The scope of medical reimbursement of social security card

Legal analysis: the scope of medical reimbursement of social security card includes outpatient, emergency, hospitalization and operation expenses incurred by patients who participate in social security to medical insurance designated hospitals, specialist hospitals, prescription Chinese medicine hospitals or tertiary hospitals. Generally, 90% of the expenses will be reimbursed for hospitalization in a first-class hospital, and about 87% will be reimbursed for hospitalization in a second-class hospital. For example, the reimbursement scope of urban medical insurance also includes some inspection expenses such as electrocardiogram, radiation and CT.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the national basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.