The daily upper limit of outpatient reimbursement by Urumqi medical insurance is as follows: 1. General outpatient clinic: the maximum daily reimbursement limit is 50 yuan; 2. Specialist outpatient clinic: the maximum daily reimbursement limit is 80 yuan; 3. Special outpatient clinic: the maximum daily reimbursement limit is 100 yuan

; 4. Emergency: The maximum daily reimbursement limit is 50 yuan.

Reimbursement policy of medical insurance: 1. Reimbursement ratio: Different regions and different types of medical insurance (such as urban employee medical insurance, urban and rural residents medical insurance) have different reimbursement ratios; 2. Reimbursement scope: usually includes drug fees, diagnosis and treatment fees, surgical fees, etc.

However, there are also some expenses that are not within the scope of reimbursement; 3. Threshold: Medical insurance reimbursement usually has a threshold, and medical expenses below the threshold will not be reimbursed; 4. Cap line: Medical insurance reimbursement has an annual cap.

Expenses above the cap line will not be reimbursed; 5. Designated medical institutions: Medical insurance reimbursement usually requires treatment at designated medical institutions; 6. Personal account use: Some types of medical insurance allow the use of personal medical insurance accounts to pay part of the expenses to reduce the cost of reimbursement.

payment ratio.

To sum up, the Urumqi medical insurance outpatient reimbursement policy stipulates the maximum daily reimbursement limit for different types of outpatient clinics. The limit for general outpatient clinics and emergency outpatient clinics is 50 yuan, the limit for expert outpatient clinics is 80 yuan, and the maximum limit for special needs outpatient clinics is 100 yuan.

Yuan.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

Pay.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.