Can outpatient clinics be reimbursed by medical insurance, and can outpatient clinics be reimbursed

Out-of-town outpatient visits can be reimbursed. If they live in a different place for a long time and meet the requirements of the place where they are insured, they need to apply for a record of resettlement in the place of insurance, be hospitalized in a hospital that is included in the settlement system for medical treatment in other places, and directly settle the medical expenses with their new social security card. The process of reimbursement for remote medical insurance is as follows:

1) Receive the "Declaration Form for Basic Medical Insurance for Non-local Work and Residence Personnel"; (B) according to the provisions of the filling in by the field medical insurance agency stamped and identified "declaration form"; (C) will fill out the "declaration form" to take back the division of labor responsible for the social insurance agency audit, and confirm, must apply for the province remote medical card, after review and confirmation with the "declaration form" to the Municipal Social Security Center Audit Department for registration, and then to the social security card management department for the province's remote network card production procedures.

Article 29 of the Social Insurance Law of the People's Republic of China stipulates that the part of the medical expenses of the insured persons that shall be paid by the basic medical insurance shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Summary. A: Yes, out-of-town outpatient services can be reimbursed by medical insurance.

According to the Regulations on the Implementation of Medical Insurance, the insured can be treated in medical institutions in the province, or in medical institutions outside the province, and can enjoy medical insurance treatment. However, medical treatment in other places needs to go through the procedures for medical treatment in other places in advance, and only medical services provided by designated institutions in this province can enjoy medical insurance reimbursement. In addition, the reimbursement ratio for medical treatment in other places will also be different, which is generally implemented according to the reimbursement ratio of the province, but there are some special circumstances that will be different.

A: Yes, out-of-town outpatient services can be reimbursed by medical insurance. According to the "Regulations on the Implementation of Medical Insurance", the insured can be treated in medical institutions in the province, or in medical institutions outside the province, and can enjoy medical insurance treatment.

However, medical treatment in other places needs to go through the procedures for medical treatment in other places in advance, and only medical services provided by designated medical insurance institutions in this province can enjoy medical insurance reimbursement. In addition, the reimbursement ratio for medical treatment in other places will also be different, generally in accordance with the reimbursement ratio of the province, but there are some special circumstances that will be different.

You've done a great job! Can you elaborate on that?

Generally speaking, out-of-town outpatient services can be reimbursed by medical insurance, but certain conditions must be met. First of all, the patient must be registered with the local medical insurance agency and hold a local medical insurance card in order to use the medical insurance report for missing sales when visiting a person in another place. Secondly, patients must hold a local medical insurance limb card when visiting a different place, and before the visit, the patient needs to register for a visit in a different place at the local medical insurance agency, so that the medical insurance agency can review and reimburse in a timely manner.

Finally, when patients are treated in other places, they must go through the reimbursement procedures at the medical insurance window of the hospital where they are treated, so that the medical insurance agency can review the reimbursement in a timely manner. Personal tip: When visiting a person in a different place, patients should understand the relevant regulations of local medical insurance reimbursement in advance, and register for remote treatment before the visit, so as to facilitate the timely review of the reimbursement of Lijinhong.

At the same time, patients should also pay attention to keep the medical voucher so that they can complete the reimbursement procedures smoothly when reimbursing.

Summary. OK. Out-of-town outpatient clinics can be reimbursed by medical insurance, and the following conditions need to be met:

1.The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places. 2.

The hospital where the medical treatment is received must be a designated hospital for medical insurance, and the hospital has opened a direct billing service for cross-provincial and non-local medical treatment. 3.Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment.

4.When seeking medical treatment, you need to pay out of pocket first, and then go to the medical insurance window of the designated hospital for reimbursement. It should be noted that there are differences in medical insurance policies and reimbursement standards in different provinces, and the specific situation needs to be determined according to the local medical insurance policy.

