1. reimbursement of outpatient and emergency expenses. the deductible amount of large-scale medical mutual aid (outpatient and emergency) is 2, yuan for employees and 1,3 yuan for retirees. If the accumulated outpatient and emergency expenses within one year are less than 2, yuan for employees and 1,3 yuan for retirees, the insured shall pay them from personal accounts. If the amount above the deductible is reached in a natural year, the large-scale medical mutual assistance system can be applied

2. Reimbursement of hospitalization expenses According to the regulations, when the basic medical insurance is used to pay hospitalization expenses for the first time in a year, the deductible amount of both on-the-job and retirees is 1,3 yuan. The medical expenses for the second and subsequent hospitalizations shall be determined according to the threshold of 5%, which is 65 yuan. The maximum payment of the basic medical insurance pooling fund (hospitalization expenses) in a year is currently 7, yuan. The personal payment ratio of retirees is 6% of the personal payment ratio of employees, but the part below the minimum threshold is the same, all of which are paid by individuals. The standard of hospitalization reimbursement is related to the level of the medical institution where the insured person lives. Note: outpatient service and hospitalization are two deductible lines.

3. How much does the hospitalization expense exceed the maximum payment limit? If the hospitalization expenses of the insured are more than the maximum payment limit, the excess expenses will be reimbursed according to the relevant standards of large-scale medical mutual aid, that is, 7% will be paid by large-scale medical mutual aid funds and 3% by individuals. Within one year, the cumulative maximum payment for large-scale medical mutual assistance is 1, yuan.

what information do you need for the second reimbursement of medical insurance?

when receiving the second subsidy, please hold the original and photocopy of the second-generation resident ID card of the person who enjoys the second subsidy and my local bank card or passbook (except the account number of Rural Commercial Bank); If it is not handled in person, the original and copy of the agent's second-generation resident ID card are also required.