What is the reimbursement rate of hospitalization medical insurance?

The amount that can be reimbursed for medical insurance hospitalization is as follows:

1. According to the level of hospitalization expenses, the proportion of medical insurance reimbursement for employees is 85% between 1300 yuan and 30,000 yuan, 90% between 30,000 yuan and 40,000 yuan, and 95% between 40,000 yuan and 100000 yuan.

2. Residents' medical insurance consists of urban residents' medical insurance and the new rural cooperative medical system. The reimbursement rate of the first-level hospital is 65%, and the deductible line is 300 yuan; The reimbursement rate of secondary hospitals below 6,000 yuan is 65%, and the reimbursement rate of hospitals above 6,000 yuan is 80%. The deductible line of county-level secondary hospitals is 400 yuan, and the deductible line of municipal secondary hospitals is 600 yuan. Third-level hospitals and county third-level hospitals pay in 600 yuan, and the reimbursement rate is 65%. The reimbursement rate of more than 6000 yuan is 80%, and the deductible line of the municipal tertiary hospital is 800 yuan. 12000 yuan, the reimbursement rate is 55%. 1.2 million yuan or more, the reimbursement rate is 75%.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.