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2023 Social Security Medical Annual Reimbursement Limit

Medicare for urban workers:Outpatient annual reimbursement limit:$20,000. Annual reimbursement ceiling for hospitalization:300,000 yuan. Major Diseases:The portion of out-of-pocket medical expenses exceeding the per capita disposable income of urban residents of the city in the previous year will be calculated in segments and paid cumulatively.The reimbursement rate starts from 50% for less than 50,000 RMB, and 60% for more than 50,000 RMB, with no ceiling. Urban and rural residents' medical insurance: annual reimbursement limit for outpatient: 3,000 RMB. Hospitalization:200,000 yuan.