Since entering December, many people are saying that they don't need to finish before the end of the month, and the outpatient quota will be cleared, and some people still think that the balance of the medical account is going to be cleared, and the characteristics of the short ** are short but not clear about the problem, and even misleading, but it is also determined by the public's need to obtain information, more than a minute without patience to read, the publisher can only pick a few eye-catching words, I think my title is basically the same as the content, try to condense and streamline, popular expression, each short article is more than a few hundred and one thousand words, Some people still don't have the patience to read it, just look at the title and leave a message, social security things are very boring, mainly to get the latest information and learn some basic common sense, there are not so many attractive things, a bit too much, or to get down to business!
In October 2023, Shenzhen will implement a new medical insurance method, in which the medical insurance year will be adjusted from the original July 1 to June 30 of the following yearJanuary 1 to December 31 every year, which used to be the July 1 renewal of the reimbursement amount, now isJanuary 1The update is not only the update of the reimbursement amount for general outpatient services, but also the reimbursement amount for hospitalization and the reimbursement amount for Gate, which means that if the amount has been used up before December 31, the update means1st 1stThere is a new quota, and if it is not used up, the remaining quota will not be accumulated to the next medical year, so the so-called zero means that the unused quota cannot be accumulated to the next year, but is this a new thing? Definitely not, it was the same in the past, but the calculation period was adjusted;
The amount of general outpatient services in the first level of basic medical care is now 9,334 yuan, of which the quota in hospitals above the second level is 4,667 yuan, and hospitals above the second level do not need to be bound or referred, and can be directly reimbursed by card, with a reimbursement ratio of 55% to 70%, and a reimbursement ratio of 75% to 80% in selected community health care (Non-selected community health care consultations are not eligible for outpatient co-reimbursement, and the full amount of personal account or cash payment, the previous 30% reimbursement has been cancelledThe second level of basic medical care and the general outpatient quota of resident medical insurance is now 2333 yuan, which can be reimbursed in the selected community health or its settlement hospital, regardless of whether the 9334 or 2333 is used up before December 31, it will be the new 9334 or 2333 from January 1, of course, this amount may be a little higher next year! If you want to check how much you have used and how much quota you have left, you can find it hereShenzhen Medical InsuranceBusiness in the palm of your handInquiries about personal informationInquire about the overall payment limit of general outpatient services for basic medical insurance for employees
For the so-called zero, it should be clear what is going on, it has nothing to do with the balance of the medical account, we don't need to be anxious, and don't feel that you don't have to feel like you're at a loss, the hospitalization reimbursement amount is up to 2 million a year, if someone says that the 2 million don't need to be cleared, do you have to deliberately find a hospital to live, the general outpatient quota is also reimbursed proportionally, and you have to bear about 50% of the total, and the reimbursement of ordinary outpatient clinics is to reduce the financial burden of patients, and it can't be turned into medical consumption. Inflating the diagnosis and treatment items to exaggerate the seriousness of the condition is to defraud the insurance, whether it is the insured, the attending doctor or the medical institution are to bear the corresponding responsibility!!