How to reimburse outpatient social security reimbursement?

Outpatient social security reimbursement process is as follows:

1. First of all, you need to take a card to a designated medical institution for medical treatment, and the part that exceeds the minimum limit of the medical insurance fund needs to be borne by the individual.

2. The reimbursement rate of urban residents' medical insurance outpatient service is 50% to 70%, and the reimbursement rate of different hospitals and different groups of people is different.

3. The premise of enjoying the proportion of hospitalization reimbursement for medical insurance is that the first-level medical institutions in 200 yuan, the second-level medical institutions in 300 yuan and 500 yuan, and the third-level medical institutions in 800 yuan are the deductible standards.

4. The operation expenses and medical expenses during hospitalization need to be paid by us personally, and will be settled directly in the medical institution when discharged from hospital, and will be reimbursed according to the reimbursement ratio of the medical insurance fund.

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 process of reissuing medical insurance cards in different regions and different types of medical insurance may be different, and the specific 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.