What is the scope and proportion of social security reimbursement in Shenzhen?

1. Set different hospitalization deductible lines according to different levels of hospitals. The higher the level, the higher the deductible. Shenzhen first-class hospital 100 yuan, Shenzhen second-class hospital 200 yuan, Shenzhen third-class hospital 300 yuan, Shenzhen hospital 400 yuan. If the hospitalization expenses incurred by the insured are within the scope of the basic medical insurance drug list, the retirees will be reimbursed by 95%; Other personnel in accordance with the proportion of 90% into the basic medical insurance serious illness fund accounting scope. 2. In addition, the insured need to do basic medical insurance diagnosis and treatment projects, use special medical materials, install or convert artificial organs, and use disposable medical materials with a unit price exceeding 1 000 yuan, which will be included in the accounting scope of the basic medical insurance serious illness pooling fund according to 90% of its domestic general price; Imported goods shall be included in the bookkeeping scope of the basic medical insurance serious illness pooling fund according to 60% of the import price.

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, 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.