The proportion of medical insurance reimbursement for urban residents is as follows:
1, students and children (1less than 0.8 million yuan):
(1) The reimbursement rate of tertiary hospitals is 55%;
(2) The secondary proportion is 60%;
(3) The first-class ratio is 65%.
2. Over 70 years old (6,543.8+10,000 yuan):
(1) The reimbursement rate of tertiary hospitals is 50%;
(2) The reimbursement rate of secondary hospitals is 60%;
(3) The reimbursement rate of first-class hospitals is 65%.
3. Other urban residents (6.5438+10,000 yuan):
(1) The reimbursement rate of tertiary hospitals is 50%;
(2) The reimbursement rate of secondary hospitals is 55%;
(3) The reimbursement rate of first-class hospitals is 60%.
The first, second and third payment standards of medical insurance:
1, the first basic medical care: (unit 6%+ individual 2%)+ local supplementary medical care (unit 0.2%)+ maternity medical care (unit 0.5%), and the payment base is the actual payment salary of employees (minimum 3 13 1 yuan), with a total payment of 272 yuan;
2. The second basic medical care: (unit 0.5%+ individual 0.2%)+ local supplementary medical care (unit 0. 1%)+ reproductive medical care (unit 0.2%). The payment base is the average monthly salary of employees in the previous year (now 52 18), and the total payment is 52;
3. Tertiary basic medical care: (unit 0.4%+ individual 0. 1%)+ local supplementary medical care (unit 0.05%). The base of payment is the average monthly salary of employees in last year (now 52 18), and the total payment is 29 yuan.
Legal basis: Article 2 of People's Republic of China (PRC) Social Insurance Law.
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.