I don't have that medicine in Xi'an Provincial People's Hospital, can I be reimbursed if I want to take medicine in Xi'an outpatient clinic? Etanercept.

OK. Non-local outpatient circular infiltration diagnosis can be reimbursed by medical insurance, and the following conditions need to be met:1

The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places. 2.The hospital where the medical treatment is sought must be a designated hospital for medical insurance, and the hospital has opened a direct settlement service for cross-provincial medical treatment.

3.Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment. 4.

When seeking medical treatment, you need to pay out of pocket first, and then go to the medical insurance window of the designated hospital for reimbursement. It should be noted that there are differences in medical insurance policies and reimbursement standards in different provinces, and the specific situation needs to be determined according to the local medical insurance policy.

Out-of-town outpatient clinics can be reimbursed by medical insurance, but the following conditions need to be met:1The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places.

2.The hospital where the medical treatment is sought must be a designated hospital for medical insurance, and the hospital has opened cross-provincial and non-local medical treatment and direct billing services. 3.

Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment. 4.When seeking medical treatment, you need to pay out of pocket first, and then go to the medical insurance window of the designated hospital for reimbursement.

Yes pro. To Xi'an, can the Provincial People's Hospital outpatient clinic take enerercept reimbursement?

Yes, if you do not have the medicine you need to use during your hospitalization in Xi'an Provincial People's Hospital in Hubei, and you need to take the medicine at the Xi'an Gate Socks Clinic, then you can use the medical insurance for reimbursement. However, the following conditions need to be met:1

The place of medical treatment and the place of insurance must belong to the same province, and the province has realized direct settlement for medical treatment across provinces and places. 2.The place of medical treatment must be a designated hospital for medical insurance, and the hospital has opened a direct billing service for cross-provincial and remote medical treatment.

3.Patients must have a valid health insurance card and present valid documents such as a health insurance card and ID card at the time of medical treatment. 4.

The drug needs to be in the medical insurance list and meet the medical insurance reimbursement criteria. It should be noted that there are differences in medical insurance policies and reimbursement standards in different provinces, and the specific situation needs to be determined according to the medical insurance policy of the local area. At the same time, the proportion of medical insurance reimbursement will also vary according to the different drugs.

OK. The following procedural materials are required: 1. Referral certificate.

If you want to use the medical insurance card to reimburse you for medical treatment in other places, you must first open a referral certificate in a local hospital, which needs to be a slightly larger hospital in the local area, at least a county-level hospital or above. 2. Hospital stamp. After the referral certificate is issued in a hospital at or above the county level, it is necessary to stamp the spring seal, which is not the seal of any hospital, but must be the seal of the social security window of the hospital that opened the referral certificate.

3. Registration with the Social Security Bureau. After issuing the referral certificate and the hospital's stamp, go to the local equipment bureau with the relevant information for registration, which is mainly for filing with the social security bureau and facilitating the reimbursement of medical insurance in other places in the future. 4. Hospital invoice.

The reimbursement for seeing a doctor in a different place is mainly the reimbursement of hospitalization, and after seeing a doctor, let the hospital issue an invoice, and be sure to keep the invoice, which is the basis for reimbursement. 5. Reimbursement by the Social Security Bureau. After returning from the hospital, you should go to the local social security bureau for reimbursement and bring relevant materials, including:

Invoices, ID cards, household registration books, social security cards and other materials. 6. Outpatient reimbursement. Generally, the cost of hospitalization is more troublesome to be reimbursed in other places, but if the reimbursement is for outpatient expenses in other places, there is no need to be so troublesome, and you only need to bring back the invoice to the Social Security Bureau for reimbursement.

Article 28 of the Social Insurance Law shall be paid from the basic medical insurance in accordance with the provisions of the State for the medical expenses that meet the standards of the basic medical insurance drug list, diagnosis and treatment items, medical service facilities, and emergency and rescue medical expenses.

Article 23 of the Full Text of the Social Insurance Law of the People's Republic of China shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.