How to calculate the reimbursement ratio of medical insurance? 1. The reimbursement ratio of medical expenses for active employees during hospitalization? "Basic medical insurance" patients: Calculated based on one medical insurance year (January 1st - December 31st).

The reimbursement standards are: ① For the part of the minimum payment line - 30,000 yuan, 85% is paid by the overall fund and 15% is paid by the individual; ② For the part between 30,000 yuan and 40,000 yuan, 90% is paid by the overall fund and 10% is paid by the individual

;? ③ For the part between 40,000 yuan and 70,000 yuan, 95% is paid by the overall fund and 5% is paid by individuals; ④ For the part between 70,000 yuan and 170,000 yuan, 70% is paid by large mutual aid funds and 30% is paid by individuals;

⑤ For the portion above RMB 170,000, 100% is paid by the individual.

? 2. Reimbursement ratio of medical expenses for retirees during hospitalization? "Basic medical insurance" patients: Calculated based on one medical insurance year (January 1st - December 31st).

The reimbursement standards are: ① For the part of the minimum payment line - 30,000 yuan, 91% is paid by the overall fund, 4.5% is paid by individuals, and 4.5% is supplementary payment; ② 94% is paid by the overall fund for the part between 30,000 yuan and 40,000 yuan.

, the individual pays 3%, and the supplementary payment is 3%; ③ The part between 40,000 yuan and 70,000 yuan is paid by the overall fund, 97%, the individual pays 1.5%, and the supplementary payment is 1.5%; ④ The part between 70,000 yuan and 170,000 yuan,

70% will be paid by large mutual aid funds, and 30% will be paid by individuals; ⑤ For the portion above 170,000 yuan, 100% will be paid by individuals.

? 3. The reimbursement ratio of medical expenses during hospitalization under the "Senior Illness Medical Insurance"? For "Senior Illness Medical Insurance" patients: Calculated based on one medical insurance year (January 1st - December 31st).

The reimbursement standards are: ① For the portion of the minimum payment line - 70,000 yuan, 60% is paid by the critical illness medical insurance fund and 40% is paid by the individual; ② For the part above 70,000 yuan (including outpatient special disease expenses), 100% is paid by the individual.

? 4. The reimbursement ratio of medical expenses during hospitalization under the "Urban Residents Major Illness Medical Insurance"? "Urban Residents Major Illness Medical Insurance" patients: Calculated based on one medical insurance year (January 1st - December 31st).

The reimbursement standards are: ① For the portion of the minimum payment line - 70,000 yuan, 60% is paid by the critical illness medical insurance fund and 40% is paid by the individual; ② For the part above 70,000 yuan (including outpatient special disease expenses), 100% is paid by the individual.

? 5. The reimbursement ratio of medical expenses during hospitalization under the Student and Children's Critical Illness Insurance? "Students and Children's Critical Illness Insurance" patients: Calculated based on one medical insurance year (September 1 of each year to August 31 of the following year).

The reimbursement standards are: ① For the part of the minimum payment line - 170,000 yuan, 70% is paid by the critical illness medical insurance fund and 30% is paid by the individual; ② For the part above 170,000 yuan (including outpatient special disease expenses), 100% is paid by the individual.