Proportion of reimbursement for outpatient medical insurance in Shanghai

The outpatient reimbursement ratio of this medical insurance is as follows:

The reimbursement ratio of employee medical insurance outpatient service is as follows:

1. On-the-job employees: the self-supporting standard is 500 yuan, with 80% reimbursement from first-class hospitals, 75% reimbursement from second-class hospitals and 70% reimbursement from third-class hospitals.

2. Retirees: The standard of autotrophic period varies according to the retirement time. First-class hospitals are reimbursed 90%-70%, second-class hospitals are reimbursed 85%-60%, and third-class hospitals are reimbursed 80%-50%.

The reimbursement ratio of residents' medical insurance outpatient service is as follows:

1, 19-59 years old: the self-supporting standard is 500 yuan, with 80% reimbursement for first-class hospitals, 75% reimbursement for second-class hospitals and 60% reimbursement for third-class hospitals.

2.60-69 years old: Self-supporting standard is 300 yuan, 70% for first-class hospitals, 60% for second-class hospitals and 50% for third-class hospitals.

Over 3.70 years old: self-supporting standard is 300 yuan, 80% (excluding deductible) is reimbursed by village clinics, 70% by first-class hospitals, 60% by second-class hospitals and 50% by third-class hospitals.

Primary and secondary school students and infants: The self-supporting standard is 300 yuan, with 80% reimbursement from first-class hospitals, 75% reimbursement from second-class hospitals and 60% reimbursement from third-class hospitals.

College students: The self-funded standard is 300 yuan, and 80% (excluding deductible) is reimbursed by the medical department on campus. Other standards are the same as those of primary and secondary school students.