Proportion of outpatient reimbursement and hospitalization reimbursement

Legal analysis: the reimbursement rate of medical insurance outpatient service for employees: after the on-the-job employees go to the hospital for emergency treatment, the medical expenses of more than 2000 yuan can be reimbursed, and the reimbursement rate is 50%. For retirees under the age of 70, the expenses above 1300 yuan can be reimbursed, and the reimbursement rate is 30%. Proportion of reimbursement for residents' medical insurance outpatient service: outpatient settlement procedure: insured patients can directly settle medical expenses incurred in outpatient service at designated medical institutions with special medical insurance offices and social security cards.

Legal basis: Article 84 of the Basic Medical Care and Health Promotion Law of People's Republic of China (PRC), the state establishes and improves the negotiation mechanism between the basic medical insurance agency and the designated medical and health institutions, scientifically and reasonably determines the payment standard and payment method of the basic medical insurance fund, guides the medical and health institutions to make rational diagnosis and treatment, promotes the orderly flow of patients, and improves the use efficiency of the basic medical insurance fund.