Shenzhen medical insurance reimbursement medical insurance reimbursement

Legal analysis: medical insurance can be reimbursed not only for hospitalization, but also for outpatient service. The scope of medical insurance reimbursement is very wide. Generally, medical expenses are distinguished according to the characteristics of medical services, including doctor's outpatient expenses, medicine expenses, hospitalization expenses, nursing expenses, hospitalization miscellaneous expenses, operation expenses, and various inspection expenses. Medical expenses are all kinds of expenses incurred by patients to treat diseases, including not only doctors' medical expenses and operation expenses, but also hospitalization expenses, nursing expenses and hospital equipment expenses.

Legal basis: Measures of Shenzhen Municipality on Social Medical Insurance formulated by Shenzhen Municipal People's Government.

Article 49 70% of the basic medical expenses and local supplementary medical expenses incurred by Class I insured persons in the designated community health centers of this Municipality shall be paid by personal accounts, and 30% shall be paid by the basic medical insurance serious illness pooling fund and local supplementary medical insurance fund according to regulations, except for the following items: (1) Dental treatment expenses; (2) Rehabilitation physiotherapy expenses; (three) the cost of inspection and treatment of large medical equipment; (four) other project expenses stipulated by the municipal government.

Article 50 The basic medical expenses and local supplementary medical expenses incurred by the first-class insured of basic medical insurance for large-scale medical equipment examination and treatment in outpatient clinics of designated medical institutions in this Municipality shall be paid by the basic medical insurance serious illness pooling fund and local supplementary medical insurance fund according to regulations.