New rules for medical insurance outpatient reimbursement in Inner Mongolia: 1. When insured persons visit designated medical institutions, the medical expenses that are within the scope of medical insurance will be included in the scope of general outpatient services.

2. When insured persons enjoy the general outpatient co-ordination treatment, they must use valid vouchers such as medical insurance electronic vouchers and social security cards for settlement. Medical expenses exceeding 1,000 yuan within the cumulative payment range of personal account funds and cash within one year will be paid by the co-ordination fund on a proportional basis.

, the payment ratio for third-level medical institutions is 60%, the payment ratio for second-level and lower medical institutions is 80%, and the payment ratio for retirees increases by 5 percentage points.

The maximum annual payment limit is 5,000 yuan for active employees and 6,000 yuan for retirees.

The financial use of personal accounts by family members is not included in the overall minimum payment standard for general outpatient clinics.

3. The overall payment limit for general outpatient clinics is included in the maximum payment limit of the annual overall fund.

The settlement of special chronic disease expenses in outpatient clinics strictly follows the national and Inner Mongolia Autonomous Region basic medical insurance, work injury insurance and maternity insurance drug catalogs, the Inner Mongolia Autonomous Region basic medical insurance diagnosis and treatment items and the scope and payment standards of medical service facilities. Medical expenses exceeding the above regulations will not be paid by the medical insurance fund.

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Outpatient special chronic disease expenses are settled immediately. When insured persons purchase medicines at designated medical institutions, they should use medical insurance electronic vouchers, social security cards and other valid vouchers to settle directly. The individual self-pay part will be paid by personal account funds or cash, and the payment part from the overall coordination fund

Accounts are kept by designated medical institutions and liquidated regularly.

The medical insurance fund will not pay for the expenses incurred in purchasing medicines at non-designated medical institutions.

The cost of drugs, examinations, tests, treatments and medical consumables related to special chronic diseases in outpatient clinics shall be paid according to the payment ratio within the quota standards of the disease.

Examination and laboratory fees will be reimbursed at designated outpatient special chronic disease medical institutions where the disease type is recognized, based on the insured person receiving treatment.

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

Pay.

Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) those that should be paid from the work-related injury insurance fund; (2) those that should be borne by a third party; (3) those that should be borne by the public health department

; (4) Seeking medical treatment abroad.

Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first.

After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.