1. For those who participate in medical insurance for urban and rural residents, the annual reimbursement limit for outpatient service is 2000 yuan.

2. Moreover, the requirement is that the related outpatient expenses can only be reimbursed after hospitalization.

3, a single medical expenses only outpatient expenses are not reimbursed.

Outpatient reimbursement materials are as follows:

1. Original ID card and social security card.

2, the original certificate of disease diagnosis issued by the designated medical institutions tertiary or secondary hospitals.

3, outpatient service, inspection, inspection results report and other original medical information.

4. The original receipt of outpatient charges of medical institutions with unified finance and taxation.

5. The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors.

6, the original unified invoice and computer printed taxable goods sales list.

7. If acting as an agent, provide the original ID card of the agent.

Outpatient reimbursement process is as follows:

1, the social security center handles the reimbursement procedures. After preparing the above materials, you can apply to the relevant departments of the local social security center. After examination, if the materials are complete and meet the requirements, you can apply immediately.

2. When the applicant applies for reimbursement of outpatient medical expenses, the medical insurance premium included in the personal account in this social security year shall be deducted first, and then the reimbursement amount shall be verified.

To sum up, the one-year limit of medical insurance outpatient co-ordination refers to the upper limit of outpatient medical expenses reimbursement enjoyed by payers who participate in the national basic medical insurance for urban workers every year. The specific amount varies by region and year. If the outpatient co-ordination limit can not meet the actual medical needs of individuals, you can consider buying commercial medical insurance or making compensation at your own expense.

Legal basis:

Regulations of People's Republic of China (PRC) Municipality on Basic Medical Insurance for Urban and Rural Residents

Article 37

The outpatient medical expenses of basic medical insurance for urban and rural residents shall be paid in advance by individuals and reimbursed by the fund after meeting the relevant regulations. The reimbursement ratio shall be implemented according to the regulations. When the annual fund expenditure per person reaches more than 2 times of the per capita income of the basic medical insurance fund for local urban residents in cities, counties and flag areas, it will not be reimbursed.