Legal analysis: the reimbursement rate is 88% for threshold fees above RMB 3,, 9% for RMB 3,-5,, 92% for RMB 5,-1,, and 95% for those above RMB 1,, including 8% for Class B drugs and 7% for expensive drugs, special inspection and special treatment. Medical expenses of individual medical insurance accounts can be transferred to Zigui Medical Insurance Bureau on a regular basis, and hospitals in other provinces should be local medical insurance designated hospitals.

legal basis: article 3 of the social insurance law of the people's Republic of China excludes the following medical expenses from the basic medical insurance fund:

(1) those that should be paid from the industrial injury insurance fund (2) those that should be borne by a third party (3) those that should be borne by public health (4) those who seek medical treatment abroad.

the medical expenses shall be borne by the third party according to law. if the third party fails to pay or cannot determine the third party, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund has paid in advance, it has the right to recover from the third party.