Job Recruitment Website - Social security inquiry - Can Shenzhen Second Social Security Card be used in the hospital? It's been a year! Non-deep households! For example: tooth extraction? How much can I reimburse if I can? thank you
Can Shenzhen Second Social Security Card be used in the hospital? It's been a year! Non-deep households! For example: tooth extraction? How much can I reimburse if I can? thank you
According to the provisions of Article 54 of the Measures for Social Medical Insurance in Shenzhen, the outpatient medical expenses incurred by the second and third categories of insured persons in the basic medical insurance in the community health service center selected by this Municipality shall be treated according to the following provisions: those belonging to Class A drugs and Class B drugs in the basic medical insurance drug list shall be paid by the community outpatient co-ordination fund at the rate of 80% and 60% respectively;
Individual diagnosis and treatment items or medical materials belonging to the basic medical insurance catalogue shall be paid by the community outpatient co-ordination fund for 90%, but the maximum payment amount shall not exceed 120 yuan. The outpatient medical expenses incurred by the insured due to illness and referral to other medical institutions with the consent of the settlement hospital, or the emergency rescue outpatient medical expenses incurred in the non-settlement hospital due to business trip, shall be reimbursed by the community outpatient co-ordination fund according to 90% of the payment standard stipulated in the preceding paragraph; Other circumstances in the non-settlement hospital outpatient medical expenses community outpatient co-ordination fund will not be reimbursed.
Extended data:
Provisions on relevant requirements of social medical insurance in Shenzhen:
1, the first and second files of the basic medical insurance insured, the highest payment amount is the first file of the government-guided price for the bed fee of Class A rooms in general wards of non-profit medical institutions determined by the municipal price management department.
2. For the insured who receive employee pension insurance benefits or pensions on a monthly basis in this city and continue to enjoy the first-class treatment of basic medical insurance, the local supplementary medical insurance fund will pay 500 yuan medical examination subsidies in a lump sum in the next month after receiving pension insurance benefits or pensions, and pay medical examination subsidies on a monthly basis according to the following standards, which will be included in personal accounts: under 70 years old, 20 yuan every month; At least 70 years old, 40 yuan every month.
3, the basic medical insurance fund and local supplementary medical insurance fund to set the payment limit. The part of the basic medical expenses paid by the basic medical insurance fund in accordance with the provisions of these Measures that exceeds its payment limit shall be paid by the local supplementary medical insurance fund within its payment limit.
Guangdong Provincial People's Government-Measures of Shenzhen Municipality on Social Medical Insurance
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