deductible standards for working and retired personnel will be adjusted to 5 yuan and 3 yuan respectively (the deductible line can be paid by personal account). Two, set the proportion of medical insurance payment in different levels of medical institutions. From the original first visit to the community medical institutions, the proportion of on-the-job and retirees' fund payment was 7% and 85% respectively, and it was adjusted to the community health service institutions, and the proportion of on-the-job and retirees' outpatient co-ordination fund payment was 8% and 9% respectively; For medical treatment in primary and secondary medical institutions, the proportion of on-the-job and retirees' outpatient co-ordination fund payment is 75% and 85% respectively; In tertiary medical institutions, the proportion of in-service and retirees' outpatient co-ordination fund payment is 6% and 7% respectively. In the designated retail pharmacies and designated outpatient departments (institutes) and other policies within the scope of compliance with medical expenses (excluding prescriptions outside the prescription circulation platform), the payment ratio of the overall fund shall be implemented with reference to the payment ratio of tertiary medical institutions. Third, increase the maximum payment limit (capping line). In one year, the payment limits for on-the-job and retirees are 5, yuan and 6, yuan from the original fund, and the maximum payment limit for medical expenses within the policy scope is 12, yuan (among which the limit for compliance medical expenses paid by various funds in designated retail pharmacies and designated outpatient departments (institutes) is tentatively set at 2, yuan). Fourth, optimize the payment order of medical insurance fund. From the original need to run out of personal account funds first, and then enter the outpatient co-ordination guarantee, it is adjusted to: after reaching the "deductible line", you can use the co-ordination fund. The use of funds has changed from a three-stage type of personal account, deductible line and overall fund to a two-stage type of deductible line and overall fund. At the same time, with the gradual adjustment of personal accounts and the enhancement of the affordability of the overall fund, the outpatient overall treatment will be gradually improved.