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Can Shenzhen social security clinic be reimbursed?

Social security clinics can be reimbursed.

1, special disease outpatient treatment settlement:

Insured persons who have been identified as suffering from special diseases shall go to the designated medical institutions designated by the labor and social security departments for medical treatment and medicine purchase, and the medical expenses incurred shall be directly recorded and settled immediately.

2. Emergency settlement:

The medical expenses incurred by the insured due to emergency rescue to non-designated medical institutions in the city and medical institutions in different places shall be paid in advance by individuals or units. After the emergency rescue, the medical insurance agency shall handle the reimbursement procedures according to the provisions with the emergency hospitalization medical records, inspection, laboratory test sheets, invoices and detailed list of medical expenses.

The outpatient expenses incurred by the insured in different places can be reimbursed in any street administrative service hall in the city.

The following materials shall be provided:

1, original ID card;

2. Original financial and social security card;

3. Hospital charge bills (if electronic invoices are provided, you need to download and fill in the Letter of Commitment for Reimbursement of Electronic Bills or fill it in when handling on site);

4. List of outpatient expenses. The reimbursement period is valid for one year from the date of outpatient expenses.

To sum up, according to the Measures of Shenzhen Municipality on Social Medical Insurance, Shenzhen medical insurance can also be reimbursed for medical treatment in different places. Specifically, the reimbursement targets of Shenzhen medical insurance for medical treatment in different places include four categories of people who seek medical treatment in Shenzhen: resettlement and retirement in different places, long-term residence in different places, permanent work in different places and referral in different places.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.