How is Shenzhen medical insurance reimbursement reimbursed?

Legal analysis: if you are hospitalized in a designated hospital in Shenzhen outside the city (about 80%), you can swipe your card directly; If the third gear is hospitalized in a designated hospital in Shenzhen outside the city (such as Guangzhou 12 Shenzhen Social Security Hospital), (60%-75%) will be paid in advance and then reimbursed in depth. .2. If you are hospitalized in a designated hospital outside Shenzhen, you will be reimbursed at your own expense first. . Reimbursement according to relevant information (detailed information will be provided later). Second and third gear transmission ratio (60%) and third gear transmission ratio (45%-55%).

Legal basis: Article 54 of the Measures of Shenzhen Municipality on Social Medical Insurance, the medical expenses incurred by the insured in the secondary and tertiary outpatient services of basic medical insurance in the community health service center selected by this Municipality shall be handled in accordance with the following provisions:

(a) Class A drugs and Class B drugs belonging to the basic medical insurance drug list shall be paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively;

(two) individual medical items or medical materials belonging to the basic medical insurance catalogue shall be paid by the community outpatient co-ordination fund for 90%, but the maximum payment amount shall not exceed 120 yuan.

The outpatient medical expenses incurred by the insured due to illness and referral to other medical institutions with the consent of the settlement hospital, or the emergency rescue outpatient medical expenses incurred in the non-settlement hospital due to business trip, shall be reimbursed by the community outpatient co-ordination fund according to 90% of the payment standard stipulated in the preceding paragraph; Other circumstances in the non-settlement hospital outpatient medical expenses community outpatient co-ordination fund will not be reimbursed.

The outpatient medical expenses paid by the community outpatient co-ordination fund to each second-and third-level insured person of basic medical insurance within a medical insurance year shall not exceed 1000 yuan at the highest.