Shenzhen social security second-class treatment in the hospitalization medical treatment to enjoy preferential treatment, there is no five insurance and one gold.
Shenzhen social security second class treatment specific content:
1, general outpatient treatment
belonging to the class A drugs and class B drugs, respectively, by the community outpatient coordinated fund at the rate of 80% and 60%;
belonging to the medical insurance directory of a single diagnosis and treatment or medical materials, by the community outpatient coordinated fund to pay 90%, but the maximum amount of payment not more than 120 yuan;
The total outpatient medical expenses paid by the community outpatient coordinating fund to each second class shall not exceed 1,000 yuan in a medical insurance year.
2. Costs incurred for outpatient large-scale equipment examination and treatment
The maximum payment for second-tier enrollees is up to 120 yuan per unit price of general diagnostic and therapeutic items.
3. General outpatient blood transfusion costs
The second-tier participants shall be paid 70% by the integrated fund according to the regulations.
4. Outpatient treatment for major diseases
Depending on the length of continuous participation in the insurance, 60%-90% will be paid by the integrated fund according to regulations.
5. Hospitalization treatment
The second-tier participants can be hospitalized in the settlement hospitals of the bound social welfare centers or referred to the prescribed hospitals by the settlement hospitals, and the reimbursement ratio of the basic medical expenses and local supplementary medical expenses incurred above the starting line of the hospitalization is as follows: first-tier hospitals: 85%; second-tier hospitals: 80%; and third-tier hospitals: 75%.
If one is hospitalized in a prescribed hospital other than the billing hospital without referral, 90% of the hospitalization payment rate of the attending hospital (i.e., the payment rate in Article 1 above) will be paid.
6. Treatment for medical treatment outside the city
The second-tier participants will not be reimbursed for general outpatient expenses; outpatient expenses for major illnesses and hospitalization expenses in line with the regulations can be reimbursed according to the regulations.