Can social security in different places be reimbursed in Beijing outpatient department?

Social security in different places can be reimbursed at the Beijing clinic. Details are as follows:

1. Insured persons from other places who come to Beijing for medical treatment shall be reimbursed according to the medical insurance regulations of the insured place;

2. If the insured person from different places has gone through the direct settlement and filing of medical treatment in different provinces in his insured place, the medical expenses incurred by the designated medical insurance hospital that opened the direct settlement business of general hospitalization and general outpatient (emergency) consultation in different provinces in Beijing can be directly settled by social security card if it meets the relevant regulations of medical treatment in different provinces in the insured place;

3, settlement, implementation of Beijing medical insurance drug list, medical service facilities and diagnosis and treatment projects; Qifubiaozhun, payment ratio and maximum payment limit of medical insurance fund, etc. I should implement the medical insurance reimbursement policy in the place where I am insured.

Medical insurance reimbursement scope:

1. Insurance liability for hospitalization medical expenses within the scope of medical insurance, as well as some expenses in the medical insurance catalogue that are still borne by individuals after being reimbursed by basic medical insurance, serious illness insurance and medical assistance. , shall bear the liability for compensation within the agreed scope of insurance liability. 1 10,000 insured amount,10.5 million free of compensation, the reimbursement rate is 80%, and the reimbursement rate for continuous participation is increased to 85%;

2. The insurance liability of hospitalization medical expenses outside medical insurance coverage, as well as the part that is still borne by individuals after the expenses outside the medical insurance catalogue are reimbursed by basic medical insurance, serious illness insurance and medical assistance, shall be liable for compensation within the agreed scope of insurance liability. 1 10,000 insured amount,1.8,000 free of compensation, the reimbursement rate is 60%, and the reimbursement rate for continuous participation is increased to 65%;

3, outpatient specific high drug costs insurance liability, in designated hospitals, designated pharmacies, drug costs borne by individuals, within the agreed scope of insurance liability, bear the liability for compensation. 700,000 insured amount, 26 kinds of drugs, and the insurance liability of the outpatient drugs/inpatient medical insurance expenses for rare diseases is * * * 20,000 yuan, and the compensation ratio is 80%;

4. Designate the insurance liability of outpatient drugs for rare diseases/hospitalization medical insurance expenses, and pay part of the drug expenses paid by individuals in designated hospitals and pharmacies within the agreed scope of insurance liability. The insured amount is 300,000 yuan, 12 kinds of drugs, and the insurance liability of outpatient specific high drug expenses is 20,000 yuan, and the reimbursement ratio is 70%.

To sum up, basic medical insurance (including basic medical insurance for urban workers and basic medical insurance for urban and rural residents) is closely related to inclusive prices. Focus on ensuring the high medical expenses caused by major diseases and accidental injuries, and provide more adequate protection for major diseases. Compared with general commercial insurance, there are no restrictions on the age and occupation of the insured, and the health conditions are more tolerant. At the same time, the treatment cost of 20 kinds of high-priced specific drugs and 10 kinds of designated rare diseases drugs outside the medical insurance catalogue has been expanded.

Legal basis:

Article 2 of People's Republic of China (PRC) Insurance Law

The term "insurance" as mentioned in this Law refers to the commercial insurance behavior in which the applicant pays the insurance premium to the insurer according to the contract, and when the insured dies, suffers from disability, illness or reaches the age and time limit agreed in the contract, the insurer shall be liable for the property losses caused by the possible accidents agreed in the contract.

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This Law is applicable to insurance activities in People's Republic of China (PRC).

Article 5

The parties to insurance activities shall exercise their rights and perform their obligations in accordance with the principle of good faith.