Is the reimbursement ratio of Shenzhen medical insurance in different places the same?

Is the reimbursement ratio of Shenzhen medical insurance in different places the same?

The reimbursement rate of medical insurance in Shenzhen is different from that in Shenzhen. According to the different medical items and medical expenses, the reimbursement ratio may be different in different places. In addition, reimbursement in different places also needs to meet certain conditions, such as the need to seek medical treatment in designated medical insurance institutions in different places and the need to go through the formalities for medical treatment in different places in advance.

To sum up:

The proportion of medical insurance reimbursement in different places in Shenzhen is different from that in Shenzhen, and the specific difference needs to be determined according to different medical items and expenses and medical records in different places. If you need to use Shenzhen medical insurance in different places, it is recommended to know the relevant regulations and procedures in advance and go through the relevant procedures before seeking medical treatment.

Legal basis:

Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that 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.

Article 64 of the Measures of Shenzhen Municipality on Social Medical Insurance stipulates that the medical expenses incurred by the insured person of basic medical insurance who meets the following requirements for medical treatment belong to the scope of payment of basic medical insurance and shall be paid by the basic medical insurance fund according to the regulations:

(a) the insured person who receives the pension insurance benefits for employees on a monthly basis in this Municipality, and all the medical expenses that meet the payment scope of basic medical insurance are paid by the overall fund;

(two) the insured who live outside the administrative area of this Municipality for a long time shall, in accordance with the provisions of these measures, choose a community health center as the designated medical institution for outpatient treatment in this Municipality;

(three) the basic medical insurance fund shall pay 70% of the single invoice amount for the general outpatient blood transfusion expenses incurred by the insured due to illness.

Article 65 of the Measures for Social Medical Insurance in Shenzhen stipulates that if the medical expenses incurred by the insured in medical institutions outside the city are within the scope of basic medical insurance payment, the municipal social insurance institution shall pay them according to the regulations; According to the project payment, the municipal social insurance institution shall pay 90% of the payment standard stipulated in the preceding paragraph.