according to the social insurance law, the reimbursement scope of Weihai medical insurance conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and medical insurance can be reimbursed according to relevant regulations.

Reimbursement ratio of Weihai medical insurance Basic medical insurance benefits for urban residents Hospitalization medical insurance benefits: Hospitalization in different levels of hospitals has different benefits. Specifically, within one year, the proportion of reimbursement for hospitalization medical expenses above the Qifubiaozhun to 1, yuan will be 6%, 55% and 5% in the first, second and third-level hospitals respectively; From 1, yuan to 3, yuan, the reimbursement rates are 65%, 6% and 5% respectively. Among them, if the urban residents have been insured for more than 5 years without hospitalization medical expenses, the reimbursement ratio will increase by 5 percentage points; More than 1 years, an increase of 1 percentage points. The reimbursement rate of medical expenses exceeding 3, yuan to 1, yuan is 7%. Medical insurance benefits for outpatient specific diseases: outpatient specific diseases mainly include radiotherapy and chemotherapy for malignant tumors, dialysis treatment for chronic renal failure, anti-rejection treatment after organ transplantation and chronic hepatitis. Suffering from these four outpatient diseases, the reimbursement ratio is the same as the hospitalization medical expenses, and the quota management is implemented. Outpatient medical insurance benefits for accidental injuries of persons without responsibility: When the insured persons have accidental injuries of persons without responsibility, their medical expenses will be included in the payment scope of the urban residents' medical insurance fund. The outpatient medical expenses, which exceed 1 yuan's, are paid by the medical insurance fund by 6%, with a maximum annual payment of 2, yuan. Pay medical insurance premiums over the prescribed payment time, and if the payment is less than one year, the medical insurance benefits will be paid according to the actual payment months; Those who pay the annual medical insurance premium will enjoy the annual medical insurance benefits, but the medical expenses incurred before payment and within 3 months after payment will not be paid by the medical insurance fund. The above-mentioned various insurance benefits refer to the expenses within the scope of the drug list, diagnosis and treatment project list and service facilities stipulated by the state. Beyond the scope of the catalogue, the medical insurance fund will not pay. Qifubiaozhun for urban residents' basic medical insurance benefits When enjoying medical insurance benefits, the amount of medical expenses paid by individuals is called Qifubiaozhun. Qifubiaozhun is determined according to the level of the hospital. The Qifubiaozhun of the first, second and third level hospitals are 3 yuan, 5 yuan and 8 yuan respectively. In a natural year, if the medical expenses of the first and second hospitalization of the insured reach or exceed the Qifubiaozhun, there is no Qifubiaozhun from the third hospitalization; If the Qifubiaozhun is not reached, the difference between the first two Qifubiaozhun should be partially made up when the hospitalization expenses are settled from the third hospitalization. The insured person suffering from outpatient specific diseases in designated medical institutions for outpatient treatment, Qifubiaozhun for 3 yuan. Qifubiaozhun for outpatient medical expenses of accidental injuries is 1 yuan. The qifubiaozhun for medical insurance for urban employees is 4, 7 and 9 yuan in the first, second and third level hospitals respectively. In terms of reimbursement of hospitalization expenses, the reimbursement ratio is: 9% for first-class hospitals, 85% for second-class hospitals and 8% for third-class hospitals; From 1, yuan to 4, yuan, the reimbursement ratio is: 92% in the first-class hospital, 9% in the second-class hospital and 88% in the third-class hospital. For the part exceeding 4, yuan, a large amount of medical insurance assistance is implemented, and the maximum payment limit is 46, yuan. The specific proportion of assistance is determined by stages: the proportion of assistance for medical expenses exceeding 4, to 24, yuan is 9%, and the proportion of assistance for medical expenses exceeding 24, to 5, yuan is 8%. The qifubiaozhun and annual payment limit for retirees' hospitalization medical expenses are the same as those of on-the-job employees; For the part exceeding Qifubiaozhun, the personal burden ratio is half of that of the employees.