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Can Harbin medical insurance outpatient clinics be reimbursed?
Can Harbin medical insurance reimburse outpatient visits?

Answer: Yes.

General outpatient treatment standards for urban and rural residents in Harbin:

Insured residents holding their own social security cards are within the scope of the policy for occurrences in third-level, second-level, first-level and non-level designated medical institutions. For ordinary outpatient medical expenses, the payment ratios of the overall fund are 50%, 60%, and 70% respectively, and the annual payment limit is 500 yuan.

Reimbursement process

1. People insured by the basic medical insurance for urban and rural residents should go to the designated medical institution where they are receiving medical insurance to swipe their card with their medical insurance card. Expenses that comply with the provisions of basic medical insurance and critical illness insurance will be paid by the hospital. Advance payment, after deducting the reimbursement amount of basic medical insurance and critical illness insurance, is paid by personal cash.

2. Insured residents who require emergency treatment in other places, medical treatment in other places, or long-term medical treatment in other places can apply for reimbursement of individual sporadic medical expenses at any branches of China Life Insurance Company in urban areas. After the materials are reviewed and the expenses are verified, they will be eligible for basic medical insurance. The fees stipulated in medical insurance and critical illness insurance will be transferred to personal bank accounts by the Municipal Medical Insurance Management Center and China Life Insurance Heilongjiang Branch respectively.

3. Reimbursement of the cost of anti-rejection drug treatment after kidney transplantation for the insured person. When reimbursing, the prescription for the drug purchased at the designated hospital and the medical expense receipt from the hospital or pharmacy (indicate the name and quantity of the drug purchased) must be provided. , special disease outpatient treatment approval form (copy), establish a personal condition file based on the above materials, confirm the number of years of surgery, and issue a special disease outpatient treatment certificate. Go to the Municipal Medical Insurance Management Center for reimbursement between the 20th and 25th at the end of each quarter.