Outpatient infusion medical insurance can be reimbursed:

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children. The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development;

Of course, medical insurance visits are also divided into outpatient visits and hospitalization visits. If the outpatient department needs infusion treatment, it can be reimbursed through medical insurance, but the reimbursement rate is relatively low. If the illness is serious and requires hospitalization for laboratory tests and infusion treatment, you can go through hospitalization procedures and infusion treatment.

The scope of medical insurance reimbursement includes:

1, medical expenses during rescue

2. Medical expenses during hospitalization

3, surgical materials and AIDS

4. Bed fee: according to local medical insurance standards. Except for those who need to stay in ICU (intensive care unit) because of acute craniocerebral injury and complex visceral injury coma, they should be transferred to the general ward immediately after they are out of danger.

5. Rehabilitation physiotherapy fee: according to local medical insurance standards. In principle, there are no more than three kinds, and rehabilitation physiotherapy outside the scope of medical insurance will not be compensated.

6, dressing change and rehabilitation function guidance training: according to the local medical insurance standards combined with the needs of the disease.

7. Ambulance fee: calculated according to the standard approved by local health department and price department.

8. Other expenses: expenses that are not compensated according to regulations will not be compensated.

9. Continuing medical expenses: In order to close the case in advance, the insured can pay the necessary continuing medical expenses for the injured in the future in advance. Only when the discharge certificate or diagnosis certificate clearly indicates that the competent doctor needs to continue treatment, or the internal fixator is removed after half a year or one year, or the follow-up treatment expenses are reviewed or recorded regularly, and the compensation payment voucher provided by the insurance record for the follow-up expenses can be reviewed. According to the needs of the disease, obviously beyond the needs of the disease, the audit fee for continuing medical treatment will not be compensated.

The reimbursement of medical insurance card is limited to the medical expenses above hospitalization in designated hospitals due to illness and some accidents. The reimbursement formula is: (total expense-expense-expense overrun) ×(75+ age× 0.2)%. Under normal circumstances, the actual reimbursement ratio is 20%~60%. Self-funded drugs are not reimbursed, class B drugs are reimbursed 80%, bed fees are limited, and some inspection fees and medical expenses cannot be reimbursed according to regulations; The reimbursement amount of medical insurance card is 4 times of the average salary of local social workers (1 year cumulative value). The money in the medical insurance card can be used to buy medicines at designated pharmacies to pay for outpatient and emergency expenses, but it is not within the scope of reimbursement, because the money in the medical insurance card is the money in the medical insurance personal account; After the insured suffers from a serious illness, if it meets the requirements of the municipal medical insurance in the designated medical institutions of the municipal medical insurance, it will be included in the payment scope of the residents' serious illness insurance, and the individual pays the part, which will be reimbursed by the serious illness insurance fund at 50%, that is, the reimbursement amount = pays the part ×50%.

To sum up: tertiary medical institutions: Qifubiaozhun 900 yuan, reimbursement rate of 60%; Secondary medical institutions: Qifubiaozhun 700 yuan, reimbursement rate of 75%; First-class medical institutions: the minimum payment standard is 400 yuan, and the reimbursement rate is 90%.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 4

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units. Fifth people's governments at or above the county level shall incorporate social insurance into the national economic and social development plan.

The state raises social insurance funds through multiple channels. People's governments at or above the county level shall give necessary financial support to social insurance.

The state supports social insurance through preferential tax policies. Article 6 The State exercises strict supervision over social insurance funds.

The State Council and the people's governments of provinces, autonomous regions and municipalities directly under the Central Government shall establish and improve the supervision and management system of social insurance funds to ensure the safe and effective operation of social insurance funds.

People's governments at or above the county level shall take measures to encourage and support all sectors of society to participate in the supervision of social insurance funds. Article 7 The administrative department of social insurance in the State Council is responsible for the management of social insurance throughout the country, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.

The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.