Can't social security reimburse medical expenses in hospital?

Social security can reimburse medical expenses if you are not hospitalized.

When using social security card to pay medical expenses, even if you are not hospitalized, you can reimburse. This includes the medical expenses of general outpatient service, provided that the social security card is used normally and there is no arrears.

Not covered by reimbursement:

1. Medical treatment at one's own expense (no designated hospital or referral form), drugs purchased at one's own expense, drugs that cannot be reimbursed according to the regulations of public medical care and medical expenses that do not meet the requirements of family planning;

2, outpatient treatment fees, visits, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except for family blood storage, according to the relevant provisions of reimbursement), heating and cooling fees, ambulance fees, allowances and other expenses;

3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents;

4. Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. ;

5, within the scope of reimbursement, beyond the limit.

To sum up, the social security of medical expenses that are not hospitalized can be reimbursed, but the specific reimbursement and the proportion and conditions of reimbursement need to be determined according to the local medical insurance policy.

Legal basis:

People's Republic of China (PRC) social insurance law

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.