Adhere to the basics, implement overall planning, and earnestly safeguard the rights and interests of the insured. Adhere to a smooth transition, maintain policy continuity, and ensure a smooth convergence of treatment before and after the reform. Adhere to collaborative linkage, improve the outpatient service guarantee mechanism and improve the personal account system, and gradually change. Adhere to local conditions, on the basis of overall planning, encourage all localities to proceed from reality and actively explore effective ways to strengthen the outpatient security of employee medical insurance. Establish and improve the overall guarantee mechanism for the general outpatient expenses of employee medical insurance, and gradually include the general outpatient expenses of frequently-occurring diseases and common diseases into the payment scope of the overall fund on the basis of doing a good job in the medical security work for chronic diseases and special diseases (hereinafter referred to as outpatient chronic diseases and special diseases) with heavy burden on the masses such as hypertension and diabetes. The general outpatient service covers all insured employees in medical insurance as a whole, and the payment ratio within the policy scope starts from 50%. With the strengthening of the affordability of the medical insurance fund, the level of protection is gradually improved, and the payment of benefits can be appropriately tilted towards retirees. According to the characteristics of outpatient medical service, scientifically calculate the minimum payment standard and maximum payment limit, and make a good connection with the hospitalization expense payment policy. Simultaneously improve the outpatient co-ordination of basic medical insurance for urban and rural residents, and gradually improve the level of protection.

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

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.