Job Recruitment Website - Social security inquiry - What are the benefits of Shenzhen's first social security?
What are the benefits of Shenzhen's first social security?
First, the benefits of outpatient reimbursement
(1) general outpatient service
A type of insurance: personal account is used to pay the medical expenses within the scope of the insured's general outpatient medical insurance catalogue. Community health center basic medical expenses personal account to pay 70%, the overall fund to pay 30% in accordance with the provisions.
(2) outpatient treatment of serious illness
First-class insured, according to the continuous insured time, the reimbursement amount is 60%-90%.
1, if the continuous participation time is less than 12 months, the payment ratio is 60%.
2. If the continuous insured time exceeds 12 months but less than 36 months, the payment ratio is 75%.
3, continuous insurance time of 36 months, the payment ratio is 90%.
(3) Blood transfusion in general outpatient department
First-class insured: 90% shall be paid by the overall fund as required.
(four) the expenses incurred by the inspection and treatment of large-scale outpatient equipment.
First-class insured: 80% shall be paid by the overall fund as required.
(5) Medical places
The insured person can see a doctor in any medical institution in the city.
Benefits of hospitalization reimbursement
1, seek medical treatment in the city.
First-class insured persons who pay the basic medical expenses incurred in hospitalization and the supplementary medical expenses above the deductible line at the rate of 8%: 95% or 90% shall pay according to the regulations.
The maximum payment amount is the first file of the government-guided price for class A rooms and double beds in general wards of non-profit medical institutions determined by the municipal price management department.
2. Referral outside the city
First-class insured: general outpatient expenses, serious illness outpatient expenses and hospitalization expenses can be reimbursed according to regulations.
Benefits of purchasing medicine
1, if the accumulated amount of personal account exceeds 5% of the average salary of employees in this city in the previous year, the excess part can be purchased at the over-the-counter pharmacies within the scope of medical insurance catalogue.
2 in the designated medical institutions, you can pay the basic medical expenses and local supplementary medical expenses paid by yourself and your spouse and immediate family members who participate in the basic medical insurance in this Municipality.
3 I and my spouse, immediate family members to participate in the city's basic medical insurance health examination and vaccination costs paid by me.
Medical examination subsidy
In this city, the insured person who receives the employee's pension insurance benefits or pensions on a monthly basis and continues to enjoy the first-class treatment of basic medical insurance, in the second month after receiving the pension insurance benefits or pensions, the local supplementary medical insurance fund will pay the 500 yuan medical examination subsidy in one lump sum, and pay the medical examination subsidy on a monthly basis according to the following standards, which will be included in the personal account:
1, under 70 years old, 20 yuan every month.
2, more than 70 years old, 40 yuan every month.
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