Job Recruitment Website - Social security inquiry - Can Shenzhen medical insurance be directly reimbursed in different places?
Can Shenzhen medical insurance be directly reimbursed in different places?
According to the Measures of Shenzhen Municipality on Social Medical Insurance, Shenzhen medical insurance can also be reimbursed for medical treatment in different places. Specifically, the reimbursement targets of Shenzhen medical insurance for medical treatment in different places include four categories of people who seek medical treatment in Shenzhen: resettlement and retirement in different places, long-term residence in different places, permanent work in different places and referral in different places. Their hospitalization expenses can be directly reimbursed in different places, and the reimbursement ratio is at least 50%;
If you want to directly reimburse Shenzhen medical insurance in different places, you need to pay for it at your own expense first, and then go to the Social Security Bureau for reimbursement. In addition, according to the provisions of the Measures of Shenzhen Municipality on Social Medical Insurance, the basic medical expenses and local supplementary medical expenses incurred by the insured in medical institutions outside the city shall be referred according to the provisions of these Measures. Upon the application of the insured, the actual medical expenses incurred by the municipal social insurance institution shall be reimbursed according to the standard of medical charges not higher than that of this Municipality, and the outpatient medical expenses paid by individual accounts shall be deducted from their personal accounts. Not according to the provisions of these measures for referral, filing, outpatient medical expenses occurred in the city's non designated medical institutions, medical insurance fund will not pay, but belongs to the scope of personal account payment, deducted from the personal account balance.
The materials required for reimbursement of medical treatment in different places are as follows:
1, basic material. Under normal circumstances, the reimbursement of medical insurance in different places needs to provide hospitalization medical records, expense lists, original vouchers of medical expenses, proof of discharge conditions, including course of treatment, medical insurance card, my bank account number, ID card, household registration book, transfer procedures or certificates, valid hospitalization certificates and other materials;
2. Long-term work in different places. A copy of the valid labor contract signed by the insured and the employer, the medical insurance record book for medical treatment in different places or the certificate of assignment of the unit and related materials shall be stamped with the official seal of the unit and the business license of the employer;
3. Living in a different place for a long time. If the place of residence is the place of household registration, provide a copy of the relevant household registration certificate; If the residence is a non-registered residence, the original certificate of continuous residence for more than 6 months or a copy of the temporary residence permit issued by the police station, street or neighborhood Committee where the residence belongs shall be provided. For employees who have lived in different places for more than 6 months continuously, the original information statement issued by the unit and a copy of the applicant's ID card are required. If it is entrusted to others, a copy of the client's ID card shall also be provided.
To sum up, Shenzhen medical insurance can be directly reimbursed in different places.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
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