The overall reimbursement ratio of traditional Chinese medicine medical insurance is as follows: 1. The minimum reimbursement of employee medical insurance is about 70%, and the highest reimbursement is about 95%; 2. The minimum reimbursement of urban residents' medical insurance is about 55%, and the higher reimbursement is more than 70%; 3. Level 3

The minimum payment standard for hospitals is 500 yuan, and the reimbursement ratio is 55%; 4. The minimum payment standard for second-level hospitals is 300 yuan, and the reimbursement ratio is 60%; 5. There is no minimum payment standard for first-level hospitals, and the reimbursement ratio is 65%.

Medical insurance reimbursement process: 1. Original ID card or social security card; 2. Original disease diagnosis certificate issued by a specialist at a third-level or second-level hospital in a designated medical institution; 3. Outpatient medical records, examinations, test result reports, etc.

Original documents; 4. Original outpatient fee receipts from unified financial and taxation medical institutions; 5. Outpatient fee detailed list printed by the hospital or original payer of the prescription issued by the doctor; 6. Designated pharmacies: original unified invoice and printed list for tax merchandise sales; 7.

. If applying on behalf of an agent, please provide the original ID card of the agent.

To sum up: Medical insurance, like other types of insurance, collects medical insurance premiums in advance from people who are threatened by the disease in the form of a contract, and establishes a medical insurance fund. When the insured becomes ill and goes to a medical institution for treatment, medical expenses will occur.

After the expenses are paid, the medical insurance institution will provide certain financial compensation.

Legal basis: Article 4 of the "Social Insurance Law of the People's Republic of China" Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with the law have the right to inquire payment records and personal rights records, and request social insurance managers to

The agency provides social insurance consulting and other related services.

Individuals enjoy social insurance benefits in accordance with the law and have the right to supervise the payment of contributions by their units.

Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund: 1. Those that should be paid from the work-related injury insurance fund; 2. Those that should be borne by a third party; 3. Those that should be borne by the public health agency; 4.

, seeking medical treatment abroad.