Legal analysis: the reimbursement ratio of different treatments will be different, as follows: 1, outpatient emergency reimbursement treatment. Within one year, the deductible line of outpatient and emergency medical expenses incurred by urban and rural residents in first-class hospitals is 800 yuan, with the maximum payment limit of 3,000 yuan and 30% subsidy. 2. Hospitalization medical insurance benefits. According to different levels of hospitals, the reimbursement of hospitalization medical expenses below 6.5438+0.8 million a year will be different. If the first-class hospital does not set the deductible line, it can reimburse 65% of the hospitalization medical expenses; 300 yuan, the deductible line of secondary hospitals, can reimburse 60% of hospitalization medical expenses; 500 yuan, the deductible line of tertiary hospitals, can reimburse 55% of hospitalization expenses. 3, outpatient special disease reimbursement treatment. For outpatient special diseases, the deductible standard within one year is 300 yuan, and the highest payment limit and reimbursement ratio refer to the hospitalization reimbursement standard.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the scope of payment of the basic medical insurance fund: (1) those that should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.