Can outpatient service be reimbursed by medical insurance? How come?

Legal Analysis: Outpatients can be reimbursed by medical insurance. The reimbursement method is: show the social security card to prove the identity and registration of the insured when going to the designated hospital for medical treatment. Individuals can be directly reimbursed by social security and hospitals, without having to pay first and then reimburse. Only when the account is settled, the self-paid part will be paid by the social security card balance or cash.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.