Can the employee medical insurance be reimbursed if he is not hospitalized, and can the employee med

Yes. Medical Insurance Reimbursement Ratio:

1. Outpatient and emergency medical expenses: the part of the medical expenses that meet the scope of basic medical insurance within the year of in-service employees exceeds 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel over 2,000 yuan during the contract period, 50% of the personal payment, and the maximum amount of reimbursement for outpatient and emergency treatment of dispatched personnel in a year is 20,000 yuan.

3. The insured person should properly keep the outpatient medical documents (including receipts and prescriptions for the following parts) in the designated hospital as the medical expense reimbursement voucher.

Hello! The full name of the employee medical insurance is the basic medical insurance for urban employees, and after the urban employees participate in the insurance, they can be compensated for the medical expenses incurred in the sick treatment, and they can also be reimbursed if they are not hospitalized.

Legal Analysis: Non-hospitalization medical insurance can be reimbursed. It is also reimbursable for general outpatient services.

Legal basis: Article 30 of the Social Insurance Law of the People's Republic of China The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

It may be that the number of months of medical insurance paid by you is not enough, and you cannot be reimbursed according to the standard of medical insurance. For example, if you just purchased medical insurance the month before, then you want to go to the hospital** for medical treatment this month, and your medical insurance will definitely not be available at this time.

2. After purchasing medical insurance, hospitalization cannot be reimbursed, and there is another situation that your hospital is not the designated hospital of medical insurance, so naturally he cannot use medical insurance. For example, some village hospitals can actually use medical insurance cards, but if you go to some private clinics or private hospitals, then these hospitals do not have access to medical insurance.

Extended information: 1. How long is the payment period of medical insurance, 1. Basic medical insurance is divided into: basic medical insurance treatment for urban employees and medical insurance treatment for urban residents.

The payment period of medical insurance is only the basic medical insurance for urban employees, which has no significance for the medical insurance of urban residents.

2. The medical payment period of urban employee medical insurance shall be calculated according to the number of months of payment. The establishment of payment deadlines is a means of preventing the loss of medical insurance**. Retirees do not pay medical insurance premiums and are directly entitled to medical insurance benefits.

In order to prevent some people from taking advantage of policy loopholes, for example, some people do not pay medical insurance when they are young and healthy, and do not participate in the basic medical insurance for urban workers until they are about to retire, and cannot pay until a few months after retirement. This will result in the loss of Medicare**, which is clearly unfair to those who have paid for Medicare since childhood.

3. The payment period of basic medical insurance for urban employees is cumulatively calculated, that is, it can be suspended during the payment period. The general conditions for retirement from Medicare are as follows:1

Cumulative payment of medical insurance premiums for men for more than 25 years and women for more than 20 years, and the service period before the establishment of local medical insurance is the current year; 2.The actual payment of medical insurance premiums for 10 years is 120 months. 3.

Reaching retirement age, which means getting a retirement approval form.

2. How to pay medical insurance premiums.

Units and individuals to pay medical insurance premiums, to the year of the payment of the city's average social wage and basic medical insurance rate of the year to determine. How the amount of the personal account is credited after the payment of medical insurance premiums:

If the medical insurance relationship is interrupted in the current year, the amount of the personal account will not be adjusted; Interruption of medical insurance relationship for more than one year, should be recorded in advance of the reimbursement month to the end of the medical insurance year of the amount of personal account, and the amount of the reimbursement period of the personal account, at the end of the medical insurance year, according to the proportion of the age group of the employee at the time of reimbursement, a one-time reimbursement to the personal account. If the medical insurance premiums are paid according to the regulations at the time of retirement, the personal account of the current year will not be adjusted, and the personal account will be credited to the personal account according to the payment base when the account is carried forward at the end of the medical insurance year.

Medicare can also be reimbursed if you are not hospitalized. Here's why:

1. Medical insurance is divided into two types: basic medical insurance and hospitalization insurance, basic medical insurance requires units and individuals to pay medical premiums, and hospitalization insurance is only paid by units, and individuals do not need to pay;

2. There is money in the medical insurance card of the basic medical insurance, and there is no money in the medical insurance card for hospitalization insurance.

Legal basisArticle 28 of the Social Insurance Law of the People's Republic of China.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

Article 29.

The part of the medical expenses of the insured persons that should 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.

What medical expenses are not covered by basic medical insurance**.

1. It should be paid from work-related injury insurance**;

2. It should be borne by a third party;

3. It should be borne by public health;

4. Seeking medical treatment abroad.

Legal analysis: medical insurance can also be reimbursed if you are not hospitalized. Medical insurance is divided into basic medical insurance and hospitalization insurance. You can also be reimbursed if you are not hospitalized, as long as you have a medical bill that meets the regulations.

Legal basis: Social Insurance Law of the People's Republic of China Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.