Deyang outpatient medical insurance reimbursement needs to provide the following necessary materials: medical insurance card, medical invoice, prescription, etc. Among them, medical invoices and prescriptions need to be signed by medical institutions and doctors, as well as the number of medical practitioners' certificates, so as to ensure that the reimbursement information is true and effective. If it is a special case (such as the emergency department can't get the invoice and prescription), you can submit the reimbursement with the relevant certificate issued by the hospital. There are two specific reimbursement processes: online and offline. Online reimbursement is generally applied and reviewed through the medical insurance mobile terminal or website. After the approval, the funds will be directly credited to the personal bank card; For offline reimbursement, you need to bring the necessary materials to the local social security service center to inquire about the application. In addition, the proportion and scope of outpatient medical insurance reimbursement in Deyang city are determined according to different medical insurance grades. At present, Deyang has implemented different levels of medical insurance policies, such as medical insurance for urban and rural residents, basic medical insurance for employees, serious illness insurance, and new rural cooperative medical system, and the proportions and quotas of each level are also different. Therefore, when conducting outpatient medical reimbursement, we need to pay attention to the local medical insurance policy and the actual reimbursement scope.
How can we improve the proportion and limit of outpatient medical insurance reimbursement? Improving the proportion and limit of outpatient medical insurance reimbursement needs to be realized through many ways. First, strengthen the collection and management of medical insurance funds, increase the overall scale of medical insurance funds, so as to improve the proportion and scope of medical insurance reimbursement; The second is to improve the medical insurance system, increase the protection of high-risk diseases such as major diseases and chronic diseases, and expand the coverage and reimbursement scope of outpatient medical insurance; Third, by promoting medical reform, we can improve the quality and efficiency of medical services and reduce unnecessary medical expenses, thus providing more space for outpatient medical insurance reimbursement.
Outpatient medical insurance reimbursement is an important part of Deyang medical insurance system, which is related to the medical rights and interests of the general public and the stable development of society. When reimbursing outpatient medical insurance, you need to bring necessary materials and apply according to local medical insurance policies and actual conditions. At the same time, improving the proportion and limit of outpatient medical insurance reimbursement requires many efforts, starting from fund management, medical insurance system, medical reform and other aspects to provide better medical services and guarantees for the general public.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations.