How to report the overall reimbursement for outpatient services in Beijing hospitals?

The overall reimbursement process for outpatient service in Beijing Hospital is as follows:

1. Before seeing a doctor, inform the hospital that it has participated in medical insurance, and provide relevant medical insurance cards and identification materials.

2, in the hospital settlement, show medical insurance card and personal identification materials, and fill in the relevant information.

3. The hospital will make settlement according to the medical insurance policy and actual expenses, and return the corresponding expenses to the medical insurance account.

4. If you need to reimburse some expenses, you can go to the social security bureau or the designated window of the hospital for reimbursement after seeing a doctor. Need to provide medical invoices, medical insurance cards, identification materials, etc.

Medical insurance reimbursement conditions:

1, the insured must meet the requirements of the national medical insurance, that is, pay the corresponding medical insurance fees under the national medical insurance system;

2, medical expenses must comply with the provisions of the national medical insurance medical service directory, including drugs, treatment items, inspection items, surgical items, etc. ;

3. Medical expenses must be consumed in medical institutions designated by medical insurance, that is to say, the insured can only enjoy medical insurance reimbursement services in medical institutions designated by medical insurance;

4. Medical expenses must be submitted for medical insurance reimbursement within the specified time. It is generally required to submit an application within a certain period of time after seeing a doctor;

5. The balance of the insured person's personal account must be sufficient, otherwise the medical insurance reimbursement service cannot be enjoyed.

To sum up, the replacement process of medical insurance card may be different in different regions and different types of medical insurance, and the specific replacement process needs to be determined according to local actual conditions and policies.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

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 get material help 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.