1. Reimbursement rate of urban residents: first-class hospitals: 85%; Secondary hospitals: 70%; Tertiary hospitals: 60%; Emergency hospitalization: 50%; Referral from tertiary hospitals in different places: 55%.

2. Reimbursement ratio of urban workers: within 5,000 yuan (including 5,000 yuan), individuals pay for the first-level medical version 15%, second-level hospitals 17%, and third-level hospitals19%; 5000 yuan to 15000 yuan (including 15000 yuan), individuals pay 13% in the first-level hospital, 15% in the second-level hospital and17% in the third-level hospital; If the individual pays more than RMB 15000, the first-level hospital pays 1 1%, the second-level hospital pays 13%, and the third-level hospital pays 15%.

Not included in the scope of outpatient co-ordination payment: medical expenses that do not meet the requirements of the Social Insurance Law of People's Republic of China (PRC); Outpatient medical expenses incurred by insured workers in non-designated medical institutions; Outpatient medical expenses incurred by insured workers in designated medical institutions below Qifubiaozhun and above the maximum payment limit; Insured employees enjoy the medical insurance benefits after the overall settlement of chronic diseases and outpatient special drugs in accordance with the law; Other expenses that do not meet the payment scope of the employee medical insurance fund.

In a natural year, the maximum annual payment limit for on-the-job employees is 1800 yuan, and the maximum annual payment limit for retired employees is 2000 yuan. The payment limit is not carried forward or accumulated to the next year.

To sum up, insured workers are not allowed to enjoy outpatient co-ordination treatment and family bed treatment during hospitalization.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.