Government-led: employee medical insurance, residents' medical insurance and rural medical insurance enterprises-led: the payment standards of various commercial insurance and basic medical insurance policies for urban and rural residents are divided into three grades, the first grade is 100 yuan per person per year; The second file is 200 yuan per person per year; The third gear is 300 yuan per person per year. Insured urban and rural residents can also enjoy government subsidies, and the minimum subsidy standard is 80 yuan per person per year. Some districts, cities and counties also give higher subsidies to the insured according to their own financial situation and the payment grade of the insured. For example, the subsidy standard in Shuangliu County is as high as 160 yuan. First, participate in the basic medical insurance for urban workers and retirees. The maximum payment limit of the basic medical insurance pooling fund is adjusted to 654.38+10,000 yuan (the original 70,000 yuan), and the maximum payment limit of the large-scale medical mutual fund for hospitalization is adjusted to 200,000 yuan (the original 654.38+10,000 yuan);

2. For medical expenses (including outpatient special diseases) incurred by employees who participate in the basic medical insurance for urban employees that exceed the maximum payment limit of the basic medical insurance pooling fund and are lower than the maximum payment limit of the large medical mutual aid fund, the reimbursement ratio of on-the-job employees will be adjusted to 85% (original 70%), and the reimbursement ratio of retirees including the unified supplementary medical insurance for retirees will be adjusted to 90%, of which the reimbursement ratio of the large medical mutual aid fund for hospitalization will be adjusted to 80% (original 70%).

Three, on-the-job workers in the city community health service institutions for medical treatment, outpatient large medical mutual fund reimbursement ratio adjusted to 90% (including 70%); For medical treatment in other designated medical institutions other than the community health service institutions in this Municipality, the reimbursement ratio of the large outpatient medical mutual fund will be adjusted to 70% (the original 50%);

Four, retirees under the age of 70 in the city community health service institutions for medical treatment, outpatient medical expenses reimbursement ratio adjusted to 90%, included in the unified supplementary medical insurance for retirees, including: outpatient large medical mutual fund reimbursement ratio adjusted to 80% (70%);

Five, to participate in urban residents' serious illness medical insurance for the elderly and unemployed, hospitalization (including outpatient special diseases) medical expenses, the maximum payment limit of serious illness medical insurance fund in a year is adjusted to 6.5438+0.5 million yuan;

Six, the insured before May 20th 1 0/outpatient and inpatient medical expenses according to the original provisions, after May 20th 1 0/outpatient and inpatient medical expenses according to these provisions;

Seven, designated medical institutions to declare a single hospitalization medical expenses, urban workers' basic medical insurance 70 thousand yuan (including) (the original 30 thousand yuan) and large medical mutual fund payment, urban residents' serious illness medical insurance 70 thousand yuan (including) above, by the municipal medical insurance center audit;

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