Pool Fund Reimbursement Ratios
- Primary and lower-level medical institutions: 75% covered by the pooled fund
- Secondary hospitals: 65% covered by the pooled fund
- Tertiary hospitals: 55% covered by the pooled fund
For retirees and resident medical insurance participants aged 60 and above, the above reimbursement ratios will be increased by 5 percentage points respectively.
The remaining out-of-pocket portion shall be directly deducted from the personal medical insurance account.
