Job Recruitment Website - Social security inquiry - What is the reimbursement rate of hospitalization medical insurance in Shenzhen?
What is the reimbursement rate of hospitalization medical insurance in Shenzhen?
1. First-class hospital, the part above Qifubiaozhun is up to 90% of the maximum payment limit;
2. Secondary hospitals pay 85% of the minimum deductible line 1 10,000 yuan (inclusive) and 90% of the maximum payment limit 1 10,000 yuan;
3. 80% of the minimum deductible of tertiary hospitals is above 5,000 yuan (inclusive), 85% of the minimum deductible of 5,000 yuan to 10000 yuan, and 90% of the maximum deductible of 10000 yuan.
4. Retirees will increase by 5% on the basis of the above payment ratio.
Two, hospitalization insurance reimbursement scope is as follows:
1, the expenses incurred during the period when the new insured fails to issue the social security card;
2 social security card loss, social security card replacement (replacement) card during the cost of medical treatment;
3, in the designated medical institutions emergency medical expenses not traced by my brother;
4. Medical expenses during the default period;
5. Expenses incurred during the period of manual reimbursement for medical treatment;
6, in line with the conditions of the city's medical insurance fund payment in the field of medical expenses;
7. The annual expenses shall be declared before June 20th of the following year.
According to the provisions of Article 28 of the Social Insurance Law, Qiao Hu meets the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and medical expenses for emergency rescue, and shall be paid by the basic medical insurance fund in accordance with state regulations.
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