The reimbursement rate of the first-class medical insurance in Shenzhen is 90% or 95%, and the general outpatient expenses, serious illness outpatient expenses and hospitalization expenses of the first-class insured outside the city can be reimbursed.

2. What are the scope of reimbursement for first-class medical insurance in Shenzhen?

1, basic medical insurance The personal account of the first class insured person is used to pay the insured person's outpatient basic medical expenses, local supplementary medical expenses, and the expenses of purchasing drugs in the medical insurance catalogue at designated retail pharmacies with prescriptions issued by doctors in designated medical institutions in Shenzhen. The part that is not paid in the personal account shall be paid by the individual.

2. Basic medical insurance A class of insured persons have been insured continuously for one year. In the same medical insurance year, the basic outpatient medical expenses and local supplementary medical expenses paid by individuals exceed 5% of the average salary of employees in Shenzhen last year (current standard), and the excess is paid by the basic medical insurance serious illness pooling fund or local supplementary medical insurance fund by 80%.

Note: The insured who enjoys two benefits does not enjoy the following benefits:

The basic medical expenses and local supplementary medical expenses incurred by the first-class insured in the designated community health center in Shenzhen City are 70% paid by the individual account and 30% by the basic medical insurance serious illness pooling fund and local supplementary medical insurance fund, except for the following items:

(1) dental treatment expenses;

(2) Rehabilitation physiotherapy expenses;

(3) Inspection and treatment expenses of large medical equipment;

(4) Other project expenses.

3. What is the reimbursement process for medical insurance in different places?

1, before hospitalization or within 3 days after hospitalization, call the consultation number of the new rural cooperative medical system in my hometown to register the hospitalization situation;

2. After discharge, the residence certificate must be issued by the neighborhood office or neighborhood committee. If you work outside, you need a work certificate issued by your work unit; After discharge, submit a copy of medical records, a summary list, hospitalization bills and discharge certificates, and then submit them to the participating places for reimbursement with the patient's ID card, cooperative medical certificate, residence or work certificate;

3. If you go directly to a hospital outside the province for chemotherapy from the participating place, you must go through the procedures of referral and transfer before you can go to the other place for hospitalization; The reimbursement rate outside the province is the lowest, with a general deductible of around 2,000, and the reimbursement rate is 45% of the reasonable expenses. If you spend less, it is difficult to reimburse a few dollars. The lower the hospital level, the higher the reimbursement ratio.