Dongguan social security community outpatient appointed hospital

Dongguan's social security can be used in the overall planning area, but the inspection may not be reimbursed, and it needs to be partially settled in a personal account. Only when the treatment exceeds a certain amount can it be reimbursed, and the reimbursement ratio varies according to the willingness to see a doctor.

Proportion of social security reimbursement in Dongguan:

1, 70% can be reimbursed for seeing a doctor in a designated community service institution or referring to the community health service center in this calm point;

2. Referral to the outpatient department of Calm Point Hospital or designated specialist hospital can be reimbursed by 60%;

3, referral to the city's three designated hospitals for outpatient treatment, can be reimbursed 50%;

4, referral to other medical institutions, the basic medical insurance fund will not be reimbursed;

5, in this quiet point community health service center outpatient rescue, can be reimbursed 70%;

6, directly to the city medical institutions outpatient rescue, can be reimbursed 60%. In the designated community health service institutions outside the service hours, can be reimbursed 70%.

Description of the proportion of reimbursement for medical insurance in Dongguan: The overall planning fund in Dongguan pays the basic medical expenses above Qifubiaozhun and the basic medical expenses of specific outpatient service (referring to the outpatient treatment of specific diseases) in proportion, and the annual cumulative reimbursement amount per capita does not exceed the annual maximum payment limit.

Social insurance law

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue 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.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.