Proportion of medical expenses reimbursed by social security in Dongguan

The reimbursement ratio of social security hospitalization in Dongguan is:

1. 80% of the hospitalization expenses incurred in the first-class hospital where the basic drug system is implemented and 60% of the hospitalization expenses incurred in the hospital where the basic drug system is not implemented; Secondary hospitals pay 58%; The tertiary hospital pays 45%.

According to the second payment, the first-class hospital pays 85%, the second-class hospital pays 70%, and the third-class hospital pays 60%.

3. Minor residents and special groups enjoy medical insurance benefits of Class II payment.

Qifubiaozhun for reimbursement of hospitalization medical expenses: 300 yuan, a first-class hospital, 500 yuan, a second-class hospital and 700 yuan, a third-class hospital. Malignant tumor patients who have been hospitalized for chemotherapy and radiotherapy for many times in a medical insurance year will only be deducted once. Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.