The reimbursement ratio of the general urban employee basic medical insurance is that within a settlement year, medical expenses of less than 100,000 yuan that meet the reimbursement scope are incurred. The minimum payment standard for third-level hospitals is 659 yuan, and the reimbursement ratio is 50%. The upper limit is 2,000 yuan, the minimum hospitalization standard for second-level hospitals is 300 yuan, the reimbursement rate is 55%, and the reimbursement rate for first-level hospitals is 60%. The corresponding reimbursement ratio for two people and children is larger.

Legal basis

Article 25 of the "Social Insurance Law of the People's Republic of China"

The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions and government subsidies.

The government will subsidize the personal contributions required by people who enjoy the minimum living security, disabled people who have lost the ability to work, elderly people over 60 years old and minors from low-income families.

Article 26

The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.