Proportion of reimbursement of residents' medical insurance in Shandong Province in the Third Hospital of Shandong Province

Its medical insurance reimbursement rate is 85%.

If it exceeds the basic limit, the social security department will reimburse 85% for expenses below RMB 0-40,000, 90% for expenses below RMB 40,000-80,000 and 95% for expenses above RMB 80,000.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC) excludes the following medical expenses from the scope of payment of the basic medical insurance fund: medical expenses that should be paid by the industrial injury insurance fund, medical expenses that should be borne by a third party, medical expenses that should be borne by public health, and medical expenses that should be treated abroad. 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.