The highest reimbursement rate of social security in Shenzhen is about 90%. Continuous participation in social security/kloc-for more than 0/2 months, 60% for PET/CT examination, 75% for 12 months -36 months, and 90% for more than 36 months. It is understood that PET/CT is the most advanced "tumor detector" in the world. It can detect abnormal metabolism in tumor before pathological changes, and can find malignant tumor earlier. This test is widely used in the early diagnosis of malignant tumors.
At present, ct has obviously been included in the scope of medical insurance reimbursement. However, only the examination expenses incurred during hospitalization can be reimbursed according to a certain proportion. Outpatients cannot be reimbursed by medical insurance. In addition, if the insurance is commercial medical insurance. Whether the disease examination can be reimbursed depends on the insurance clause. However, according to China's Social Insurance Law, the following medical expenses are not included in the basic medical insurance fund: they should be paid from the industrial injury insurance fund; Should be borne by a third party; Should be borne by public health; Go abroad for medical treatment.
The proportion of hospitalization reimbursement for social security in Shenzhen is: if the hospitalization drug expenses incurred by the insured are within the scope of the basic medical insurance drug list, the retirees will be reimbursed by 95%; Other personnel in accordance with the proportion of 90% into the basic medical insurance serious illness fund accounting scope. It is understood that at present, the proportion of medical expenses reimbursement for Shenzhen insured personnel is one of the few in the country. In addition, if the insured person needs to do basic medical insurance diagnosis and treatment projects, use special medical materials, install or modify artificial organs, and use disposable medical materials with a unit price exceeding 1 1,000 yuan, it will be included in the accounting scope of the basic medical insurance serious illness pooling fund according to 90% of its domestic universal price; Imported goods shall be included in the bookkeeping scope of the basic medical insurance serious illness pooling fund according to 60% of the import price.
Because the medical insurance we buy is different, some are social insurance and some are commercial insurance, and the hospitals where we see a doctor are sometimes different, such as first-class and second-class hospitals, so the proportion of medical insurance reimbursement in Shenzhen is also different. As long as you are hospitalized, you can enjoy medical insurance reimbursement. Under normal circumstances, the insured will pay a minimum amount of compensation, and the rest will be paid by medical insurance companies and individuals in proportion.
1. Comprehensive insured persons do some large-scale medical equipment inspection and treatment projects in the outpatient department of designated medical institutions, such as MRI, CT, SPECT, UCG, ECG-ett, Holter, TCD, ESWL, HBO, DSA, etc., and take special inspection channels in the outpatient department, with medical insurance fund paying 80% and individual paying 20%.
2. The blood test you mentioned, as long as it is within the scope of Shenzhen medical insurance, is the amount of your own personal account and has not been reimbursed.
Second, how to reimburse Shenzhen social security PETCT medical care
Shenzhen social security is divided into first-level comprehensive medical care, second-level hospitalization medical care and third-level labor medical care.
At present, there is no social security medical care for serious illness in Shenzhen Social Security.
If you pay the first-class comprehensive medical care, you can go to the designated social security hospital for medical treatment many times within one year (outpatient and inpatient don't need to be bundled), yes.
Can I do petct twice a year?