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How to use residents' medical insurance outpatient service
Residents' medical insurance outpatient service refers to a way for residents to use medical insurance fund to pay and reimburse when receiving medical services in medical institutions outpatient service. Pay attention to the following points when using the residents' medical insurance clinic: 1. Before seeing a doctor, you need to register in the hospital outpatient department and choose the corresponding department and doctor for treatment. 2. When you see a doctor, you need to take the initiative to inform your doctor about your medical insurance and show your social security card or ID card and other relevant documents. 3. After diagnosis, you need to pay the corresponding outpatient expenses, and get the outpatient invoice and expense list. 4. After payment, settlement and reimbursement can be made through social security card or ID card. The reimbursement rate of residents' medical insurance clinics is generally between 50% and 90%, and the specific reimbursement rate varies according to different regions and policies. It should be noted that different regions and medical institutions may have different processes and infections when using residents' medical insurance clinics, subject to local policies and hospital regulations.
What should I do if the medical institution I see is not covered by social security? If the medical institution is not covered by social security, it can be reimbursed or paid at its own expense. If you choose reimbursement, you need to go to the social security agency to go through the relevant procedures after seeing a doctor; If you choose to pay at your own expense, you need to bear the medical expenses in full.
Residents' medical insurance outpatient service is an important social security system, which can provide basic medical security for residents. When using the residents' medical insurance clinic, you need to follow the relevant procedures, and at the same time, you need to understand and master the local medical insurance policies and relevant regulations.
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.
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