2. Secondary hospitals: for medical treatment in county secondary hospitals, the reimbursement rate of medical expenses below 6,000 is 65%, and the reimbursement rate of medical expenses above 6,000 is 80%; Pay line 400 yuan; In the secondary hospitals in the city, the reimbursement ratio is the same, and the deductible line is 600 yuan.

3. Third-level hospitals: for medical treatment in county-level third-level hospitals, the reimbursement rate of medical expenses above 600 is 65%, and the reimbursement rate of medical expenses above 6000 yuan is 80%. The deductible line is 600 yuan; In municipal tertiary hospitals, the reimbursement rate of medical expenses below 12000 is 55%, and above 12000 is 75%. Deductible, 800 yuan.

The proportion of reimbursement for residents' medical insurance surgery is as follows:

First-class hospital: the deductible line is 300 yuan, and the reimbursement rate is 60%; Secondary hospital: the reimbursement rate of medical expenses below 6,000 yuan is 60%, and the reimbursement rate of medical expenses above 6,000 yuan is 80%, and the deductible line is 400 yuan. If you are in a secondary hospital in the city, the reimbursement ratio is still the same, except that the deductible line is 600 yuan; Third-level hospitals: when seeking medical treatment in county-level third-level hospitals, the reimbursement rate of medical expenses below 6,000 yuan is 65%, and the reimbursement rate of medical expenses above 6,000 yuan is 80%. Deductible, 600 yuan. When you see a doctor in a municipal tertiary hospital, the reimbursement rate of medical expenses below 12000 yuan is 55%, and the reimbursement rate above 12000 yuan is 75%, and the deductible line is 800 yuan; Hospitals outside the city: the reimbursement rate of medical expenses below 20,000 yuan is 45%, the reimbursement rate above 20,000 yuan is 70%, and the reimbursement deductible line is 1500 yuan.

What is medical insurance, as follows:

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get necessary material help from the society, reduce the burden of medical expenses, and prevent sick social members from "poverty due to illness".

To sum up, the medical expenses incurred by the insured for each hospitalization shall be calculated cumulatively within one medical insurance year. The following part of the deductible is paid by individuals, and the above part is shared by medical insurance funds and individuals in different proportions. There is no deductible for those who enjoy the treatment of special diseases in outpatient department when they are hospitalized.

Legal basis:

Article 30 of the Social Insurance Law

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.