1, hospitalization can only be reimbursed, and some individuals pay a down payment (depending on the hospital level, we usually pay 600). The rest are divided into several types of drugs, and some drugs cannot be fully reimbursed, which is more complicated. If it is not a skin disease hospitalization, it cannot be reimbursed. Nbsp2. The reimbursement methods of social medical insurance vary from place to place. Nbsp; In order to standardize the management of cash reimbursement of social medical insurance for urban workers in our city, according to the Measures of Shenzhen Municipality on Social Medical Insurance for Urban Workers (Order No.2004) and the municipal government 125, we have formulated the Measures for the Management of Cash Reimbursement of Social Medical Insurance for Urban Workers in Shenzhen, which are hereby printed and distributed to you. Please follow them. Nbsp; the measures for the administration of cash reimbursement of social medical insurance for urban workers in shenzhen nbsp; nbsp; article 1 nbsp; In order to standardize the cash reimbursement management of social medical insurance for urban workers in our city, these measures are formulated according to the Measures of Shenzhen Municipality on Social Medical Insurance for Urban Workers (Order No.2004). Municipal government 125). Nbsp; article 2 nbsp; These Measures shall apply to the medical expenses that the social medical insurance for employees in our city (hereinafter referred to as the insured) meets the requirements of basic medical insurance, local supplementary medical insurance or maternity medical insurance, and are paid in advance by the insured and their relatives in cash and need to be reimbursed. Nbsp; article 3 nbsp; Under any of the following circumstances, the insured person may go to the municipal social insurance management institution (hereinafter referred to as the municipal social insurance institution) to handle the reimbursement procedures within the scope specified in Article 2 of these Measures with the relevant documents and materials: (1) The designated medical institution for medical treatment has a computer failure or cannot keep accounts due to the damage of employees' social insurance vouchers; Nbsp (2) being treated in a non-designated medical institution in this municipality due to an acute or critical illness; Nbsp (3) Transferred to a medical institution outside the city for diagnosis and treatment with the consent of the designated medical institution in this city or the municipal social insurance institution; Nbsp (iv) Being treated in a medical institution outside the city for acute diseases during business trip, family visit, vacation and study (including the insured giving birth outside the city); Nbsp (5) those who have been stationed outside the city for a long time or settled outside the city after retirement. Nbsp; article 4 nbsp; Under any of the circumstances specified in Article 3 of these Measures, the insured person shall pay the medical expenses in cash and provide the following information to the municipal social insurance institution when submitting the reimbursement: nbsp (1) The original fee receipt; Nbsp (ii) detailed list of expenses; Nbsp(3) Copy of outpatient medical records or inpatient medical records (stamped with the official seal of the medical institution); Nbsp(4) proof of disease diagnosis; Nbsp(5) social insurance certificate of my employee. Nbsp; When applying for reimbursement of medical expenses incurred from long-term residence outside the city or settlement outside the city after retirement, in addition to submitting the information mentioned in the preceding paragraph, you should also go through the registration procedures for work (settlement) in different places at the municipal social insurance institution in advance. Nbsp; article 5 nbsp; When the insured person is approved by the designated medical institution in this Municipality or the municipal social insurance institution to be transferred outside the city for medical treatment, he/she shall, when handling the reimbursement, not only provide the information specified in Article 4 to the municipal social insurance institution, but also submit the Shenzhen Municipal Social Medical Insurance Referral Review Application Form with approval opinions, and examine and approve the reimbursement according to the following procedures: (1) If the referral is examined and approved by the municipal social insurance institution, the above information shall be directly sent to the municipal social insurance institution for examination and reimbursement; Nbsp (ii) If the referral is made by a municipal tertiary hospital or a municipal specialized hospital, the above information will be transferred to a medical institution, and a reimbursement plan will be put forward after examination, and then reported to the municipal social insurance institution for examination, and the expenses will be reimbursed after examination. Nbsp; Anyone who is not approved to be transferred outside the city or invited to a hospital, purchased medicine and treated in a for-profit medical institution (except for emergency rescue) will not be reimbursed. Nbsp; article 6 nbsp; If the insured person pays medical expenses in cash (except as stipulated in Article 9 of these Measures) and needs to apply for reimbursement, it shall submit the relevant materials to the municipal social insurance institution for reimbursement within 6 months from the date when the expenses occur (the hospital is the day of discharge, the same below), and fails to submit the reimbursement within the time limit. Nbsp; article 7 nbsp; The basic medical expenses (excluding baby expenses) for the insured to participate in maternity medical insurance for outpatient prenatal examination, delivery hospitalization, postpartum visit and family planning operation outside the city shall be paid by the maternity medical insurance fund. With the information, marriage certificate, unit certificate and birth certificate (second child) specified in the first paragraph of Article 4 of these Measures, the reimbursement of maternity hospitalization expenses shall be based on the birth certificate; Family planning surgery expenses reimbursement by birth control surgery certificate, by the municipal social insurance institutions in accordance with the provisions of the examination and approval of reimbursement. Nbsp; Prenatal check-up includes the following basic items: nbsp; The first check-up: (13 weeks ago) the Shenzhen Maternal and Child Health Manual was established; Urine HCG, gynecological examination, blood routine (category 3), urine routine (category 10), electrocardiogram and B-ultrasound; Nbsp; Secondary examination: (16— 18 weeks) Obstetrics examination (all including fetal heart Doppler), blood type (ABO, Rh), blood routine, urine routine, renal function (3 items), liver function (5 items), hepatitis B, hepatitis C antibody, syphilis serum antibody and blood sugar; Nbsp The third examination: (20-24 weeks) Obstetric examination, urine routine and color Doppler ultrasound; Nbsp the fourth examination: (24-28 weeks) obstetric examination and urine routine; Nbsp Fifth examination: (28-30 weeks) Obstetric examination and urine routine; Nbsp Sixth examination: (30-32 weeks) Obstetric examination, blood routine, urine routine, B-ultrasound; Nbsp Seventh examination: (32-34 weeks) Obstetric examination and urine routine; Nbsp Eighth examination: (34-36 weeks) Obstetric examination, fetal monitoring and urine routine; Nbsp Ninth examination: (37 weeks) Obstetric examination and urine routine; Nbsp; Tenth examination: (38 weeks) Obstetric examination, fetus.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.