Shenzhen first-class medical insurance hospitalization total amount

The total amount of hospitalization under Shenzhen's first-tier medical insurance varies depending on the region, policy and other factors.

In Shenzhen, the general outpatient reimbursement for first-tier health insurance enrollees is about 10,000 yuan, and you can ask your local health insurance bureau or social security bureau for the exact amount. Meanwhile, Shenzhen has also set a starting line for hospitalization, with standards of 200 yuan, 400 yuan and 600 yuan, depending on the level of the hospital, and 100 yuan, 200 yuan and 300 yuan, respectively, for the second or more hospitalizations in a year.

The reimbursement methods of medical insurance are as follows:

1. Before seeking medical treatment: Before seeking medical treatment, you need to confirm the type and scope of your own medical insurance, and choose medical institutions and doctors in line with the medical insurance policy to ensure that the medical expenses can be reimbursed;

2. During the process of seeking medical treatment: During the process of seeking medical treatment, you need to accurately fill in the basic information of the individual and the situation of the medical treatment, and provide your medical card and relevant information to the doctors and medical institutions. Provide doctors and medical institutions with their health insurance cards and relevant supporting materials;

3. Reimbursement application: After the end of the medical treatment, you need to submit the application for reimbursement of medical expenses to the local social insurance management center or medical insurance office, and provide relevant medical bills and supporting materials, such as outpatient invoices, prescription pads, medical records, etc.

4. Reimbursement review: medical insurance institutions review and verify the medical expenses and reimbursement of medical expenses, and then reimburse the medical expenses. The medical insurance organization reviews the application for reimbursement of medical expenses and checks information such as expenses and medical conditions to determine the reimbursement rate and amount;

5. Reimbursement Payment: After the review is approved, the medical insurance organization pays the reimbursement amount to the applicant's bank account or medical insurance card.

In summary, the total amount of hospitalization and the standard of the starting payment line of the medical insurance may be adjusted according to the policy changes, so you can consult the local relevant departments for the latest situation.

Legal basis:

The People's Republic of China*** and the State Social Insurance Law

Article 23

Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall pay the basic medical insurance premiums in accordance with the state regulations***. Individual industrial and commercial households without employees, part-time employees who do not participate in the basic medical insurance for employees at their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.