According to China's "Social Insurance Law", in line with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency, rescue medical expenses, in accordance with national regulations, from the basic medical insurance fund.
The portion of a participant's medical expenses that should be paid out of the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall set up a system for settling medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
Legal basis
The Chinese people's **** and the State Social Insurance Law in its entirety, Article 28 conforms to the basic medical insurance drug catalog, diagnosis and treatment items, medical service facilities standards, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.
Article 29 of the Full Text of the Social Insurance Law of the People's Republic of China
The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organizations and the medical institutions and drug business units. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.