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What is the monthly reimbursement ratio of Shenzhen social security?
Proportion of medical insurance reimbursement:
1, outpatient and emergency medical expenses: The medical expenses that meet the requirements of basic medical insurance for employees in the current year (65438+ 10/kloc-0+February 3 1) totaled more than 2,000 yuan.
2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.
3. The insured shall properly keep the medical bills (including the receipts and prescriptions of the following parts with large amount) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.
Third-level hospitals, second-level hospitals, and first-level hospitals (including private medical insurance designated hospitals) will be reimbursed 30% at their own expense and settled in real time. Pay 1.800 every year after the first visit, and then reimburse in proportion, and pay 1.300 for retirees. After the first hospitalization, you pay 1300, and then you will be reimbursed in proportion. After being hospitalized again, you will be reimbursed in proportion after paying 650 yuan each time.
The reimbursement rate for the threshold fee above 3,000 yuan is 88%, that for 3,000-5,000 yuan is 90%, that for 5,000-10000 yuan is 92%, and that for10000 yuan is 95%, including 80% for class B drugs and 70% for expensive drugs, and special inspection and treatment.
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