Shenzhen social security medical reimbursement limit

Shenzhen social security medical reimbursement limit

1, medical insurance for urban workers

Maximum annual reimbursement for outpatient service: 20,000 yuan.

Deductible: On-the-job personnel 1.800 yuan, with the reimbursement rate starting from 70%. Retirees 1300 yuan, the reimbursement rate is 85%.

Upper limit of annual reimbursement for hospitalization: 300,000 yuan.

Deductible line: No matter whether employees or retirees are hospitalized for the first time1.From 300 yuan, the reimbursement rate is 85%. Second hospitalization, since 650 yuan, reimbursement rate: 85%.

Major diseases: The part of self-paid medical expenses that exceeds the per capita disposable income of urban residents in this city last year shall be calculated by stages and paid cumulatively. Under 50,000 yuan, the reimbursement rate starts from 50%, and over 50,000 yuan, the reimbursement rate starts from 60%, with no upper limit.

2. Medical insurance for urban and rural residents

Upper limit of annual reimbursement for outpatient service: 3000 yuan.

The deductible line: level-1 hospital 100 yuan, and the reimbursement rate is 55%. Reimbursement rate from 550 yuan, 50% for hospitals of level 2 and above.

Hospitalization: 200,000.

Deductible: 75% for children 150 yuan and adult 300 yuan.

Remarks: The above expenses do not include expenses not included in medical insurance, such as out-of-pocket expenses and self-funded items. Also, the registration fee (medical service fee) is not included in the deductible line and the capping line.