How to reimburse Shenzhen critical illness insurance?

Reimbursement method: When the insured handles the discharge settlement in the designated hospital, he can complete the settlement and payment of basic medical insurance through the social security card. Warm reminder: if the medical expenses meet the payment standard of Shenzhen critical illness insurance, the settlement and payment of Shenzhen critical illness insurance will be completed at the same time, and the insured can complete the discharge settlement after paying the personal payment. In this process, social security automatically completed the reimbursement procedures of Shenzhen critical illness insurance, without the need for the insured to apply for it himself. 1, after the insured participates in Shenzhen critical illness insurance, there are two kinds of medical expenses that can be reimbursed, one is hospitalization medical expenses, and the other is special medicine expenses. In terms of hospitalization expenses, in a medical insurance year, the medical insurance expenses incurred when the insured person is hospitalized. For the medical expenses in the reimbursement catalogue, the individual pays more than 654.38+00000, and the contractor of Shenzhen critical illness insurance reimburses 70% of the expenses, and there is no payment limit. 2. In terms of special drug expenses, in a medical insurance year, the contractor of Shenzhen Critical Illness Insurance will reimburse 70% of the expenses incurred by the insured in using the drugs listed in Shenzhen Supplementary Medical Insurance for Serious and Extraordinary Diseases, with a compensation limit of 6.5438+0.5 million yuan. 3. Shenzhen critical illness insurance, that is, Shenzhen supplementary medical insurance for critical illness introduced by Shenzhen, belongs to the supplementary insurance for critical illness in social insurance. The price of Shenzhen's 20 17 critical illness insurance is 29 yuan, and the medical expenses of15,000 can be reimbursed at most, which is still very affordable.

Legal basis:

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.

Derivative problem:

Is critical illness insurance paid or reimbursed? Critical illness insurance is a payment type, and the payment types are divided into one-time payment and multiple payment. One-time payment means that critical illness insurance can only pay once according to the contract, while multiple payment of critical illness insurance means that the insured has contracted diseases many times and needs treatment. The insurance company will pay a certain amount of insurance money for many times, subject to the actual agreement.