Where is the outpatient reimbursement?

Usually in the local medical insurance designated medical institutions or social security centers.

First, understand the medical insurance policy

Before outpatient reimbursement, you need to know the local medical insurance policy, including the scope, proportion and limit of reimbursement. This information can be obtained through local medical insurance bureau or social security center official website, telephone consultation, etc.

Second, choose designated medical institutions for medical insurance

Outpatient reimbursement needs to be carried out in medical institutions designated by medical insurance, so it is very important to choose a suitable medical institution. You can check the list of local designated medical institutions for medical insurance through the website of the Medical Insurance Bureau or the Social Security Center to understand their service quality and reimbursement.

Third, prepare reimbursement materials.

When visiting a doctor, you need to explain your medical insurance situation to the doctor, and properly keep the outpatient medical records, invoices and other related supporting materials. These materials are the necessary basis for outpatient reimbursement and must be properly kept.

Fourth, go through the reimbursement procedures.

After seeing a doctor, you can submit a medical insurance card and relevant supporting materials to the designated medical institution or social security center for reimbursement. In the process of handling, you need to fill in the relevant reimbursement application form and submit relevant supporting materials. The staff will review the materials and inform the reimbursement amount and reimbursement method.

Verb (abbreviation of verb) matters needing attention

When handling outpatient reimbursement, you should pay attention to the following points:

1. Ensure that the medical institution is a designated institution for medical insurance, otherwise it may not be able to enjoy medical insurance reimbursement;

2. Keep the outpatient medical records, invoices and other relevant supporting materials properly for subsequent reimbursement;

3. When handling the reimbursement procedures, carefully check the reimbursement amount and reimbursement method to ensure that it is correct;

4. If you encounter reimbursement problems or questions, you can consult or complain to the Medical Insurance Bureau or the Social Security Center.

To sum up:

Outpatient reimbursement needs to be carried out in designated medical institutions or social security centers. To understand the local medical insurance policy, prepare relevant supporting materials and follow the reimbursement process. When handling reimbursement procedures, you need to pay attention to related matters to ensure the smooth progress of reimbursement.

Legal basis:

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

Article 28 provides that:

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.

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

Article 29 provides that:

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.