The proportion of medical insurance reimbursement for flexible employees is: within a settlement year, medical expenses below 65438+ 10,000 yuan that meet the scope of reimbursement occur. The minimum threshold for tertiary hospitals is 659 yuan, and the upper limit for reimbursement is 2000 yuan. The minimum threshold for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%. There is no minimum threshold for first-class hospitals, and the reimbursement rate is 60%.

Legal objectivity:

Article 30 of the Social Insurance Law of People's Republic of China (PRC) The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should 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.