Job Recruitment Website - Social security inquiry - Can Shenzhen medical insurance card be used in Guangzhou?
Can Shenzhen medical insurance card be used in Guangzhou?
First, the personal account balance of medical insurance participants in this city;
2. The insured shall handle the medical expenses within 12 months (hospitalization is counted from the date of discharge), and it will not be accepted after the deadline;
Three, the applicant belongs to the insurance formalities, the full payment of medical insurance premiums after the next month 1 day to enjoy the provisions of medical insurance benefits;
Four, the insured unit, the insured person fails to pay in full or interrupt the payment of medical insurance premiums, since the month after the failure to pay in full or interrupt the payment, the insured person stops enjoying the medical insurance benefits paid by the medical insurance fund to the applicant, and can continue to use the balance of his personal account as the reimbursement ratio, which first depends on which grade of medical insurance he participates in. Those who participated in the first-and second-level medical care were hospitalized at the third-level designated hospitals in Shenzhen, and the reimbursement rate was 90%. The reimbursement rate for tertiary medical treatment is 75%. If you are hospitalized in other places, if you are in Guangzhou, there are designated hospitals in Shenzhen in Guangzhou. If it is a designated hospital, the proportion of hospitalization reimbursement will be 10% off the original basis. For example, if you reimburse 90% in Shenzhen, a 10% discount is 81%; In non-designated hospitals, the discount is 30%, that is, 63%, and the deductible is 1 000 yuan. Of course, what we are talking about is that the expenses that meet the medical insurance catalogue can be reimbursed in that proportion, not all medical expenses.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 4 Employers and individuals in People's Republic of China (PRC) shall pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
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