How to reimburse outpatient medical insurance in Chengdu in 2023?

In 2023, outpatient medical insurance in Chengdu can be reimbursed by credit card or directly settled online, in which credit card reimbursement needs to be handled at a specific window of the district and county social security bureau with a valid social security card. Online direct settlement can be directly settled through the hospital window or mobile app.

There are two main ways to reimburse outpatient medical insurance in Chengdu: credit card reimbursement and online direct settlement. 1. Credit card reimbursement: citizens can bring their valid social security cards to the special window of the social security bureau in their districts and counties for credit card reimbursement, and the medical insurance department will automatically settle accounts through POS machines, in which the proportion of overall fund payment is 70% and the proportion of individual self-payment is 30%. Before applying for reimbursement, it is necessary to know whether the selected medical institution has signed a contract and participated in the medical insurance service of the designated medical institution. 2. Direct online settlement: citizens can make direct online settlement through hospital windows or mobile apps. You don't need to swipe your card at the time of settlement, just enter your personal social security number and other related information. Online settlement is more convenient and faster than credit card reimbursement, which greatly facilitates the lives of citizens. It should be noted that different hospitals may have different reimbursement methods. Before seeking medical treatment, citizens need to know the specific reimbursement methods of the selected hospitals and carry the corresponding documents for reimbursement procedures.

What items can be reimbursed for outpatient medical insurance? The scope of outpatient medical insurance reimbursement includes clinical, basic, prevention, special treatment and Chinese medicine. Specific projects are subject to the catalogue published by the local social security department, and medical services in the catalogue can generally be reimbursed. However, some non-medical items such as beauty cannot enjoy medical insurance reimbursement, and citizens should pay attention to the distinction.

There are various reimbursement methods for outpatient medical insurance in Chengdu, and citizens can choose credit card reimbursement or online direct settlement according to their own conditions. It is suggested that citizens should know the specific reimbursement methods of the selected hospitals before seeking medical treatment, so as to enjoy medical security benefits in time and reduce the economic burden.

Legal basis:

"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.