1. Reimbursement ratio of employee medical insurance in 2020. Employees who are on the job can only be reimbursed for medical expenses of more than 2,000 yuan after going to the hospital's outpatient department or emergency department. The reimbursement ratio is 50%.

For retirees under the age of 70, expenses above 1,300 yuan can be reimbursed, and the reimbursement rate is 70%.

For retirees over 70 years old, 80% of expenses above 1,300 yuan can be reimbursed.

Regardless of the type of person, the maximum amount for outpatient and emergency medical expenses is 20,000 yuan.

If it is hospitalization expenses, when the basic medical insurance is used for payment for the first time in a year, the minimum payment amount is 1,300 yuan for both working people and retirees.

As for the medical expenses for the second and subsequent hospitalizations, the minimum payment standard is determined at 50%, which is 650 yuan.

The maximum payment amount from the basic medical insurance pooling fund (hospitalization expenses) in one year is currently 70,000 yuan.

The standard of hospitalization reimbursement is related to the level of the hospital where the insured person lives. For example, if the insured person lives in a third-level hospital, from the minimum payment standard to 30,000 yuan, the employee pays 15%, that is, 85% is reimbursed; from 30,000 yuan to 4

For expenses of 10,000 yuan, employees pay 10% and 90% are reimbursed; for expenses exceeding 40,000 yuan up to the maximum payment limit, 95% can be reimbursed, and employees only need to pay 5%.

The proportion of personal payment for retirees is 60% of that of active (the above-mentioned) employees, but anything below the minimum payment standard is paid by the individual.

2. Community medical insurance reimbursement ratio: First-tier insured persons: seek medical treatment at any designated medical institution in the city.

Second-tier insured persons: outpatient treatment at the bound social health center, inpatient treatment at any designated medical institution in the city, and outpatient treatment at prescribed medical institutions for serious outpatient illnesses.

Third-tier insured persons: outpatient medical treatment at bound social health centers, and inpatient and outpatient serious illness medical treatment at prescribed medical institutions.

Ordinary outpatient treatment: Level 1 insured person’s personal account is used to pay the insured’s medical expenses within the scope of the ordinary outpatient medical insurance directory.

70% of the basic medical expenses in social health centers are paid from personal accounts, and 30% are paid from the overall fund according to regulations.

Second and third-tier insured persons: Those belonging to Category A drugs and Category B drugs will be paid by the community outpatient coordinating fund at the proportion of 80% and 60% respectively; for individual diagnosis and treatment or medical materials in the medical insurance catalog, the community outpatient coordinating fund will pay

90% is paid, but the maximum payment amount does not exceed 120 yuan; the total outpatient medical expenses paid by the community outpatient pooling fund to each second- and third-tier insured person in a medical insurance year does not exceed 1,000 yuan.

3. Reimbursement ratio of Beijing medical insurance 1. Outpatient expenses 1. For medical treatment in community health service institutions in this city, the minimum reimbursement line for medical expenses is 1800, the reimbursement ratio is 90%, and the maximum reimbursement within the year is 20,000 yuan; for treatment at non-community health service institutions, medical expenses

The minimum payment line for expense reimbursement is 1,800, the reimbursement ratio is 70%, and the maximum reimbursement within a year is 20,000 yuan.

2. Retired people under 70 years old (non-community health service institutions), the minimum payment line for medical expense reimbursement is 1,300, the reimbursement ratio is 70%, supplementary medical insurance 15%, and the maximum reimbursement in one year is 20,000 yuan; under 70 years old (communities in this city

Health service institution), the minimum reimbursement line for medical expenses is 1,300, the reimbursement ratio is 80%, the supplementary medical insurance is 10%, and the maximum reimbursement within a year is 20,000 yuan; the minimum reimbursement line for medical expenses for those over 70 years old is 1,300, and the reimbursement ratio is 80

%, supplementary medical insurance 05%, with a maximum reimbursement of 20,000 yuan in one year.