Shenzhen medical insurance foreign medical record reimbursement ratio

Shenzhen social security hospitalization reimbursement ratio

1, Shenzhen medical insurance reimbursement ratio for foreign medical treatment is not different from the city, the first class outpatient reimbursement: 70% paid by the personal account, 30% by the integrated fund in accordance with the provisions of the reimbursement; the first class hospitalization reimbursement: the part of the starting line above the payment of 95% or 90% in accordance with the provisions of the part of the payment.

2. Those who have gone through the procedures of referral or filing will be credited according to the above percentage.

3. If no referral or record-keeping procedures have been carried out, 90% of the above payment rates will be credited.

Shenzhen medical insurance reimbursement of foreign medical objects

Shenzhen city of foreign settlement of retirement, foreign long-term residence, permanent foreign work and foreign referral four categories of hospitalization costs can be directly reimbursed.

Shenzhen medical insurance reimbursement scope

(a) hospitalization medical expenses reimbursement

Participation status is normal in the city's basic medical insurance first class, second class (children), third class participants, the basic medical expenses incurred in hospitalization, local supplemental medical expenses for medical treatment in a different place, including self-medical treatment, referral, permanent resident in the mainland registration and other types of hospitalization.

(2) Reimbursement of outpatient medical expenses

Including general outpatient reimbursement, outpatient annual over-expenditure, reimbursement of outpatient special examination, and reimbursement of outpatient major diseases.

1, outpatient general reimbursement: basic medical insurance first class participants, individual account balance participants.

2, outpatient annual overspending: the basic medical insurance first class participants, before the visit to the insurance for 12 months, meet the permanent residence in the mainland for the record or out-of-town referral of one of the circumstances.

3. Reimbursement of outpatient special examination: Basic Medical Insurance first-tier participants who fulfill one of the conditions of filing for permanent residence in the mainland or out-of-town referral.

4. Outpatient reimbursement for major diseases: Basic Medical Insurance participants in the first, second (children) and third categories who are registered as outpatient clinics for major diseases in Shenzhen, and who satisfy the requirements for filing a permanent residence record in the mainland or for referrals from outside the city.

Legal basis:

Article 82 of the Basic Medical Care and Health Promotion Law of the People's Republic of China

Basic medical service costs are mainly paid by the basic medical insurance fund and individuals. The State shall, in accordance with the law, mobilize the basic medical insurance fund through multiple channels, and gradually improve the mechanism for the sustainable financing of basic medical insurance and the adjustment of the level of protection. Citizens have the right and obligation to participate in basic medical insurance in accordance with the law. Employers and employees pay employees' basic medical insurance premiums in accordance with State regulations. Urban and rural residents pay the basic medical insurance premiums for urban and rural residents in accordance with the regulations.

Article 24 of the Social Insurance Law

The State establishes and improves the new rural cooperative medical care system.

Methods for the administration of new rural cooperative medical care shall be prescribed by the State Council.