Now Shenzhen health insurance renamed as a class of payment (former comprehensive health insurance), second class of payment (former hospitalization health insurance), third class of payment (former migrant workers' health insurance), if the hospitalization reimbursement, the first class of payment and the second class of the same payment in the part of the starting line above the part of the payment if you have been receiving monthly employee pension insurance benefits and basic medical insurance premiums paid at 11.5%, payment The proportion is 95%; if the first-tier participants of the basic medical insurance of the working employees pay 8% of the basic medical insurance premiums and the second-tier participants of the basic medical insurance do not receive the monthly employee pension insurance benefits in the city, the proportion of payment is 90%.
Legal basis:
Shenzhen Social Medical Insurance Cash Reimbursement Management Measures Article 7 The participant outside the city for medical treatment in accordance with the relevant provisions of the Shenzhen Municipal Social Medical Insurance, its medical expenses within the scope of the medical insurance fund to pay for the review and reimbursement of medical expenses shall not be higher than the city of medical service charges and municipal hospitals reimbursement standard reimbursement. If the medical expenses are lower than the fees and charges for medical services in the city and the reimbursement standards of municipal hospitals, the medical expenses shall be reimbursed according to the actual medical expenses incurred. If the medical expenses incurred by a participant for medical treatment outside of the city are within the scope of payment by the medical insurance fund, the review and reimbursement of such medical expenses shall be handled in accordance with the provisions of Article 62 of the Measures. The medical expenses incurred by the insured person exceeding the maximum payment limit of the basic medical insurance and local supplementary medical insurance will not be reimbursed.