Subjectivity of law:

1. Medical insurance for urban workers 1. On-the-job workers: The outpatient service is exempted from reporting for 2, yuan, that is, out of the medical expenses incurred by the outpatient service, the part exceeding 2, yuan will be reimbursed, and the reimbursement ratio is 5%; 2. Retired employees: The outpatient fee-free quota is 1,3 yuan, that is, out of the medical expenses incurred by outpatient service, only those exceeding 1,3 yuan will be reimbursed. For those under 7 years old, the reimbursement rate is 7%, while for those over 7 years old, the reimbursement rate is 8%. 3. Maximum amount: No matter what kind of people, the maximum amount of outpatient and emergency medical expenses is 2, yuan. 4. Special diseases: In a medical insurance year, the amount of outpatient exemption for special diseases is 4 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization. Second, medical insurance for urban residents. 1. General outpatient service: In a medical insurance year, there is no deductible line for general outpatient service, and the medical expenses within the scope of outpatient co-ordination fund will be reimbursed at the rate of 6%. The annual maximum personal payment limit of the co-ordination fund is 4 yuan. 2. Special diseases: In a medical insurance year, the amount of outpatient exemption for special diseases is 4 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization. Third, the new rural cooperative medical insurance. 1, the village clinic and village center clinic for reimbursement of 6%, each prescription drug fee limit in 1 yuan, hospital doctors temporary rehydration prescription drug fee limit in 5 yuan. 2, the town hospital reimbursement 4%, each check-up fee and operation fee limit 5 yuan, prescription drug fee limit 1 yuan. 3, the secondary hospital reimbursement of 3%, each time the examination fee and operation fee limit 5 yuan, prescription drug fee limit 2 yuan. 4, tertiary hospital reimbursement of 2%, each visit the examination fee and operation fee limit 5 yuan, prescription drug fee limit 2 yuan. 5. The invoice of traditional Chinese medicine shall be attached with the 1 yuan for each prescription. 6, township cooperative medical outpatient compensation limit of 5 yuan. 7. Special diseases: In a medical insurance year, the amount of outpatient exemption for special diseases is 4 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization. Legal objectivity:

Article 23 of the Measures for the Basic Medical Insurance for Urban Employees in Hefei City, the medical expenses incurred by the insured in the basic medical insurance coverage of urban employees when they are hospitalized shall be paid by the overall fund. In the city level and below, level 2, level 3 hospital hospitalization, pooling funds Qifubiaozhun were 2 yuan, 4 yuan, 6 yuan; If you are hospitalized more than twice in the same natural year, the Qifubiaozhun for pooling funds from the second hospitalization is 1 yuan, 2 yuan and 3 yuan each time. The medical expenses below the overall fund Qifubiaozhun shall be paid by the insured individual. More than the overall fund Qifubiaozhun above, below the maximum payment limit, by the overall fund and individual * * * bear. The proportion borne by individuals is 1% in tertiary hospitals, 8% in secondary hospitals and 6% in hospitals at or below the first level; Retirees and employees who have worked for more than 3 years will have their personal commitment reduced by half.