1, the deductible line of hospitalization reimbursement at township level (level 1) is 200 yuan, and the reimbursement ratio is 85%;
2, county-level (secondary) designated medical institutions hospitalization reimbursement deductible 500 yuan, reimbursement rate of 70%;
3, municipal (level 3) designated medical institutions hospitalization reimbursement deductible 700 yuan, reimbursement rate of 55%;
4, provincial (level 3) designated medical institutions hospitalization reimbursement deductible line 1000 yuan, the reimbursement ratio is 50%.
Basic principles of medical insurance:
1, the principle of social mutual assistance;
2. Risk * * * principle;
3, the principle of the unity of rights and obligations;
4. The principle of combining government responsibility with social participation.
As a social security system, medical insurance aims to reduce the economic burden borne by individuals due to illness through social mutual assistance and risk sharing. The medical insurance system usually follows several basic principles, including the principle of social mutual assistance, that is, to form a security fund through collective financing to provide medical security for the insured; Risk * * * principle, that is, all the insured * * * share the medical risks and expenses; The principle of the unity of rights and obligations, the insured has the right to obtain medical security, but also has the obligation to pay fees; The government is responsible for the principle of combining with social participation, the government is responsible for the formulation and supervision of medical insurance policies, and all sectors of society should also participate in the construction and improvement of the medical insurance system.
To sum up, the hospitalization reimbursement policy of Changsha Medical Insurance in Shenzhen, Guangdong Province varies according to the level of medical institutions. The town-level deductible line is 200 yuan, with the highest reimbursement rate of 85%, while the deductible lines of county-level, municipal-level and provincial-level institutions are 500 yuan, 700 yuan and 1 10,000 yuan respectively, and the reimbursement rate is reduced to 70%, 55% and 50% in turn.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.