Can the outpatient operation of residents' medical insurance be reimbursed?

Medical insurance for outpatient surgery residents can be reimbursed.

Outpatient surgery residents medical insurance reimbursement process is as follows:

1. See a doctor: the patient goes to a medical institution and needs outpatient surgery after being diagnosed by a doctor;

2. Payment: the patient pays the outpatient operation fee in the medical institution and obtains the invoice and receipt of the outpatient operation fee;

3. Reimbursement application: the patient applies for reimbursement to the local social security bureau or medical insurance center with the invoice and receipt of outpatient surgery expenses;

4. Audit: Social Security Bureau or medical insurance center will audit the reimbursement materials submitted by patients, including medical expense invoices, receipts, outpatient medical records, etc.

5. Reimbursement: After approval, the Social Security Bureau or the medical insurance center will reimburse the outpatient surgery expenses to the patients, or directly charge the expenses to the hospital account.

The information required for medical insurance reimbursement for outpatient surgery is as follows:

1. List of outpatient operation expenses: it should include the detailed list of operation expenses, anesthesia expenses, materials expenses, nursing expenses, etc.

2. Medical insurance cards and ID cards: residents need to provide medical insurance cards and ID cards to prove their identity and medical insurance qualifications;

3. Outpatient medical records: Outpatient medical records should include medical records summary, main medical history, diagnosis, treatment plan, doctor's advice, etc.

4. Medical invoices: medical institutions should provide invoices for outpatient surgery expenses;

5. Application form for outpatient operation: it should include the details of outpatient operation and the signature and confirmation of the doctor;

6. Other supporting materials: such as preoperative checklist, laboratory sheet, image data, etc.

To sum up, patients need to provide medical insurance cards, identity cards and social security payment certificates when reimbursing to ensure the accuracy and legality of reimbursement. At the same time, different regions and different medical insurance policies may be different, and the specific reimbursement process can refer to local medical insurance policies.

Legal basis:

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

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.