Urban employee medical insurance: starting payment line for tertiary hospitals is 800 yuan, fund ceiling is 100,000 yuan, 85% for tertiary hospitals in the province, and 75% reimbursement rate for medical treatment in other places outside the province.

Then the unified fund will reimburse 100,000 yuan.

After the overall pool fund is capped, employees can directly enter the critical illness insurance for reimbursement. The reimbursement rate is 90%, so the critical illness insurance can reimburse 126,000 yuan.

In total, urban employee medical insurance can reimburse about 126,000 yuan.