Shenzhen third-class social security outpatient examination fees can be reimbursed

Can I be reimbursed for outpatient examination fees for Shenzhen third-tier social security?

Depending on the situation, if it belongs to the medical insurance catalog of individual treatment or medical materials, then it can be reimbursed.

Basic medical insurance third-tier participants outpatient medical treatment in the selected social health center, with the consent of the settlement hospital, can be in the selected social health center and the selected social health center under the same settlement hospital outpatient medical treatment; outpatient major illnesses in the city's fixed-point medical institutions; hospitalization in the selected social health center settlement hospital

Extension of the material

Third-tier medical insurance reimbursement Proportion and treatment

I. Starting line

1. Hospitals below the first level: 100 yuan

2. Hospitals at the second level: 200 yuan

3. Hospitals at the third level: 300 yuan

II. Special medical materials (unit price of more than 1,000 yuan)

(a) If they are domestically produced, 90% of the actual price will be paid.

(ii) belonging to the imported materials, paid at 60% of the actual price.

Three, bed fees

The maximum payment amount is the first tranche of the three-person room bed non of a class B room (currently 37 yuan)

Four, other concessions

The basic medical insurance fund and the local supplementary medical insurance fund set the payment limit. The basic medical insurance fund in accordance with the provisions of the basic medical insurance fund in excess of its payment limit, the local supplementary medical insurance fund within its payment limit.

The part of the basic medical expenses and local supplementary medical expenses incurred by the insured person for hospitalization in the designated medical institutions in the city that exceeds the payment limit of the local supplementary medical insurance fund shall be paid by the local supplementary medical insurance fund by 50%.

V. Outpatient medical treatment outside the city

(1) Referral and filing have been made: no higher than the medical fees in the city will be reimbursed, and outpatient medical fees paid by the individual account will be deducted from the individual account

(2) Referral and filing has not been made

1. designated medical institutions outside Shenzhen: 90%

2. non-scheduled medical institutions outside Shenzhen: 70%

2. Designated medical institutions: 70%

3. Inpatient expenses incurred at designated medical institutions within the city of Shenzhen that have not gone through the required referral procedures to the settlement hospital: 90%

Source.