Can Shenzhen second-level social security go to a third-level hospital?

Shenzhen's second-level social security can go to the top three hospitals.

When the second-class social security insured in Shenzhen is hospitalized, they can seek medical treatment in any designated medical institution in the city, including 3A hospitals. The hospitalization expenses can basically be reimbursed by 70%-80%. Show the social security card and fill in the relevant information before going through the hospitalization formalities, and the reimbursable expenses will be deducted directly at the time of discharge settlement. In addition, the second-class medical insurance participants go to the bound social health center for medical treatment. If he needs serious illness treatment in hospital or out-patient, he can choose any designated medical institution in the city to ensure that medical expenses are reimbursed accordingly.

Influence of social security level on medical choice;

1. The social security grade determines the reimbursement ratio: the reimbursement ratio and capping line of different social security grades may be different;

2. Affect the hospital level: the social security level may affect the hospital level selected by the insured, and high-level social security can usually be reimbursed in a higher-level hospital;

3. It may affect the reimbursement of drugs and treatment items: some high-grade social security may include more drugs and treatment items;

4. Affecting hospitalization reimbursement conditions: Social security level may affect hospitalization reimbursement conditions, such as the limit of hospitalization days;

5. It may affect the reimbursement of medical treatment in different provinces: the reimbursement policies of different levels of social security in different places may be different.

To sum up, the second-class social security insured in Shenzhen can seek medical treatment at any designated medical institution in the city, including 3A hospitals, and the hospitalization expenses can be reimbursed by 70%-80%. In addition, the insured goes to the constrained social health center for medical treatment. If he needs serious illness treatment in hospital or out-patient, he can choose any designated medical institution in the city to ensure that medical expenses are reimbursed accordingly.

Legal basis:

Measures of Shenzhen Municipality on Social Medical Insurance

Article 54

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.