Shanghai Deda Hospital reimbursement ratio

Shanghai Deda Hospital has been able to use medical insurance since October 2018. Shanghai medical insurance participants can use medical insurance to settle expenses within the scope of medical insurance payment at Deda Hospital, and the hospital pricing does not fall within the scope of medical insurance payment. Independently priced fees within the scope of medical insurance payment are settled on a self-pay basis.

Out-of-town medical insurance patients need to follow the out-of-town medical treatment procedures stipulated by the place where the medical insurance is located. After receiving medical treatment, they first pay out of pocket and then apply for medical insurance reimbursement from the local medical insurance agency.

According to the provisions of Shanghai’s medical insurance policy, the types of insured persons who can use medical insurance settlement at Delta Hospital include Shanghai Urban Employee Medical Insurance, Shanghai Urban Resident Medical Insurance, etc. Some types of insured persons need to go through designated hospital procedures, which are specifically implemented in accordance with the relevant regulations of Shanghai Medical Insurance. In particular, it is pointed out that Shanghai Critical Illness Insurance cannot currently use medical insurance settlement at Delta Hospital.

Shanghai Delta Hospital Medical Insurance requires out-of-town medical insurance patients to follow the out-of-town medical treatment procedures stipulated by the location of the medical insurance. After receiving medical treatment, they first pay out of pocket and then apply for medical insurance reimbursement from the local medical insurance agency. According to the provisions of Shanghai's medical insurance policy, the types of insured persons who can use medical insurance settlement at Delta Hospital include Shanghai Urban Employee Medical Insurance, Shanghai Urban Resident Medical Insurance, etc. Some types of insured persons need to go through designated hospital procedures, which are specifically implemented in accordance with the relevant regulations of Shanghai Medical Insurance. In particular, it is pointed out that Shanghai Critical Illness Insurance cannot currently use medical insurance settlement at Delta Hospital.

Shanghai Deda Hospital is a high-end international hospital. Deda Hospital has leading advantages in medical technology, service quality and hardware facilities. Therefore, consultation fees (registration fees), diagnosis and treatment fees, Surgical operation fees and bed fees are independently priced, and the prices will be higher than those of Shanghai's tertiary public hospitals. At the same time, while adhering to high-end services unchanged, Delta Hospital also hopes to benefit more patients insured by medical insurance in the early stage of entering medical insurance. Therefore, in addition to the above-mentioned independent pricing, other expenses at this stage such as blood tests and imaging tests (X Light, CT, MRI, ultrasound), medicines, consumables, etc. all enjoy preferential prices, which are the same as those of Shanghai's tertiary public hospitals.