What is the reimbursement ratio of Shenzhen social security hospitalization?

400 yuan, the deductible line of the first-class hospital, the reimbursement rate is 90%; The deductible line of secondary hospitals is 800 yuan, and the reimbursement rate is 85%; The deductible line of tertiary hospital 1600 yuan, with the reimbursement rate of 80%. There are two kinds of medical insurance purchased by the company: one is social security medical insurance and the other is commercial medical insurance. When the company reimburses its medical insurance, it needs to confirm what kind of insurance the company has purchased for itself.

Social security medical hospitalization expenses shall be settled according to post-paid service items:

1. When the insured person is discharged from the hospital, the medical institution can only charge him the following fees: Qifubiaozhun fee, bed fee exceeding the prescribed standard, personal expenses, self-funded project use fee, and expenses within the scope will not be paid. The above expenses can be paid by personal account, and the insufficient part can be paid by personal cash. The expenses paid by the overall fund shall be settled by medical institutions and medical insurance departments;

2. The hospital bed fee is paid according to the prescribed standard;

3 a year, more than two hospitalizations, from the second time, the deductible according to the annual Qifubiaozhun 50% execution;

4. When the insured is discharged from the hospital, the medical insurance office of the designated medical institution prints a list of all expenses in triplicate, one for the medical institution, the medical insurance institution and the insured;

5. There are also specific regulations on first aid and medical treatment for people who have settled in different places.

Legal basis: Article 30 of the Regulations on Industrial Injury Insurance. Workers who suffer from accidents or occupational diseases at work shall enjoy medical treatment for work-related injuries after treatment.

Workers with work-related injuries should seek medical treatment in medical institutions that have signed service agreements. In case of emergency, they can go to the nearest medical institution for first aid.

If the expenses required for work-related injury treatment meet the catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance, they shall be paid from the work-related injury insurance fund. The catalogue of work-related injury insurance diagnosis and treatment items, the catalogue of work-related injury insurance drugs and the hospitalization service standard of work-related injury insurance shall be stipulated by the social insurance administrative department of the State Council in conjunction with the health administrative department of the State Council, the food and drug supervision and management department and other departments.

Food subsidies for hospitalization of workers with work-related injuries, and certificates issued by medical institutions and approved by agencies. The transportation and accommodation expenses required for workers with work-related injuries to seek medical treatment outside the overall planning area shall be paid by the work-related injury insurance fund, and the specific standards for fund payment shall be stipulated by the people's government of the overall planning area.

Workers with work-related injuries who treat non-work-related diseases do not enjoy medical treatment for work-related injuries, and shall be treated according to the basic medical insurance method.

The expenses for work-related injury rehabilitation treatment for workers with work-related injuries to medical institutions that have signed service agreements shall be paid by the work-related injury insurance fund if they meet the requirements.