How to reimburse rural residents outpatient medical insurance

How to reimburse rural residents for outpatient medical insurance is as follows:

1. Immediate reimbursement: after visiting a designated medical institution, you can apply for reimbursement at the hospital settlement office with your social security card and second-generation ID card, and the hospital will summarize the reimbursement materials to the social security bureau for settlement on a monthly basis;

2. Proxy settlement and reimbursement: if you can't reimburse yourself instantly, you should bring your ID card, social security card, and the original outpatient invoice with you, list of medical expenses and outpatient medical records, etc., and apply for reimbursement at the social security service branch in your domicile.

Rural residents' health insurance reimbursement scope:

1. Basic medical insurance reimbursement: covering the basic medical expenses such as medicine, diagnosis and treatment, surgery and so on when the insured person seeks medical treatment due to illness;

2. Reimbursement of major disease insurance: providing reimbursement of high medical expenses for the insured person who suffers from a specific major disease;

3. Reimbursement of outpatient chronic diseases: for the insured person who suffers from a specific chronic disease, the reimbursement of outpatient chronic diseases will be made to the insured person who suffers from a specific chronic disease. Outpatient chronic disease reimbursement: for participants suffering from specific chronic diseases, part of the cost of outpatient treatment can be reimbursed;

4. Outpatient coordination reimbursement: outpatient coordination has been implemented in some areas, which can provide a certain percentage of reimbursement of general outpatient expenses;

5. Preventive inoculation reimbursement: for the participants to carry out the free preventive vaccination stipulated by the State, the out-of-pocket expenses of the part can be reimbursed.

6. Maternity insurance reimbursement: for eligible insured women, maternity-related medical expenses can be reimbursed.

In summary, the methods of outpatient reimbursement for rural residents include immediate reimbursement and agency settlement reimbursement, and residents can choose to go through reimbursement procedures at the hospital settlement office or the social security service outlets in their place of domicile according to the situation.

Legal basis:

The People's Republic of China*** and the State Social Insurance Law

Article 28

Medical expenses in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.