What percentage can Dongguan social security hospitalization reimburse?

The reimbursement ratio of social security hospitalization in Dongguan is as follows:

1, self-seeking medical reimbursement ratio

(1) 70% of designated community health service institutions;

(2) Non-selected designated community health service institutions will not pay;

2. Referral reimbursement ratio

(1) The designated community health service center in this town/street is 70%;

(2) town/street designated hospital outpatient department or designated specialist hospital outpatient department 50%;

(3) 35% of the outpatient department of the city's three-level designated hospitals;

(4) other medical institutions will not pay;

3, outpatient rescue reimbursement ratio

(1) The outpatient rate of town/street community health service center is 70%;

(2) The outpatient rate of medical institutions in this town/street except designated community health service institutions and designated community health service centers is 60%;

4. The proportion of emergency reimbursement is 70% of the town/street designated community health service centers directly outside the service hours of designated community health service institutions.

Legal basis: Article 28 of People's Republic of China (PRC) Social Insurance Law,

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.