How to reimburse outpatient medical insurance in Wuhan

Legal analysis: 1. Prepare outpatient reimbursement materials.

1, original ID card and social security card 2, original disease diagnosis certificate issued by specialists in tertiary or secondary hospitals of designated medical institutions 3, original medical materials such as outpatient service and test results report forms 4, original receipt of outpatient service charges of unified financial and taxation medical institutions 5, original list of outpatient service charges printed by hospitals on computers or original list of prescription payers issued by doctors 6, original list of designated pharmacies 7, original ID card of agents such as agents.

Second, the social security center handles the reimbursement procedures.

After preparing the above materials, you can apply to the relevant departments of the local social security center. After examination, if the materials are complete and meet the requirements, you can apply immediately. When applying for reimbursement of outpatient medical expenses, the applicant should first deduct the amount allocated to the personal account of medical insurance in this social security year, and then verify the amount to be reimbursed.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.