There is no capping line. The medical insurance fund for urban and rural residents is mainly used to pay the medical expenses incurred by the insured in hospitalization and outpatient service. Within the scope of the policy, the proportion of hospitalization expenses is maintained at around 75%.

Legal basis: Item (3) of Article 2 of the State Council's Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents (Guo Fa [2016] No.3) is uniformly guaranteed. Follow the principle of moderate security and balance of payments, balance urban and rural security benefits, gradually unify the scope of protection and payment standards, and provide fair basic medical security for the insured. Properly handle the special safeguard policy before integration and do a good job of transition and convergence. The medical insurance fund for urban and rural residents is mainly used to pay the medical expenses incurred by the insured in hospitalization and outpatient service. Stabilize the level of hospitalization security, and maintain the proportion of hospitalization expenses within the policy range at around 75%. Further improve outpatient co-ordination and gradually improve the level of outpatient support. Gradually narrow the gap between the payment ratio within the scope of the policy and the actual payment ratio.