can the first medical insurance clinic in Shenzhen be reimbursed? From December 1, 222, the general outpatient expenses of the first-class insured in Shenzhen medical insurance can be reimbursed by the medical insurance pooling fund, which can be reimbursed by more than 5%. Specific description: medical insurance funds are divided into pooling funds and personal accounts. Pooling funds can be understood as money used by everyone, and personal accounts are mainly for their own use. Previously, the insured employees of the first-class basic medical insurance saw the general outpatient service in the hospital, mainly brushing the personal account of medical insurance. After December 1, 222, the first-class employees of basic medical insurance can also enjoy the reimbursement from the medical insurance pooling fund according to the regulations when they see the general outpatient service in the hospital. The reimbursement ratio and limit are related to the hospital level where they seek medical treatment. The more they go to the grassroots level, the higher the reimbursement ratio and limit are. 1. Reimbursement proportion: The proportion of medical institutions below the first level, secondary hospitals and tertiary hospitals' medical insurance pooling funds reimbursing Class A drugs, diagnosis and treatment projects is 75%, 65% and 55% respectively, while that of Class B drugs is 7%, 6% and 5% respectively, and the reimbursement proportion of retirees is increased by 5%; No deductible line is set. The part of the general outpatient expenses reimbursed by the overall fund can be paid by the insured's personal account. 2. Reimbursement limit: The maximum reimbursement limit of the annual medical insurance co-ordination fund per person in the general outpatient department of the first-class employees with basic medical insurance shall not exceed 5% of the average annual salary of employees in this city in the previous year (the current standard is about 6,972 yuan), among which the maximum reimbursement limit of the annual medical insurance co-ordination fund per person in the general outpatient department of hospitals above grade II and specialized hospitals shall not exceed 2.5% of the average annual salary of employees in this city in the previous year (the current standard is about 3,486 yuan). With the annual average salary of employees changing year by year, 3. For example: Before December 1, 222, Xiao Zhang, an employee insured by the first-class basic medical insurance, went to a tertiary hospital for outpatient service, and 2 yuan, who took blood tests, all swiped his personal account with his medical insurance card. From December 1st, the same 2 yuan will be reimbursed by the medical insurance pooling fund to 11 yuan, and the remaining 9 yuan will be paid by the personal account of the medical insurance card. If Xiao Zhang goes to the selected social rehabilitation center for medical treatment, the reimbursement will be more favorable. The overall fund can reimburse 15 yuan, and the personal account only needs to pay 5 yuan, so the expenses paid by Xiao Zhang for outpatient treatment will be greatly reduced. Choosing a point for medical treatment 1. For hospitalization and special treatment: the first-class insured person does not need to choose a designated institution for hospitalization, and the outpatient special disease has not changed according to the current medical treatment method. 2, for outpatient service: