How to reimburse medical expenses that qualify for medical treatment in other places?

Basic medical expenses and local supplementary medical expenses incurred by insured persons who are hospitalized in emergencies in other places in China or who are stipulated in Article 60 of the "Shenzhen Social Medical Insurance Measures" in registered medical institutions and local supplementary medical expenses shall be covered by the insured. If a person applies, the municipal social insurance agency will review the actual medical expenses incurred and reimburse them at a rate not higher than the city’s medical charging standards.

The basic outpatient medical expenses and local supplementary medical expenses incurred by the insured in other places in the country shall be deducted from his or her personal account when reviewing the reimbursement.

For childbirth medical expenses incurred by the insured in other places in China that comply with the "Shenzhen Social Medical Insurance Measures", upon application by the insured, the municipal social insurance agency will review the actual medical expenses. Reimbursement will be made at a rate not higher than the city's medical charging standards and municipal hospital reimbursement standards.

The medical expenses incurred by the insured for emergency hospitalization during business trips or visits to relatives abroad or in Hong Kong, Macao and Taiwan will be reviewed by the municipal social insurance agency after the applicant applies. , and will be reimbursed according to the city's medical charging standards and municipal hospital reimbursement standards.

Can the medical expenses for medical treatment outside the city be reimbursed?

Yes. The old method stipulates that the insured person will not be reimbursed for medical treatment outside the city. The new method stipulates that the hospitalization medical expenses incurred by the insured person for medical treatment at a designated medical institution outside the city shall be within the scope of payment by the medical insurance fund upon application by the insured person. , the reimbursement ratio is reduced by 20 percentage points in accordance with the regulations; for hospitalization medical expenses incurred by the insured person who goes to domestic non-designated medical institutions for medical treatment on his own, and is within the scope of payment of the medical insurance fund upon application by the insured person, the reimbursement ratio is reduced by 40 percentage points in accordance with the regulations. percentage points.