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Which hospitals can Shenzhen Second Social Security go to?
Basic medical insurance The basic medical expenses and local supplementary medical expenses incurred by the first-class insured in the designated community health centers in this Municipality shall be paid by 70% in the individual account, and 30% in the basic medical insurance serious illness pooling fund and local supplementary medical insurance fund according to the regulations.
Except for the following items:
1, dental treatment cost;
2. Rehabilitation physiotherapy expenses;
3, large medical equipment inspection and treatment costs;
4, other project costs stipulated by the municipal government.
The second payment standard of Shenzhen social security is as follows:
1, endowment insurance: the company pays 13%, and the individual pays 8%;
2. Medical insurance: the minimum payment base is 6054 yuan, with the company paying 0.6% and the individual paying 0.2%. Designated hospitals bound by the Social Security Bureau can apply for reimbursement of outpatient expenses, and hospitalization expenses of any designated medical insurance hospital can apply for reimbursement;
3. Unemployment insurance: the company pays 2%, and the individual pays1%;
4. Work-related injury insurance: the company pays 0.4%;
5. Maternity insurance: the company pays 0.5%;
6. Provident fund: the company pays 5% and the individual pays 5%.
People's Republic of China (PRC) Social Insurance Law Article 7 The administrative department of social insurance in the State Council is responsible for the management of social insurance throughout the country, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.
The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
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