How to calculate the self-funded proportion of hospital social security reimbursement

Legal analysis: First, the use of special medical materials or disposable medical materials with a unit price of more than 1000 yuan, as well as the installation and replacement of artificial organs, are paid by the basic medical insurance pooling fund according to 90% of the domestic general price, at its own expense10%; Second, the basic medical expenses of outpatient anti-rejection drugs after outpatient dialysis, organ transplantation, chemotherapy, radiotherapy, interventional therapy or radionuclide therapy for chronic renal failure are paid by the basic medical insurance pooling fund at its own expense10%; Third, the cost of outpatient special examination and treatment is paid by the basic medical insurance fund 80%, and the individual pays 20%.

Legal basis: Article 11 of the Interim Measures for Special Additional Deduction of Personal Income Tax states that in a tax year, the medical expenses incurred by taxpayers related to basic medical insurance, after deducting the medical insurance reimbursement, the part that the personal burden (referring to the self-paid part within the medical insurance catalogue) exceeds15,000 yuan, shall be deducted within the limit of 80,000 yuan when the taxpayer handles the annual settlement.