How does Guangzhou medical insurance reimburse outpatient expenses?

Reimbursement of medical insurance card can be divided into the following ways: (1) Medical insurance reimbursement: Insured personnel can buy medicines at designated medical institutions and retail pharmacies with medical insurance cards, and their medical expenses can be settled directly by credit card. When purchasing drugs, they are not included in the overall social planning, and all of them are paid by personal accounts. If the personal account runs out of funds, you can pay in cash. (2) Outpatient medical insurance reimbursement: bring relevant reimbursement materials to the relevant departments of the local social security center to apply for it. Upon examination, if the information is complete and meets the requirements, it can be handled immediately. When applying for reimbursement of outpatient medical expenses, the applicant should first deduct the amount allocated to the personal account of medical insurance in this social security year, and then verify the amount to be reimbursed. (3) Reimbursement of hospitalization medical insurance: 1. When entering or leaving the hospital, you must go through the registration formalities with the medical insurance IC card at the medical insurance management window of each designated medical institution. When in hospital, the individual pays the deposit of medical expenses in advance, and pays more and less after discharge. 2. The medical expenses incurred before the hospitalization registration formalities are not included in the payment scope of basic medical insurance. 3. If the emergency hospitalization fails to go through the hospitalization registration formalities in time, it should go through the hospitalization formalities at the medical insurance management window with the emergency certificate on the day after admission (postponed in case of holidays), and the overdue medical expenses should be borne by itself. The above is the answer to how to reimburse Guangzhou residents' medical insurance.

Legal objectivity:

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.