What's the difference between Shenzhen social security second gear and third gear?

I went online to help you check, and the medical insurance for enterprise employees in Shenzhen, like other parts of the country, is divided into three grades.

The medical insurance for employees of enterprises in Shenzhen is divided into three levels: basic medical care level I, basic medical care level II and basic medical care level III.

1, payment 1. Basic medical care level 1 (unit 6%+ individual 2%)+ local supplementary medical care (unit 0.2%)+ maternity medical care (unit 0.5%), the payment base is the actual payment salary of employees (minimum 3 13 1 yuan), and the total payment is 272 yuan.

2. The second payment base of basic medical care (unit 0.5%+ individual 0.2%)+ local supplementary medical care (unit 0. 1%)+ maternity medical care (unit 0.2%) is the average monthly salary of employees in the previous year (now 52 18), and the accumulated payment is 52.

3. The third basic medical care (unit 0.4%+ individual 0. 1%)+ local supplementary medical care (unit 0.05%), the payment base is the average monthly salary of employees in the previous year (now 52 18), and the total payment is 29 yuan.

Shenzhen social security enjoys different medical treatment in the second and third grades. The following details are introduced:

(1) principle of seeking medical treatment

First-class insured: any designated medical institution in this city for medical treatment.

Second-class insured persons: outpatients seek medical treatment in the binding community health center, inpatient departments seek medical treatment in any designated medical institutions in the city, and outpatients seek medical treatment in designated medical institutions for serious illness.

Third-level insured persons: outpatients seek medical treatment in the binding social health center, and inpatients and outpatients seek medical treatment in prescribed medical institutions for serious illness.

(2) General outpatient treatment

A type of insurance: personal account is used to pay the medical expenses within the scope of the insured's general outpatient medical insurance catalogue. Community health center basic medical expenses personal account to pay 70%, the overall fund to pay 30% in accordance with the provisions.

Second Insured/Third Insured:

Belong to class A drugs and class B drugs, respectively, by the community outpatient fund according to the proportion of 80% and 60% payment; 90% of the single diagnosis and treatment or medical materials belonging to the medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment amount shall not exceed 120 yuan; The total outpatient medical expenses paid by the community outpatient co-ordination fund to each second-and third-level insured in a medical insurance year shall not exceed 1000 yuan.

(3) Hospitalization

First-class insured: 95% or 90% of the basic medical expenses incurred in hospitalization and supplementary medical expenses above the deductible line shall be paid according to the regulations.

Second-level insured/third-level insured: you can be hospitalized in the settlement hospital bound to the social rehabilitation center, or you can be referred to the designated hospital through the settlement hospital. The reimbursement rates of basic medical expenses and local supplementary medical expenses above the hospitalization deductible line are: 85% for first-class hospitals, 80% for second-class hospitals and 75% for third-class hospitals.

Relevant laws and regulations:

Article 47 of the Regulations on Medical Insurance: The charging standard for basic medical services shall be formulated and revised by the provincial labor and social security and price management departments in conjunction with the health administration and finance departments, and submitted to the provincial government for approval.

The price of basic medical insurance drugs shall conform to the relevant state provisions on drug pricing.

In violation of the basic medical service charges and drug price regulations, the basic medical insurance fund account does not pay the medical expenses that exceed the standard.