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Why can’t we use coordination when going to the hospital?

1. In terms of outpatient services, the third-tier basic medical care and the second-tier basic medical care have an outpatient fee of 1,000 yuan per year, but they can only be enjoyed in bound social welfare hospitals. The first-tier basic medical care can be used for outpatient services in all hospitals, but they all use your own personal expenses.

For the money in the account, when there is no money in the personal account, you have to take cash yourself; while the second and third levels of basic medical care can claim 1,000 yuan per year, this money is from the overall fund, and the first level of basic medical care sees outpatient services

The money is your own money, and only the money from the overall fund is reimbursed in the true sense.

Of course, the first-tier basic medical care does not mean that there are no benefits. It has the following three advantages. First, if you have been continuously insured for more than 12 months, and the out-patient out-of-pocket expenses exceed 3,632 yuan in a medical year, the excess amount will be

70% can be reimbursed. Secondly, 30% can be reimbursed for outpatient visits in all social welfare hospitals. Thirdly, 80% can be reimbursed for large-scale equipment inspections in outpatient clinics. This reimbursement is all from the unified fund. In addition,

All with money from your own account.

Legal basis 2. In terms of hospitalization, the benefits of the first-tier medical treatment and the second-tier basic medical treatment are the same, with a unified reimbursement of 90%. Hospitalization can be directly handled in all designated hospitals in Shenzhen, and the reimbursement ratio is 90%; hospitalization in the third-tier basic medical treatment

The reimbursement ratio is determined according to different levels of hospitals. In first-level hospitals, 85% can be reimbursed, second-level hospitals can reimburse 80%, and third-level hospitals can reimburse 75%. In addition, third-level insured persons must first go to the bound social welfare hospital when they are hospitalized.

For medical treatment, you cannot directly go to other hospitals for hospitalization. You must issue a referral form through the bound hospital before you can go to the higher-level hospital of the bound hospital. That is to say, if the hospital you want to see a doctor is not the higher-level hospital of the bound hospital,

, there is no way to be transferred to the hospital. Of course, you can go directly to the hospital where you want to be hospitalized without issuing a referral form, but the reimbursement rate will be reduced by 10%. Normally, for example, in the third level

Hospital hospitalization is reimbursed at 75%. If you go without a referral form, you will only be reimbursed at about 67.5%.