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How to reimburse Shenzhen social security for medical treatment in different places?
Legal basis: Notice IV on officially starting the cash reimbursement business for medical treatment in different places in Shenzhen. Object and content of acceptance At present, 39 commercial insurance acceptance outlets in 10 pilot city mainly provide services for the insured to receive reimbursement materials in different places for the basic medical expenses of outpatient and inpatient services and local supplementary medical expenses in our city. The objects and contents of business acceptance are as follows:
(1) reimbursement of hospitalization expenses
With the normal identity of the city's basic medical insurance one, two (children), three insured, off-site hospitalization basic medical expenses, local supplementary medical expenses, including self-treatment, referral, permanent residence in the mainland and other types of hospitalization.
(2) reimbursement of outpatient medical expenses
Including general outpatient reimbursement, outpatient annual overrun, outpatient special examination reimbursement, outpatient serious illness reimbursement and other types.
1. General reimbursement for outpatient service: first-class insured of basic medical insurance, insured with balance in personal account.
2. Out-of-year outpatient service exceeds the limit: the first-class insured of basic medical insurance has been insured for 12 months before seeing a doctor, which is in line with one of the situations of applying for permanent residence in the mainland or referral outside the city.
3. Reimbursement for special outpatient inspection: The insured person of Class I of basic medical insurance meets one of the situations of applying for permanent residence in the Mainland or referral outside the city.
4. Reimbursement for serious illness outpatient service: registered in Shenzhen for serious illness outpatient service, meeting the requirements of primary, secondary (children) and tertiary insured persons in basic medical insurance, and having permanent residence in the Mainland or referral outside the city.
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