Proportion of medical insurance reimbursement for urban and rural residents in Fuzhou

Legal analysis: 1. Students and children (less than 6,543,800 yuan)

1 and the reimbursement rate of tertiary hospitals is 55%;

2. The reimbursement rate of secondary hospitals is 60%;

3. The reimbursement rate of the first-level hospital is 65%.

Two, the elderly over 70 years old (654.38+ ten thousand yuan)

1 and the reimbursement rate of tertiary hospitals is 50%;

2. The reimbursement rate of secondary hospitals is 60%;

3. The reimbursement rate of the first-level hospital is 65%.

Iii. Other urban residents (6,543,800 yuan)

1 and the reimbursement rate of tertiary hospitals is 50%;

2. The reimbursement rate of secondary hospitals is 55%;

3. The reimbursement rate of the first-level hospital is 60%.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

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.