Legal subjectivity:

What is the proportion of medical insurance reimbursement? See the following contents:

According to the different insured people, China's medical insurance can be divided into urban workers' medical insurance, urban residents' medical insurance and rural new rural cooperative medical insurance, and the outpatient reimbursement rates of these three types of medical insurance are different, and the reimbursement rates of ordinary diseases and special diseases are also different, which will be analyzed separately below.

1. Medical insurance for urban employees

a. On-the-job employees: The amount of outpatient medical expenses is 2 yuan, that is, the part that exceeds 2 yuan will be reimbursed, and the reimbursement ratio is 5%;

b, retired employees: the outpatient fee-free amount is 1,3 yuan, that is, out of the medical expenses incurred by outpatient service, only those exceeding 1,3 yuan will be reimbursed, and the proportion of reimbursement for those under 7 years old is 7%, while that for those over 7 years old is 8%.

C. Maximum amount: No matter what kind of people, the maximum amount of outpatient and emergency medical expenses paid is 2, yuan.

d, special diseases: within a medical insurance year, the amount of outpatient exemption for special diseases is 4 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization.

2. Medical insurance for urban residents

a. General outpatient service: In a medical insurance year, there is no deductible line for general outpatient service, and the medical expenses within the scope of outpatient co-ordination fund will be reimbursed at the rate of 6%, and the annual maximum personal payment limit of the co-ordination fund is 4 yuan.

b, special diseases: within a medical insurance year, the amount of outpatient exemption for special diseases is 4 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization.

3. The new rural cooperative medical insurance

a, village clinics and village center clinics are reimbursed 6%, and the prescription drug fee limit for each visit is 1 yuan, and the prescription drug fee limit for temporary rehydration of doctors in health centers is 5 yuan.

b, the town health center will be reimbursed 4%, and the examination fee and operation fee for each visit will be limited to 5 yuan, and the prescription fee will be limited to 1 yuan.

c, 3% reimbursement for medical treatment in secondary hospitals, with the limit of each examination fee and operation fee in 5 yuan and the limit of prescription drug fee in 2 yuan.

d, 2% reimbursement for visits to tertiary hospitals, with the limit of examination fees and operation fees for each visit in 5 yuan and prescription drug fees in 2 yuan.

e, the invoice of traditional Chinese medicine is accompanied by a prescription with a limit of 1 yuan per paste.

f, the annual compensation limit of town-level cooperative medical outpatient service is 5, yuan.

g, special diseases: within a medical insurance year, the amount of outpatient exemption for special diseases is 4 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization.

after reading the above, I think everyone has a general understanding of the proportion of medical insurance reimbursement.