Can the outpatient service of foreign medical insurance card be reimbursed?

The medical insurance card has a certain function of reimbursement for medical treatment in different places.

Whether the outpatient service of medical insurance card in different places can be reimbursed depends on the specific medical insurance policy. Under normal circumstances, the medical insurance card has a certain function of reimbursement for medical treatment in different places, but the specific reimbursement ratio, scope and process may be different due to different regions and policies.

First, the basic situation of medical insurance card reimbursement in different places

Medical insurance card is a kind of social security card established by the state to protect citizens' basic medical security. In most cases, the medical insurance card has the function of reimbursement for medical treatment in different places, that is, when the insured person is in different places, he can use the medical insurance card to reimburse the outpatient expenses. However, it should be noted that the specific policies for outpatient reimbursement of medical insurance cards in different places will be different due to different regions and policies.

Two, medical insurance card off-site outpatient reimbursement specific policies and regulations

Reimbursement ratio: Medical insurance policies in different regions have different provisions on reimbursement ratio for medical treatment in different places. Generally speaking, the reimbursement rate of medical treatment in different places will be lower than that of the insured place. Therefore, when seeking medical treatment in different places, the insured needs to know the local medical insurance policy in order to make a good budget.

Reimbursement scope: The reimbursement scope of outpatient medical insurance card in different places usually includes drugs, medical treatment items and medical service facilities within the scope of medical insurance. However, some special items or high expenses may not be reimbursed, and the specific situation needs to refer to the local medical insurance policy.

Reimbursement process: the reimbursement process of medical insurance card in different places may be complicated. Generally, the insured person needs to pay the medical expenses first, and then submit the relevant documents to the medical insurance agency in the insured place for reimbursement. In the process of reimbursement, the insured need to prepare complete medical expense invoices, diagnosis certificates, medical insurance cards and other related materials.

Three, different medical insurance card outpatient reimbursement matters needing attention

Understand the local medical insurance policy: Before seeking medical treatment in different places, the insured should know the local medical insurance policy in advance, including reimbursement ratio, reimbursement scope and reimbursement process, so as to make relevant preparations.

Keep relevant vouchers: Insured personnel should properly keep medical expense invoices, diagnosis certificates and other relevant vouchers for reimbursement.

Pay attention to the time limit for reimbursement: the medical insurance policies in different regions have different provisions on the time limit for reimbursement, and the insured should complete the reimbursement procedures within the specified time to avoid missing the opportunity for reimbursement.

To sum up:

Whether the outpatient service of medical insurance card in different places can be reimbursed depends on the specific medical insurance policy. When the insured uses the off-site medical insurance card for outpatient reimbursement, they should know the local medical insurance policy in advance, pay attention to the differences in reimbursement ratio, scope and process, and properly keep relevant vouchers so as to successfully complete the reimbursement procedures.

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.

This legal provision defines the scope of payment of basic medical insurance, including the expenses of drugs, medical treatment items and medical service facilities that meet the requirements. Although this clause does not directly relate to the specific provisions on reimbursement of medical insurance card for off-site outpatient service, as a part of basic medical insurance, the reimbursement scope and payment method of medical insurance card for off-site outpatient service reimbursement should follow the relevant provisions of People's Republic of China (PRC) Social Insurance Law.

"Notice on further improving the direct settlement of medical expenses for medical treatment in different provinces of basic medical insurance"

The notice was jointly issued by the National Medical Insurance Bureau and the Ministry of Finance, and made specific provisions on the direct settlement of medical expenses for medical treatment in different places. The notice mentioned policy requirements such as expanding the scope of direct settlement of medical treatment in different places, optimizing the filing process of medical treatment in different places, and standardizing the payment of direct settlement fund for medical treatment in different places. These regulations provide specific operational guidance and policy basis for reimbursement of medical insurance cards in different places.