Can rural medical insurance card outpatient service be reimbursed?

Rural medical insurance card clinics can be reimbursed.

There are two reimbursement methods for rural medical insurance clinics:

1. Immediate reimbursement: When you go to a designated medical institution for medical treatment and go through the discharge formalities, the patient can go through the reimbursement formalities at the hospital settlement office with the social security card and the second-generation ID card, and the hospital will then summarize the compensation materials and submit them to the Social Security Bureau for settlement;

2. Agency settlement and reimbursement: If reimbursement cannot be made immediately, the patient needs to bring the second-generation ID card, social security card, original outpatient invoice, list of medical expenses, outpatient medical records and other materials to the social security service outlets where the household registration is located and apply for reimbursement from the staff.

Rural medical insurance card reimbursement process:

1. Regarding medical cards: patients go to designated medical institutions with rural medical insurance cards;

2. Settlement of medical expenses: After the patient sees a doctor, the medical institution will settle the expenses through the medical insurance system;

3. Personal payment ratio: According to the local medical insurance policy, patients need to pay a certain percentage of their own expenses;

4. Reimbursement registration: patients need to go to the medical insurance agency for reimbursement registration within the specified time;

5. Submission materials: patients need to provide relevant medical invoices, medical records, ID cards and other materials;

6. Review reimbursement: the medical insurance agency reviews the materials submitted by patients and determines the reimbursement amount;

7. Transfer of funds: after the approval, the reimbursement funds will be transferred to the patient's personal account or directly paid to the medical institution.

To sum up, rural medical insurance card clinics can be reimbursed through instant reimbursement or agency settlement reimbursement.

Legal basis:

People's Republic of China (PRC) social insurance law

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.