Outpatient reimbursement process of basic medical insurance for urban and rural residents

Outpatient reimbursement process of medical insurance for urban residents:

1. seeking medical treatment: residents need to provide their ID cards and medical insurance cards when seeking medical treatment in hospitals or clinics.

2. Payment: After the visit, residents need to pay out-of-pocket expenses.

3. Asking for invoices: Residents need to ask for outpatient invoices, which should include the name, address, telephone number, doctor's name, date of treatment and treatment items of the hospital or clinic.

4. Application for reimbursement: Residents bring outpatient invoices, doctor's prescriptions, personal ID cards and medical insurance cards to the local social security center or medical insurance agencies for reimbursement. When reimbursing, you need to fill in the reimbursement application form, indicating the date of treatment, treatment items and other information.

5. Review: The social security center or medical insurance agency will review the reimbursement application form and related materials, and deposit the reimbursement amount into the residents' personal medical insurance account after passing the review.

6. Receiving reimbursement: Residents can receive reimbursement at the bank outlets designated by the medical insurance card or the social security center.

What materials do urban and rural residents need for medical insurance outpatient reimbursement?

1. Urban and rural residents' medical insurance card: Urban and rural residents' medical insurance card is one of the necessary documents for participating in urban and rural residents' medical insurance, which can be used for real-time settlement of medical expenses and reimbursement in different places.

2. Outpatient invoice: Outpatient invoice is a list of expenses issued by the hospital when the patient sees a doctor, including information such as the patient's treatment expenses.

3. Medical treatment voucher: Medical treatment voucher refers to the documents used by patients when they see a doctor, such as outpatient medical records and inspection reports.

In a word, the basic medical insurance for urban and rural residents can reimburse outpatient medical expenses, but the specific reimbursement standards and procedures may be different due to different regions and policies.

Legal basis:

People's Republic of China (PRC) social insurance law

second

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

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.