Proportion of hospitalization reimbursement for the first file of Shenzhen social security

Legal analysis: the basic medical expenses incurred by the insured person in hospital and the part above the deductible line of local supplementary medical expenses shall be paid according to the following provisions: (1) If the insured person has received employee pension insurance benefits in this city on a monthly basis and paid the basic medical insurance premium at 1 1.5%, the payment ratio is 95%; (2) Basic medical insurance An insured person pays the basic medical insurance premium at 8%, and the payment ratio is 90%; Special medical materials and disposable medical materials with a unit price of more than 1 000 yuan, and domestic materials for artificial organs installed or replaced (1) shall be paid at 90% of the actual price; (2) The imported materials shall be paid at 60% of the actual price.

Legal basis: Article 26 of the Social Insurance Law of People's Republic of China (PRC), the basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.