1, on-the-job employees can only be reimbursed for medical expenses above 1800 yuan after seeing a doctor in the outpatient and emergency departments of the hospital, and the reimbursement rate is 50%.

2. For retirees under the age of 70, expenses above 1300 yuan can be reimbursed, and the reimbursement rate is 70%.

3. For retirees over 70 years old, 80% of the expenses above 1300 yuan can be reimbursed.

Materials to be carried for reimbursement:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. The original receipt of outpatient charges of unified financial and tax medical institutions;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6. Designated pharmacies: the original unified invoice and computer-printed list of tax commodity sales;

7. If it is handled on behalf of others, you need to provide the original ID card of the agent. Bring all the above information to the relevant departments of the local social security center to apply for it. After examination, if the information is complete and meets the requirements, it can be handled immediately.

To sum up, when applying for reimbursement of outpatient medical expenses, the applicant shall first deduct the amount allocated to the personal account of medical insurance in this social security year, and then verify the amount to be reimbursed.

Legal basis:

Article 30 of the Social Insurance Law of the People's Republic of China

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) should be paid from the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by the public health;

(4) seeking medical treatment abroad.

Medical expenses shall be borne by the third party according to law. If the third party fails to pay or cannot determine the third party, the basic medical insurance fund shall pay in advance. After the basic medical insurance fund has paid in advance, it has the right to recover from the third party.