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Can foreign medical insurance cards be reimbursed in Beijing outpatient department?
First, the preconditions for reimbursement of foreign medical insurance cards in Beijing outpatient clinics
First of all, the reimbursement of foreign medical insurance cards in Beijing outpatient department needs to comply with the relevant regulations of the state and Beijing. Under normal circumstances, holders of foreign medical insurance cards need to go through the medical insurance filing procedures first to connect the foreign medical insurance information with Beijing's medical insurance system. Only after the successful filing can you enjoy the reimbursement of outpatient medical expenses in designated medical institutions in Beijing.
Two, the process of medical insurance filing procedures
The specific process of handling medical insurance filing procedures may be different due to different regions and medical insurance policies. Generally speaking, you need to go to the medical insurance agency or social security center in the insured area and submit relevant supporting materials, such as ID card, medical insurance card, diagnosis certificate, etc. The handling agency shall review the materials and go through the filing formalities, and input the medical insurance information of the insured person into the Beijing medical insurance system.
Three. Matters needing attention in Beijing outpatient service
After successful filing, the insured person needs to bring a valid medical insurance card and medical certificate when seeking medical treatment in a designated medical institution in Beijing. When seeking medical treatment, you should take the initiative to inform the doctor of your own medical insurance situation and make diagnosis and treatment according to the doctor's requirements. After the diagnosis and treatment, you can go to the medical insurance window of the hospital to handle the expenses settlement and reimbursement procedures.
It should be noted that there may be differences in medical insurance policies and reimbursement rates in different regions, so the specific reimbursement amount and scope need to be determined according to the regulations of the insured place. In addition, some special medical services or drugs may not be included in the reimbursement scope, and the insured personnel need to bear the expenses themselves.
To sum up:
Foreign medical insurance cards can be reimbursed in Beijing outpatient department, but they need to go through medical insurance filing procedures and abide by Beijing's medical insurance policies and regulations. When seeking medical treatment, you should take the initiative to inform the doctor about your medical insurance and understand the specific scope and amount of reimbursement. Through the rational application of medical insurance policy, the burden of medical expenses of the insured can be reduced and the level of medical insurance can be improved.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 29 provides that:
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
Provisions of Beijing Municipality on Basic Medical Insurance
Article 14 stipulates:
The insured shall seek medical treatment and purchase medicines in the designated medical institutions of basic medical insurance, and take the initiative to show the social security card and the Beijing Basic Medical Manual. Designated medical institutions shall verify the insured's medical treatment and drug purchase, provide basic medical services for the insured, and implement them in accordance with the provisions of this Municipality's basic medical insurance drug list, diagnosis and treatment project list, medical service facilities scope and payment standard.
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