What is the reimbursement rate of medical insurance for urban residents in 2015

The starting standard and reimbursement ratio of basic medical insurance for urban residents are determined differently according to the categories of insured persons.

I. Students and children. For medical expenses under 180,000 RMB incurred within a billing year that are eligible for reimbursement, the starting standard for Level III hospitals is 500 RMB and the reimbursement rate is 55%; the starting standard for Level II hospitals is 300 RMB and the reimbursement rate is 60%; and Level I hospitals do not have a starting standard and the reimbursement rate is 65%.

II. Elderly people over 70 years old. For medical expenses under 100,000 RMB incurred within one billing year that are eligible for reimbursement, the starting standard for Level III hospitals is 500 RMB, and the reimbursement rate is 50%; the starting standard for Level II hospitals is 300 RMB, and the reimbursement rate is 60%; and Level I hospitals do not set a starting standard, and the reimbursement rate is 65%.

Third, other urban residents. For medical expenses under 100,000 yuan in a billing year, the starting standard for third-level hospitals is 500 yuan and the reimbursement rate is 50%; the starting standard for hospitalization in second-level hospitals is 300 yuan and the reimbursement rate is 55%; and first-level hospitals do not set a starting standard and the reimbursement rate is 60%.

Urban residents who are hospitalized for more than two times in one billing year will no longer be charged for the starting standard from the second hospitalization. If they are transferred to another hospital or hospitalized for more than two times, the difference will be made up in accordance with the starting standard of the hospital to which they are transferred or re-admitted.