However, the specific reimbursement ratio, reimbursement scope and reimbursement process need to be determined according to insurance types and local medical insurance policies.

First, social medical insurance outpatient reimbursement

For social medical insurance, outpatient injection reimbursement varies according to different regions and policies. Under normal circumstances, social medical insurance will cover part of outpatient expenses, including medicine fees, medical expenses and so on. However, the specific reimbursement ratio and scope need to refer to the relevant policies and regulations issued by the local medical insurance department.

Generally speaking, patients who participate in social medical insurance need to bring medical insurance cards and related documents when seeking medical treatment in outpatient department, so that they can enjoy medical insurance reimbursement when settling accounts. At the same time, some areas also stipulate the deductible line and the capping line for outpatient reimbursement, that is, patients need to bear certain expenses themselves to enjoy reimbursement, and there is also an upper limit for reimbursement.

Second, commercial medical insurance outpatient reimbursement

For commercial medical insurance, outpatient injection reimbursement depends on the specific insurance contract and insurance terms. Different insurance companies, different insurance products and outpatient reimbursement policies are different. Generally speaking, the outpatient reimbursement scope of commercial medical insurance is wider and the reimbursement ratio is higher, but the corresponding premium will be higher.

When purchasing commercial medical insurance, it is recommended to read the insurance contract and insurance clauses carefully to understand the specific policies for outpatient reimbursement, so as to get reimbursement smoothly when necessary.

Third, the reimbursement process and matters needing attention

Whether it is social medical insurance or commercial medical insurance, the reimbursement process of outpatient injections generally needs to go through the following steps: medical treatment, settlement, application for reimbursement, review and disbursement. When applying for reimbursement, you need to provide relevant medical invoices, prescriptions, medical insurance cards and other supporting materials.

It should be noted that there may be differences in medical insurance policies and reimbursement procedures in different regions. Therefore, it is recommended to know the local medical insurance policies and reimbursement regulations before seeking medical treatment, so as to better enjoy the medical insurance reimbursement treatment.

To sum up:

Whether outpatient injections are reimbursed depends on insurance types and local medical insurance policies. Both social medical insurance and commercial medical insurance may cover part of the expenses of outpatient injections, but there are differences in specific reimbursement ratio, reimbursement scope and reimbursement process. Before seeking medical treatment, it is recommended to know the local medical insurance policies and reimbursement regulations, so as to make better use of insurance resources and reduce the burden of medical expenses.

Legal basis:

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

Article 28 provides that:

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.

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

Article 30 provides that:

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.