1. Proportion of reimbursement of medical expenses for employees during hospitalization

"Even-numbered medical insurance" patients: calculated according to one medical insurance year (65438+ 101-65438+February 3 1). The reimbursement standard is:

(1) deductible130,000 yuan, 85% from the overall fund and15% from the individual;

② 3-140,000 yuan, 90% from the overall fund and10% from the individual;

③ 4-170,000 yuan, with 95% paid by the overall fund and 5% paid by individuals;

④ 70,000 -654.38+0.7 million yuan, of which 70% is paid by large mutual funds and 30% by individuals;

⑤ Individual payment170,000 yuan or more 100%.

2. The proportion of medical expenses reimbursement for retirees during hospitalization.

"Basic medical insurance" patients: calculated according to a medical insurance year (65438+ 101-65438+February 3 1). The reimbursement standard is:

(1) deductible line130,000 yuan shall be paid by the overall fund 9 1%, the individual shall pay 4.5%, and the supplementary payment shall be 4.5%;

(2) 30,000 yuan to140,000 yuan, 94% from the overall fund, 3% from the individual and 3% from the supplementary fund;

③ 97% of the 4-170,000 yuan shall be paid by the overall fund, 1.5% by the individual and1.5% by the supplementary payment;

④ 70,000 -654.38+0.7 million yuan, of which 70% is paid by large mutual funds and 30% by individuals;

⑤ Individual payment170,000 yuan or more 100%.

3 "serious illness insurance for the elderly" during hospitalization medical expenses reimbursement ratio

Patients with "serious illness medical insurance for the elderly": calculated according to a medical insurance year (65438+ 101-65438+February 3 1). The reimbursement standard is:

170,000 yuan deductible is paid by the serious illness medical insurance fund, and the individual pays 40%;