Legal analysis: the reimbursement ratio of outpatient expenses of on-the-job personnel (calculated by combining the medical expenses on campus and off campus during the year): less than or equal to 3,000 yuan: 80% for medical reimbursement at public expense and 20% for personal burden; More than 3,000 yuan: 90% for medical reimbursement at public expense and10% for personal burden; Proportion of reimbursement for hospitalization expenses of on-the-job employees (during the year): less than or equal to 1 10,000 yuan: 90% of medical expenses are reimbursed at public expense, and 10% of personal burden; /kloc-more than 0/10,000 yuan: 94% for medical reimbursement at public expense and 6% for personal burden.

Legal basis: 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:

(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.