Job Recruitment Website - Social security inquiry - Excuse me, how much is the second-class medical reimbursement of Shenzhen social security?
Excuse me, how much is the second-class medical reimbursement of Shenzhen social security?
According to the provisions of Article 54 of the Measures for the Administration of Social Medical Insurance in Shenzhen:
The basic medical insurance for the second and third level outpatient medical expenses incurred by the insured in the selected community health service center of this Municipality shall be handled in accordance with the following provisions:
(a) Class A drugs and Class B drugs belonging to the basic medical insurance drug list shall be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively;
(two) individual medical items or medical materials belonging to the basic medical insurance catalogue shall be paid by the community outpatient co-ordination fund for 90%, but the maximum payment amount shall not exceed 120 yuan.
The outpatient medical expenses incurred by the insured due to illness and referral to other medical institutions with the consent of the settlement hospital, or the emergency rescue outpatient medical expenses incurred in the non-settlement hospital due to business trip, shall be reimbursed by the community outpatient co-ordination fund according to 90% of the payment standard stipulated in the preceding paragraph; Other circumstances in the non-settlement hospital outpatient medical expenses community outpatient co-ordination fund will not be reimbursed.
The outpatient medical expenses paid by the community outpatient co-ordination fund to each second-and third-level insured person of basic medical insurance within a medical insurance year shall not exceed 1000 yuan at the highest.
Payment standard: according to Article 9 of Shenzhen Social Medical Insurance Management Measures.
Employees who participate in the first file of basic medical insurance are paid monthly according to the standard of 8% of their total monthly salary, of which the employer pays 6% and the individual pays 2%. If my total monthly salary exceeds 300% of the average monthly salary of employees in this Municipality last year, I will pay it according to 300% of the average monthly salary of employees in this Municipality last year; If the total monthly salary is lower than 60% of the average monthly salary of employees in this Municipality last year, it shall be paid according to 60% of the average monthly salary of employees in this Municipality last year.
Employees who participate in the second basic medical insurance shall pay 0.7% of the average monthly salary of employees in this city in the previous year, of which 0.5% shall be paid by the employer and 0.2% by the individual.
Employees participating in the third basic medical insurance shall pay 0.5% of the average monthly salary of employees in this city in the previous year, of which 0.4% shall be paid by the employer and 0. 1% by the individual.
References:
Measures of Shenzhen Municipality on the Administration of Social Insurance Fund: Measures of Shenzhen Municipality on Social Medical Insurance
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