it depends on the insured's medical insurance type, medical insurance policy and specific medical expenses.
1. Medical insurance types and reimbursement of outpatient expenses
Different medical insurance types have different reimbursement ranges and proportions for outpatient expenses. For example, basic medical insurance for urban workers and basic medical insurance for urban and rural residents usually includes reimbursement of outpatient expenses. However, the specific reimbursement policy needs to be determined according to the regulations of the local medical insurance department.
second, medical insurance policy and reimbursement of outpatient expenses
medical insurance policy is the key factor to determine whether outpatient expenses can be reimbursed. Medical insurance policies usually stipulate the proportion, limit and scope of reimbursement. Therefore, the insured should know the local medical insurance policy before seeking medical treatment, so as to make better use of medical insurance resources.
iii. reimbursement of medical expenses and outpatient expenses
reimbursement of outpatient expenses in county-level hospitals is also related to specific medical expenses. Generally speaking, medical expenses that meet the requirements of medical insurance policy can be reimbursed. However, if the medical expenses exceed the limit of the medical insurance policy or include some non-medical insurance items, the excess or non-medical insurance items may not be reimbursed.
in addition, the insured should also pay attention to keeping the relevant medical expense invoices and reimbursement vouchers when seeking medical treatment, so as to use them in the subsequent application for reimbursement.
To sum up:
Whether outpatient expenses in county hospitals can be reimbursed depends on the insured's medical insurance type, medical insurance policy and specific medical expenses. Insured persons should know the local medical insurance policies before seeking medical treatment, and properly keep the relevant medical expense invoices and reimbursement vouchers for subsequent application for reimbursement. At the same time, it is suggested that the insured choose the designated medical institutions for medical insurance when seeking medical treatment to ensure that they can get better medical insurance benefits.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
stipulates:
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.
Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents
(Guo Fa [216] No.3)
Article 4 stipulates:
Unified guarantee treatment. After the integration of the medical insurance system for urban and rural residents, urban and rural residents will enjoy basic medical insurance benefits, including general outpatient medical treatment, hospitalization medical treatment, serious illness insurance treatment and maternity medical treatment.