How to get reimbursed after outpatient self-payment

After paying out-of-pocket expenses for outpatient services, you can bring the relevant invoices and other proofs to the Medical Insurance Bureau for reimbursement, and you need to bring the following materials:

1. Original invoices (outpatient, inpatient and emergency invoices).

2. A list of medical expenses (outpatient invoices must be accompanied by outpatient medical records or discharge summaries; inpatient invoices must be accompanied by a list of expenses).

3. Certificate of disease diagnosis (stamped).

4, examination report (stamped).

5, ID card, work card and social security card (hospitalization invoice or hospitalization cost list must be carried).

6. If there is an agent, the agent also needs to bring his/her ID card.

Requirements for reimbursement of medical insurance in other places:

1. Participation status: reimbursement of medical insurance in other places is only applicable to those who have participated in the medical insurance system of urban workers' basic medical insurance, urban and rural residents' basic medical insurance, and new type of rural cooperative medical care;

2. Payment record: when applying for reimbursement of medical insurance in other places, the applicant must have paid medical insurance fees, and meet the requirements of the time and standard for paying the fee

3. Scope of reimbursement: The scope of reimbursement and the reimbursement rate of the medical insurance in a different place shall be subject to the relevant policies and regulations of the place where the applicant is insured. It should be noted that the reimbursement policies of different regions may be different, and the applicant needs to apply according to the local policies and regulations;

4. Hospital selection: When seeking medical treatment in a different place, the applicant must select a designated medical institution, or else he or she will not be able to enjoy reimbursement of medical insurance treatment;

5. Reimbursement application materials: The applicant needs to prepare complete reimbursement application materials, including medical bills, cost lists, and the reimbursement rate of the medical bills, and the reimbursement rate of the medical bills. Including medical bills, cost lists, proof of foreign medical treatment, reimbursement application forms and so on.

In summary, the reimbursement rate and the scope of reimbursement may be different, and the reimbursement rate of reimbursement may be lower than that of the local medical insurance, the specific information can be found in the local medical insurance department.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in line with the basic medical insurance drug directory, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and drug business units.