Proportion of reimbursement for social security hospitalization of employees in Dongguan

Legal analysis: 1. Proportion of reimbursement for self-funded medical treatment:

1, designated community health service institutions: 70%;

2. Non-selected designated community health service institutions: no payment.

Second, the proportion of referral reimbursement:

1, town/street designated community health service center: 70%;

2. Outpatient department of township/street designated hospitals or designated specialized hospitals: 50%;

3. Outpatient department of the third-level designated hospital in the city: 35%;

4. Other medical institutions: no payment.

Three, outpatient rescue reimbursement ratio:

1, outpatient service of community health service center designated by town/street: 70%;

2, the selected designated community health service institutions and town/street designated community health service centers outside the city medical institutions outpatient service: 60%.

Fourth, emergency:

Go directly to the town/street designated community health service center outside the service hours of designated community health service institutions: 70%.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.