What are the rules for Zhongshan social security card to pay hospitalization expenses?

The basic medical insurance benefits in Zhongshan include hospitalization basic medical insurance benefits, outpatient medical expenses reimbursement benefits for specific diseases and maternity medical expenses reimbursement benefits; Supplementary medical insurance benefits include general outpatient treatment (personal medical account payment), special disease outpatient co-ordination treatment and hospitalization supplementary medical treatment.

1. If the insured person is hospitalized due to illness and exceeds the hospitalization deductible standard, if he is hospitalized in a first-class or second-class designated hospital in Zhongshan City (including community health service center), 90% of the overall fund will be paid, and the individual pays10%;

2. In the city's three-level designated hospitals, 80% of the medical insurance expenses below 1 000 yuan (inclusive) are paid by the overall fund, 20% by the individual, 85% by the overall fund and 1 005% by the individual;

3. For those hospitalized in designated hospitals outside the city, the medical insurance fee is paid by the basic medical pooling fund 78%, the individual pays 22%, the basic medical pooling fund pays 83%, and the individual pays 17%.

4. After the insured who has paid the supplementary medical insurance premium continuously for more than 1 year (including 1 year) is hospitalized due to illness and enjoys the basic medical insurance benefits for hospitalization (including the reimbursement treatment for outpatient medical expenses for specific diseases), 90% of the medical insurance premiums paid by individuals during the social security year shall be paid by the supplementary medical insurance pooling fund.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.