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Dongguan social security card reimbursement how much the cost
Dongguan social security, then in the co-ordinated area are available, but to carry out the examination is not necessarily reimbursement, the need to use the personal account part of the settlement, only in the treatment of more than a certain amount of money can be reimbursed to see the doctor's willingness to reimbursement of different ratios are not the same.
Dongguan social security reimbursement ratio:
1, in the selected designated community service institutions or referral to the town designated community health service center, can be reimbursed 70%;
2, referral to the town of designated hospital outpatient clinic or designated specialty hospital outpatient clinic, can be reimbursed 60%;
3, referral to the city of the third level of designated hospital outpatient clinic. 50% reimbursement;
4. Referral to other medical institutions will not be reimbursed by the Basic Medical Insurance Fund;
5. 70% reimbursement for outpatient resuscitation at the designated community health service center in the town;
6. 60% reimbursement for outpatient resuscitation at a medical institution directly in the city. If it occurs outside the service hours of the selected fixed-point community health service center can be reimbursed 70%.
Dongguan medical insurance reimbursement ratio description: Dongguan integrated fund proportionally pay the basic medical expenses incurred by the participant hospitalization above the starting standard, proportionally pay the basic medical expenses of specific outpatient (refers to the outpatient treatment of specific diseases), the per capita cumulative reimbursement per year does not exceed the annual maximum payment limit.
Social Insurance Law
Article 28 of the Law stipulates that medical expenses that are in line with the basic medical insurance drug list, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29: The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
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