How to reimburse the outpatient treatment of employee medical insurance card

The outpatient reimbursement process of employee medical insurance card is as follows:

1. Show your medical insurance card when you see a doctor. Employees need to show their medical insurance cards when they go to the clinic. The hospital will settle the employee's medical insurance in real time through the information of the medical insurance card.

2. Pay personal expenses. When employees go to the clinic, they need to pay some personal expenses, including outpatient registration fee, medicine fee, medical treatment fee, etc.

3. Keep relevant receipts and documents. Employees need to keep relevant receipts and documents, including outpatient invoices, drug lists, medical records, etc.

4. Submit the expense reimbursement application. Employees are required to submit expense reimbursement application to local social security bureau or medical insurance center with relevant receipts and documents.

5. Wait for expense reimbursement. The social security bureau or the medical insurance center will review and process the employee's expense reimbursement application.

Conditions for employee medical insurance:

1. Insured object: Employee medical insurance is applicable to those who work in the employing unit, including enterprises, institutions, organs, social organizations, private non-enterprise units, individual industrial and commercial households, etc.

2. Payment standard: The payment standard of employee medical insurance is stipulated by the state and local governments, and is generally paid according to a certain proportion of wage income. There may be differences in payment standards in different regions and different units;

3. Location: Employees' medical insurance usually needs to be handled at the local social security bureau or medical insurance management agency, so they need to have a stable job and residence in the local area;

4. Legal identity: To participate in employee medical insurance, you need to have legal identity, including valid identity documents such as ID card and household registration book;

5. Age limit: The age of employees participating in medical insurance is generally between 16 and 60 years old, and the regulations in different regions and units may be different.

To sum up, the scope of application of employee medical insurance may be different due to different regions and policies. Before using employee medical insurance, it is necessary to know the local medical insurance policies and regulations in order to correctly use and reimburse medical expenses.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.