The money brushed out by the medical insurance card is the outpatient expenses accumulated by the medical insurance fund every month and returned to the individual. If you use it directly, it will not be reimbursed.
Reimbursement is mainly for hospitalization and prescribed treatment expenses, and additional treatment expenses such as admission threshold fees increased by individuals are not reimbursed.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.