The reimbursement process and conditions of outpatient medical insurance in Chengdu

The reimbursement process and conditions of Chengdu medical insurance outpatient service are as follows:

1. Prepare outpatient reimbursement materials: including the original ID card and social security card, the original disease diagnosis certificate issued by the specialists in the tertiary or secondary hospitals of designated medical institutions, the original medical materials such as outpatient service and inspection and laboratory test results reports, the original receipt of outpatient expenses of unified financial and taxation medical institutions, the original detailed list of outpatient expenses printed by hospitals or the original prescription payer issued by doctors, the unified invoice of designated pharmacies and the original computer printed list of tax items, and the ID card of the agent.

2. Go to the relevant department of the local social security center. Upon examination, if the materials are complete and meet the requirements, they will be handled immediately.

Chengdu medical insurance outpatient reimbursement conditions include:

1. When the insured sees a doctor in a designated medical institution that meets the online settlement conditions, he can directly reimburse the outpatient expenses with the medical insurance electronic certificate or social security card.

2. The first use of the medical insurance electronic certificate needs to be activated in advance, and the activation channels include the official account of Chengdu Medical Insurance WeChat and the national medical insurance service platform.

3. When the insured reimburses the outpatient expenses, the personal account of medical insurance included in this year's social security shall be deducted first, and then the reimbursement amount shall be approved.

The significance of outpatient reimbursement for medical insurance in Chengdu lies in:

1. Improve the medical security level of the insured: outpatient reimbursement can reduce the burden of medical expenses of the insured, improve the medical security level, and reduce the risk of poverty due to illness.

Promote the perfection of medical insurance system: outpatient reimbursement is an important part of medical insurance system, which can promote the perfection and development of medical insurance system, improve the efficiency of the use of medical insurance funds, and better protect the medical rights and interests of the majority of insured persons.

2. Promote the improvement of medical service quality: the implementation of outpatient reimbursement system can promote medical institutions to improve service quality, improve medical technology level and better meet the medical needs of insured personnel.

3. Enhance the sustainability of the medical system: outpatient reimbursement can promote the rational distribution of medical resources, enhance the sustainability of the medical system, and provide better medical services for more people.

To sum up, the reimbursement of outpatient medical insurance in Chengdu can reduce the financial burden of patients' families, so that more families can enjoy medical insurance benefits and avoid poverty caused by illness. It can also enable more people to enjoy medical insurance, narrow the gap between urban and rural areas and the gap between the rich and the poor, and promote social equity.

Legal basis:

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

Article 23

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.