Legal analysis: The payment ratio of the hospitalization pool fund for employees: the first-level and below designated medical institutions are adjusted from 90% to 95%; the second-level designated medical institutions are adjusted from 85% to 90%; the third-level designated medical institutions are adjusted from 80% to 85%

.

When retirees are hospitalized, their overall fund payment ratio will be increased by 5 percentage points based on the above standards, but the maximum will not exceed 95%.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

Pay.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.