Reimbursement ratio of second-class medical insurance in Shenzhen

At present, Shenzhen medical insurance has been renamed as a type of payment (original comprehensive medical insurance), a type of payment (original hospitalization medical insurance) and a type of payment (original migrant workers medical insurance). If it is hospitalization reimbursement, the first-class payment is consistent with the second-class payment. For the part above the deductible line, the employee's pension insurance benefits have been received monthly, and the basic medical insurance premium has been paid at 1 1.5%, and the payment ratio is 90%. Workers participate in the primary insurance of basic medical insurance by 8%, and the secondary insurance of basic medical insurance fails to receive the pension insurance benefits of employees in this city on a monthly basis, and the payment ratio is 90%.

Legal basis:

Measures for the Administration of Cash Reimbursement of Social Medical Insurance in Shenzhen Article 7 If the insured's medical treatment outside the city conforms to the relevant provisions of Shenzhen's social medical insurance, the medical expenses within the payment scope of the medical insurance fund shall not be higher than the medical service charging standard of this Municipality and the reimbursement standard of municipal hospitals; Medical expenses that are lower than the medical service charge standard of this Municipality and the reimbursement standard of municipal hospitals shall be audited and reimbursed according to the actual medical expenses. If the self-funded medical expenses incurred by the insured person in seeking medical treatment outside the city are in line with the payment scope of the medical insurance fund, the audit and reimbursement shall be handled in accordance with the provisions of Article 62 of the Measures. If the medical expenses incurred by the insured exceed the maximum payment limit of basic medical insurance and local supplementary medical insurance, they will not be reimbursed.