Can medical insurance reimbursement only be reimbursed in hospitals?

Medical insurance reimbursement is not limited to hospitalization reimbursement.

Medical insurance can be reimbursed in a wide range, not only for hospitalization, but also for outpatient and hospitalization. Outpatient, outpatient surgery, hospitalization and door rash before and after hospitalization that can be reimbursed by medical insurance.

Medical insurance reimbursement conditions:

1, the insured must meet the requirements of the national medical insurance, that is, pay the corresponding medical insurance fees under the national medical insurance system;

2, medical expenses must comply with the provisions of the national medical insurance medical service directory, including drugs, treatment items, inspection items, surgical items, etc. ;

3. Medical expenses must be consumed in medical institutions designated by medical insurance, that is to say, the insured can only enjoy medical insurance reimbursement services in medical institutions designated by medical insurance;

4. Medical expenses must be submitted for medical insurance reimbursement within the specified time. It is generally required to submit an application within a certain period of time after seeing a doctor;

5. The balance of the insured person's personal account must be sufficient, otherwise the medical insurance reimbursement service cannot be enjoyed.

Conditions for reimbursement of medical insurance in different places:

1, participation status: reimbursement for medical insurance in different places is only applicable to those who participate in medical insurance systems such as urban workers' basic medical insurance, urban and rural residents' basic medical insurance and new rural cooperative medical care;

2. Payment record: when applying for reimbursement in different places, the applicant must have paid the medical insurance fee and meet the requirements of payment time and standard;

3. Reimbursement scope: policies such as reimbursement scope and reimbursement ratio of medical insurance in different places shall be subject to the relevant policies and regulations of the insured place. It should be noted that medical insurance reimbursement policies may be different in different regions, and applicants need to handle them according to local policies and regulations;

4. Hospital selection: When seeking medical treatment in different places, the applicant must choose a designated medical institution for medical insurance, otherwise he will not be able to enjoy medical insurance reimbursement;

5. Reimbursement application materials: Applicants need to prepare complete reimbursement application materials, including medical bills, expense lists, medical treatment certificates in different places, and reimbursement application forms.

To sum up, the process of reissuing medical insurance cards in different regions and different types of medical insurance may be different, and the specific process needs to be determined according to local actual conditions and 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.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

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