How much is the first-rate reimbursement for out-of-town medical hospitalization in Shenzhen?

1. What is the reimbursement ratio of the first-tier medical insurance in Shenzhen? The hospitalization reimbursement ratio of the first-tier medical insurance in Shenzhen is 90% or 95%. The first-tier insured person’s ordinary outpatient expenses, serious illness outpatient expenses, and hospitalization outside the city. All expenses can be reimbursed. 2. What are the reimbursement scopes of the first-tier medical insurance in Shenzhen? 1. The personal account of the insured person in the first-tier basic medical insurance is used to pay the insured’s basic outpatient medical expenses, local supplementary medical expenses, and designated medical expenses in designated retail pharmacies in Shenzhen. For the cost of purchasing drugs within the scope of the medical insurance catalog based on prescriptions issued by institutional doctors, the individual will pay for the shortfall in his or her personal account. 2. For those who have participated in the first-tier basic medical insurance for one consecutive year, the outpatient basic medical expenses and local supplementary medical expenses paid by the individual in the same medical insurance year exceed 5% of the average salary of Shenzhen employees in the previous year (current standard) 80% of the excess will be paid by the basic medical insurance critical illness pooling fund or local supplementary medical insurance fund. Note: Participants who enjoy the two benefits do not enjoy the following benefits: 70% of the basic medical expenses and local supplementary medical expenses incurred by the insured persons in the first-tier basic medical insurance at designated social welfare centers in Shenzhen are paid by their personal accounts, and 30% % is paid by the basic medical insurance critical illness pooling fund and local supplementary medical insurance fund, except for the following items: (1) Dental treatment costs; (2) Rehabilitation physiotherapy costs; (3) Large medical equipment inspection and treatment costs; (4) Other project fees. 3. What is the reimbursement process for medical insurance in other places? 1. Call the New Rural Cooperative Medical Care Consultation Hotline in your hometown before hospitalization or within 3 days after hospitalization to register the hospitalization and medical treatment; 2. After discharge, a reimbursement certificate must be issued by the sub-district office or neighborhood committee at the place of residence. If you are working abroad, you need to have a working unit to issue a working certificate; after you are discharged from the hospital, take a copy of the medical record, summary statement, hospitalization bill, discharge certificate, and then take the patient's ID card, cooperative medical certificate and residence or work certificate Return to the place where Shenhe is located for reimbursement; 3. If you go directly from the place where Shenhe is located to receive hospitalization for chemotherapy outside the province, you must go through the transfer procedures before leaving, and then you can go to other places for hospitalization; the reimbursement rate outside the province is the lowest, and the general minimum payment line is around 2,000 , the reimbursement ratio is 45% of the reasonable expenses. If you spend less, it will be difficult to reimburse a few dollars. The lower the hospital level, the higher the reimbursement ratio.