Zhongshan social security hospitalization how to reimburse

Medical insurance reimbursement:

1, outpatient and emergency medical expenses: the annual (January 1~December 31) medical expenses in line with the scope of the basic medical insurance for the year of the active employees exceeded 2,000 yuan or more in total.

2. Settlement ratio: 50% reimbursement for the part of over 2,000 yuan for dispatched staff during the contract period, and 50% out-of-pocket payment by individuals; the maximum amount of outpatient and emergency reimbursement paid to dispatched staff is 20,000 yuan cumulatively in a year.

3. The insured personnel should keep the outpatient medical bills (including receipts and prescription bottoms, etc. for the parts below the large amount) of the outpatient consultation at the designated hospitals as the vouchers for reimbursement of medical expenses.

4, three kinds of special disease outpatient medical treatment: participants suffering from malignant tumors radiation therapy and chemotherapy, kidney dialysis, renal transplantation to take anti-rejection drugs need to be in outpatient medical treatment, by the participant's second and third-class hospitals for medical treatment of the designated hospitals to issue a "diagnosis of the disease certificate" and fill out the "medical insurance special disease declaration and approval form", reported to the regional medical insurance center for approval and filing. The form will be submitted to the district medical insurance center for approval and filing. Outpatient medical treatment and medicine collection for these three special diseases are limited to the approved designated hospitals, and cannot be purchased at designated retail pharmacies. If the medical fees incurred are within the scope of outpatient special diseases, they will be settled with reference to hospitalization.

5. Inpatient medical treatment.

Note: The medical insurance payment is enough for 20 years in order to enjoy the medical insurance reimbursement after retirement.

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