Legal subjectivity: The reimbursement ratio for medical hospitalization needs to be divided into rural and urban situations.

1. Reimbursement for hospitalization in rural areas is: medication: auxiliary examinations: electrocardiogram, X-ray, film, laboratory tests, physical therapy, acupuncture, CT, MRI and other examinations with a limit of 200 yuan; surgery fee (refer to

According to national standards, if the amount exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).

If an elderly person over 60 years old is hospitalized in a health center, the treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.

Reimbursement ratio: Town health center reimburses 60%; second-level hospitals reimburse 40%; third-level hospitals reimburse 30%.

2. Urban hospitalization reimbursement is as follows: If an urban resident is hospitalized for more than two times in one accounting year, starting from the second hospitalization, the minimum standard fee will no longer be charged.

If you are transferred to another hospital or hospitalized for two or more times, the difference will be made up according to the prescribed minimum payment standard for transfer or readmission to the hospital.

1. If students or children incur medical expenses of less than 180,000 yuan within the scope of reimbursement in one accounting year, the minimum payment standard for third-level hospitals is 650 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; the minimum payment standard for second-level hospitals is

300 yuan, the reimbursement ratio is 60%; there is no minimum payment standard for first-level hospitals, and the reimbursement ratio is 65%.

2. If you are 70 years old or above and incur medical expenses of less than 100,000 yuan that meet the reimbursement range in one accounting year, the minimum payment standard for third-level hospitals is 650 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; for second-level hospitals, the minimum payment standard is 650 yuan.

The payment standard is 300 yuan, and the reimbursement ratio is 60%; there is no minimum payment standard for first-level hospitals, and the reimbursement ratio is 65%.

3. If other urban residents incur medical expenses of less than 100,000 yuan within the scope of reimbursement within a accounting year, the minimum payment standard for third-level hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; the minimum payment standard for hospitalization in second-level hospitals

The fee is 300 yuan, and the reimbursement ratio is 55%; there is no minimum payment standard for first-level hospitals, and the reimbursement ratio is 60%.

Legal objectivity: Article 28 of the "Shanghai Basic Medical Insurance Measures for Urban Employees" provides for outpatient emergencies, hospitalizations, and emergency observation rooms for employees due to Class A infectious diseases, family planning surgeries and their sequelae that comply with the provisions of basic medical insurance.

All medical expenses incurred during the observation period will be paid from the unified fund.

If the medical expenses incurred by employees due to work-related injuries, occupational diseases, or hospitalization in the emergency observation room exceed the minimum payment standard of the unified fund, 50% of the excess expenses shall be paid by the unified fund, and the remaining part and related outpatient emergency medical expenses shall be paid according to the national and

The relevant regulations of this city shall be borne by the employer.