How to reimburse Shanghai social security for medical treatment in different places

The proportion of medical insurance reimbursement in Shanghai is 70%~95%. Expensive drugs, special inspections and special treatments are reimbursed by 70%; Class B drugs are reduced by 80%; 88% of the threshold fee is more than 3,000 yuan; 3000-5000 yuan is 90%; 5000- 10000 yuan is 92%; 10000 yuan to 95% of the maximum payment limit.

Legal objectivity:

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.

Social insurance law

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.