The secondary medical insurance in Dongguan is inpatient medical insurance, and the outpatient service can be reimbursed 1 10,000 yuan every year. 70%-80% can be reimbursed if you are hospitalized. You can show your social security and fill it out before you go through the hospitalization formalities, and you will directly deduct the reimbursable expenses when you leave the hospital for settlement. If the medical insurance is interrupted for more than 3 months, the payment period will be recalculated.

According to the Measures for the Administration of Medical Insurance in Dongguan, the reimbursement conditions for the second-class medical insurance in Dongguan are as follows:

1, the insured must seek medical treatment or purchase medicines within the administrative area of Dongguan;

2. The insured must seek medical treatment or purchase medicines in a prescribed medical institution, and the medical institution must have relevant qualifications and medical insurance designated qualifications;

3, the insured must be in medical institutions for diagnosis and treatment, treatment or purchase in line with the provisions of the national and local medical insurance directory of drugs;

4, the insured must hold a medical insurance electronic certificate or medical insurance card, and within the specified time through the medical insurance electronic settlement or manual settlement for reimbursement procedures.

To sum up, according to different medical insurance policies and individual participation, the specific reimbursement ratio and limit are different. For details, please consult the local medical insurance department.

Legal basis:

Article 25 of People's Republic of China (PRC) Social Insurance Law

The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.