What is the scope of medical insurance outpatient service?

1. There will be a medical insurance card or social security card after participating in medical insurance. If you go to the clinic, you can pay directly by swiping the medical insurance card. The amount in the card is recorded by social security every month. There is no proportion in this. As long as the drugs prescribed by doctors are within the scope of social security payment, social security can pay, but it does not rule out that some drugs need to be paid at their own expense. 2. If you are hospitalized, show your medical insurance card or social security card before hospitalization registration. During hospitalization, doctors will try to prescribe drugs within the scope of social security for treatment. When you check out, the hospital toll office will give you a certain proportion of reimbursement according to the hospital level. (For example, the hospitalization expenses are 3,000 yuan, except for self-funded items, the rest of the medical expenses are reimbursed according to the hospital level, 70% for the third-class first-class hospital and 80% for the second-class first-class hospital. The regulations vary from province to province, depending on the specific regional regulations. 3. There is no need to provide other information for hospitalization reimbursement, just provide medical insurance card or social security card and ID card before hospitalization. Medical insurance includes basic medical care and hospitalization. The basic medical treatment = outpatient medical treatment+hospitalization medical treatment, and hospitalization medical treatment refers to a single hospitalization. Outpatient service is the kind that goes directly to the hospital to take medicine home after hanging up the number, and hospitalization is hospitalization. The two are separate.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.