Can the outpatient service of Suining Chinese Medicine Hospital be reimbursed?

Outpatient service of Suining Chinese Medicine Hospital can be reimbursed.

The medical insurance reimbursement process is as follows:

1. Hospitalization medical expenses shall be paid by individuals in advance. After discharge, medical insurance card, ID card, outpatient medical record, discharge summary, general list of expenses (detailed list of expenses), disease diagnosis certificate, valid bill (original invoice), doctor's advice, copy of the first page of medical record, certificate issued by the school, certificate of transfer to hospital and relevant certificate issued by the college shall be provided. For medical treatment in different hospitals, materials from different hospitals should be provided; In the same hospital, according to the different hospitalization time (before the expenses are written off, such as being treated in the same hospital after discharge), materials of hospitalization in different periods should also be provided;

2, after the opening of the credit card settlement function, the student himself or his guardian or client shall, within three days of hospitalization, go to the medical window of the service hall of the municipal medical insurance center with the student ID card, the provincial social security card, the medical record of the hospital, the certificate of disease diagnosis and the certificate issued by the college;

3. Treatment of emergency expenses of non-designated medical institutions: within 3-5 working days of emergency, first contact or entrust others to register with the municipal medical insurance management center through the student medical insurance management center of our hospital, and the medical expenses will be paid in advance by myself. At the time of reimbursement, apply for reimbursement to the municipal medical insurance center with the above reimbursement materials (non-medical insurance designated hospitals or clinics cannot be reimbursed).

The materials required for hospitalization reimbursement are as follows:

1, original ID card or social security card;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other original medical information;

4. Original receipt of outpatient charges of medical institutions with unified finance and taxation;

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

6, designated pharmacies, tax-controlled goods sales unified invoice and computer printed list of the original;

7. If it is an agent, you need to provide the original ID card of the agent.

To sum up, outpatient service can be reimbursed by medical insurance. The state is improving the guarantee mechanism of outpatient reimbursement and gradually expanding the scope of outpatient reimbursement. After paying medical insurance, in addition to the overall fund, there is also a personal quota in the account, which can be used for outpatient registration and purchase drugs that cannot be reimbursed by medical insurance.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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 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.