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How to use the second-class medical insurance for non-deep households
Legal basis: Article 54 of the Measures for Social Medical Insurance in Shenzhen, the medical expenses incurred by the insured in the secondary and tertiary outpatient services of basic medical insurance in the selected community health service centers in this city shall be dealt with according to the following provisions: 80% and 60% of the drugs belonging to Class A and Class B in the drug list of basic medical insurance shall be paid by the community outpatient pooling fund respectively;
Individual diagnosis and treatment items or medical materials belonging to the basic medical insurance catalogue shall be paid by the community outpatient co-ordination fund for 90%, but the maximum payment amount shall not exceed 120 yuan. The outpatient medical expenses incurred by the insured due to illness and referral to other medical institutions with the consent of the settlement hospital, or the emergency rescue outpatient medical expenses incurred in the non-settlement hospital due to business trip, shall be reimbursed by the community outpatient co-ordination fund according to 90% of the payment standard stipulated in the preceding paragraph; Other circumstances in the non-settlement hospital outpatient medical expenses community outpatient co-ordination fund will not be reimbursed.
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