Reimbursement standard of medical insurance for employees in Zhengzhou city

Legal analysis: 1. On-the-job employees: the deductible of outpatient service is 2000 yuan, that is, the part exceeding 2000 yuan of medical expenses incurred in outpatient service will be reimbursed, and the reimbursement ratio is 50%; 2. Retired employees: The outpatient service fee is 1.300 yuan, that is, only the part that exceeds 1.300 yuan is reimbursed, with 70% for those under 70 years old and 80% for those over 70 years old.

Legal basis: Article 26 of the Social Insurance Law, the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27 of the Social Insurance Law: If an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and the accumulated payment reaches the number of years stipulated by the state, he will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits according to the state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.