How to reimburse Wuhan residents' medical insurance outpatient service

Wuhan residents' medical insurance outpatient reimbursement needs to bring social security cards, medical vouchers and other originals to the hospital social security window for credit card and reimbursement application. The scope of medical insurance reimbursement includes drugs, examinations, treatments and other items in the basic medical insurance catalogue.

Wuhan residents' medical insurance outpatient reimbursement shall be paid in advance and then reimbursed. That is, when seeking medical treatment, you need to pay part of the expenses first, and then apply for reimbursement at the social security window designated by the hospital. The specific reimbursement process is as follows: 1. Patients with medical insurance cards and valid identity documents pay part of the expenses in the hospital invoice window or advance payment window. 2. The hospital provides patients with relevant vouchers such as invoices or receipts after diagnosis and treatment. 3. Patients bring social security cards, invoices, medical documents and other original materials to the hospital social security window, handle credit cards and reimbursement, and wait for the audit results. Generally, the reimbursement will be completed within 7- 10 working days. It should be noted that the scope of medical insurance reimbursement includes drugs, examinations, treatments and other items in the basic medical insurance catalogue. For some temporary treatment and out-of-scope projects, you need to bear the expenses yourself. At the same time, in the process of reimbursement, patients need to cooperate with the staff of the hospital social security window to complete a series of reporting and submission procedures.

The outpatient reimbursement process is complicated. Can I use online reimbursement? In Wuhan, at present, the function of online reimbursement for residents' medical insurance clinics has not been realized, and patients need to swipe their cards at the hospital social security window to apply for reimbursement. However, you can check the balance of medical insurance fund and personal medical insurance account information through mobile APP or official website, so that patients can know their current situation and usage in time.

Wuhan residents need to apply for reimbursement at the hospital social security window with social security cards, medical vouchers and other original materials, using the method of paying first and then reimbursing. Special attention should be paid to the scope of medical insurance reimbursement and the problem of cost bearing. At the same time, residents can check the balance of medical insurance accounts and other information through mobile APP or official website, so as to better manage and plan their own medical insurance.

Legal basis:

Article 23 of the Social Insurance Law of People's Republic of China (PRC) * * * Employees shall participate in the basic medical insurance for employees, and employers and employees shall pay the basic medical insurance premium in accordance with the provisions of the state. 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.