If you are an active employee, only medical expenses of more than 2,000 yuan can be reimbursed after going to the hospital's outpatient department or emergency department, and the reimbursement rate is 50%.

For retirees under the age of 70, expenses above 1,300 yuan can be reimbursed, and the reimbursement rate is 70%.

For retirees over 70 years old, 80% of expenses above 1,300 yuan can be reimbursed.

Regardless of the type of person, the maximum amount for outpatient and emergency medical expenses is 20,000 yuan.

For example, if you are an active employee and the cost of outpatient treatment is 2,500 yuan, then 50% of the 500 yuan can be reimbursed, which is 250 yuan.

If it is hospitalization expenses, when the basic medical insurance is used for payment for the first time in a year, the minimum payment amount is 1,300 yuan for both working people and retirees.

As for the medical expenses for the second and subsequent hospitalizations, the minimum payment standard is determined at 50%, which is 650 yuan.

The maximum payment amount of the basic medical insurance pooling fund (hospitalization expenses) in a year is currently 70,000 yuan.

The standard of hospitalization reimbursement is related to the level of the hospital where the insured person lives. For example, if the insured person lives in a third-level hospital, from the minimum payment standard to 30,000 yuan, the employee pays 15%, that is, 85% is reimbursed; from 30,000 yuan to 4

For expenses of 10,000 yuan, employees pay 10% and 90% are reimbursed; for expenses exceeding 40,000 yuan up to the maximum payment limit, 95% can be reimbursed, and employees only need to pay 5%.

The proportion of personal payment for retirees is 60% of that of active (the above-mentioned) employees, but anything below the minimum payment standard is paid by the individual.