1. The expenses incurred by the insured for examination, treatment and drug purchase in outpatient clinics and pharmacies are directly settled by credit card, and they only need to pay their own expenses. The expenses incurred by the insured for short-term resettlement in the designated medical institution of residence for examination, treatment and drug purchase need to be paid in cash, and then returned to the provincial medical insurance bureau for manual verification.

2. The reimbursement quota for outpatient special diseases is 5, yuan per person per year, with the excess paid by the insured, and the deficiency quota is settled according to the actual amount. The expenses incurred by the insured in the current year, which are insufficient for quota savings, cannot be carried forward to the next year for continued use.

3. The reasonable medical expenses of the insured within the quota of 5, yuan incurred in one year shall be paid by the overall fund 8%. Units and individuals with civil service subsidies pay 2% of their own expenses, 85% of general staff subsidies and 9% of medical care personnel subsidies.

Extended information:

Examining reasonable medical expenses refers to:

(1) The expenses incurred by symptomatic treatment, and the expenses of non-symptomatic treatment are not included in the reasonable expenses of outpatient special diseases.

(2) Items in the diagnosis and treatment catalogue and the drug catalogue, self-funded items (such as registration fees) and drugs outside the drug catalogue are not included in the reasonable expenses of outpatient special diseases.

(3) Class B drugs used for symptomatic treatment and the self-paid part in class B diagnosis and treatment are not included in the reasonable medical expenses for special diseases in outpatient department.

(4) The expenses of illegal drug purchase inspection, excessive drug purchase and repeated inspection are not included in the reasonable medical expenses for special diseases in outpatient department.

(5) If the drugs of Class A and Class B are mixed in the same prescription, the drugs that cannot be charged separately shall be treated as Class B..

phoenix. com-how to use the medical insurance card for outpatient hospitalization?