What is the reimbursement ratio of employee medical insurance outpatient service?

What is the reimbursement ratio of employee medical insurance outpatient service?

The reimbursement rate of medical insurance outpatient service for employees varies with different regions and policies, generally between 50% and 75%. The specific reimbursement ratio and policy can be consulted by the local social security bureau or relevant departments.

The proportion of reimbursement for medical insurance outpatient service refers to the proportion that medical insurance can reimburse when patients buy medicine in hospital outpatient service. With the continuous development and improvement of medical insurance policy, the proportion of reimbursement for employees' medical insurance outpatient service has gradually increased.

According to different regions and policies, the reimbursement ratio of medical insurance outpatient service for employees is different. Generally speaking, the reimbursement rate is between 50% and 75%. This means that for every drug purchased at 100 yuan, medical insurance can reimburse 50 yuan to 75 yuan.

It should be noted that the medical insurance policies in different regions are different, and the specific reimbursement ratio and policies need to be consulted with the local social security bureau or relevant departments. In addition, some special drugs or treatments may not be covered by medical insurance reimbursement, and patients need to pay their own expenses.

To sum up:

The reimbursement rate of medical insurance outpatient service for employees varies with different regions and policies, generally between 50% and 75%. The specific reimbursement ratio and policy need to consult the local social security bureau or relevant departments. When purchasing drugs, patients should know their own medical insurance policies and reimbursement scope in order to make better use of medical insurance resources.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "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." Therefore, the reimbursement ratio of employee medical insurance outpatient service is in line with the law.