Can outpatient medical insurance be reimbursed?

The medical insurance clinic for employees can be reimbursed. The scope of medical insurance reimbursement includes outpatient service, hospitalization and serious illness, but the proportion of outpatient reimbursement is lower than the other two. Generally speaking, the proportion of outpatient reimbursement is below 50%, and the part paid by the overall fund is less, most of which is paid by the insured's personal account funds or cash. If the insured does not go to the designated medical institution for medical treatment, then the outpatient expenses and other expenses must be borne by himself. The medical insurance card can be reimbursed in the outpatient examination of the hospital. The money reflected in personal accounts and medical insurance cards can be used to buy medicines at designated pharmacies, pay outpatient expenses and pay the part of hospitalization expenses that individuals pay. No reimbursement is allowed. Medical insurance clinics do not report. Outpatients can choose to swipe the medical insurance card, but not reimburse it, but deduct it from the money in the medical insurance card. If you buy medicine at a designated medical insurance pharmacy, you can't enjoy medical insurance reimbursement with your medical insurance card. When the money in the medical insurance card is used to buy medicine, it will be deducted directly from the medical insurance card. If there is enough money in the card, the medicine can be paid by medical insurance card instead of cash, which depends on the local medical insurance catalogue. The purchased drugs and medical treatment items must be in the local medical insurance catalogue before they can be paid by medical insurance card. If the purchased drugs do not enter the local medical insurance catalogue (i.e. at their own expense)

Legal basis:

"People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Derivative problem:

How many kinds of medical insurance are there?

1. Basic medical insurance for urban workers: If you have a job, the regular unit will register with the social security department, which belongs to employee medical insurance. Generally speaking, companies pay 8% and individuals pay 2%. On-the-job, freelance or unemployed people can also pay employee health insurance, but the expenses need to be borne by individuals.

2. The new rural cooperative medical system: those who have no job and are registered in rural areas can participate in the new rural cooperative medical system normally. This kind of insurance, under normal circumstances, individuals only need to pay tens of dollars a year, and financial subsidies at all levels are several hundred dollars a year.

3. Basic medical insurance for urban residents: If you have no job and your household registration is in a town, you can participate in the medical insurance for urban residents, which is called the basic medical insurance for urban residents. Similar to the new rural cooperative medical system, this kind of insurance individual pays tens of dollars every year, and financial departments at all levels will subsidize hundreds of dollars.

4. Medical insurance for retired cadres: This kind of insurance is quite special. It is medical insurance for retirees and revolutionary disabled people, and it is basically reimbursed in full.