Proportion of medical insurance reimbursement in Xiamen

According to the inquiry of Xiamen Local Treasure, the reimbursement ratio of medical insurance expenses incurred by urban and rural residents in Xiamen when they are hospitalized in designated medical institutions above the minimum threshold of the basic medical insurance pooling fund and below the maximum payment limit is as follows:

1. Outpatient medical treatment. Deductible line: 500 yuan, an adult resident, has no deductible line for minors/students at school; Reimbursement ratio: ≤ 1 10,000 yuan, 65% in first-class and below hospitals, 55% in second-class hospitals, 45% in third-class hospitals >110,000 yuan, 85% in first-class and below hospitals, 75% in second-class hospitals and 65% in third-class hospitals.

2. Hospitalization. The deductible line: the first hospitalization (200 yuan, a first-class hospital in 600 yuan, a second-class hospital 1 1,000 yuan) and the second hospitalization (1 1,000 yuan, 300 yuan, a second-class hospital in 500 yuan); Reimbursement ratio: 90% for the part exceeding the deductible, 80% for the second-level hospital and 73% for the third-level hospital.