Baoding basic medical insurance outpatient reimbursement regulations, outpatient expenses should be within the scope of basic medical insurance expenses, borne by the insured and the medical insurance fund in proportion, of which the medical insurance fund reimbursement ratio is 50%. At the same time, the insured needs to choose the local medical insurance designated hospital for treatment, and need to provide valid identification, medical cards and medical records. Specifically, the insured person must bring his social security card to the medical institution for medical treatment, and the hospital will directly settle the treatment expenses. Outpatient expenses, such as medical treatment fees, examination fees and laboratory tests, can be reimbursed, but individual items, such as skin beauty and plastic surgery, are non-medical insurance items and need to be borne by the insured. In addition, for different types of insured persons, the restrictions and conditions for reimbursement of medical insurance clinics are also different. For example, the reimbursement rate of urban workers' outpatient service is higher and the scope of reimbursement is wider, while the reimbursement rate of urban and rural residents' outpatient service is lower, and some special treatment projects need to bear their own expenses.
How to pay the medical insurance fee? Insured persons are required to pay medical insurance premiums, which are divided into two ways: individual payment and unit payment. Individual contributions are generally paid on a monthly basis, and the details and balance of payment can be found on the website of the Social Security Bureau. General companies pay medical insurance premiums for employees, which are paid by the company in one lump sum.
Baoding city basic medical insurance outpatient reimbursement regulations, outpatient expenses should be within the scope of basic medical insurance expenses, and need to choose local medical insurance designated hospitals for treatment. Insured persons are required to provide valid identity documents, medical cards and medical records, and the reimbursement rate for medical insurance clinics is 50%. For more details, please consult the local social security bureau or the designated medical insurance hospital.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) shall be paid by the basic medical insurance fund for the drug list, diagnosis and treatment items, standards of medical service facilities and medical expenses for emergency rescue that meet the requirements of the state.