Can the medical insurance card be reimbursed for more than 1200 yuan in the outpatient clinic

Different provinces and cities have different health insurance treatment policies.

General medical insurance card clinics and hospitalization have a self-payment line each year (this cost meets the standard before reimbursement, the cumulative number of times used to pay the line also need to go to the health insurance hospitals, you can go to the accumulation of the provincial and municipal reimbursement quotas are also different)

The different types of medical insurance also have differences. Workers' medical insurance, urban residents' medical insurance and new rural cooperative medical insurance have their own ways and restrictions.

Expanded Information:

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Outpatient reimbursement

Residents' medical insurance:

In an insurance year, the residents' medical insurance fund pays 30% of the general outpatient expenses incurred by the insured residents at outpatient fixed-point medical institutions up to and including 100 yuan, and the individual pays 70% of the expenses; the individual pays for the expenses of more than 100 yuan.

Medical insurance for urban workers:

The personal account on the medical insurance card of the insured who is insured by a unit is not all the part paid by the individual; the medical insurance card of the flexibly employed person has a personal account of 15 yuan per month since the previous year, which can be used to pay for outpatient expenses, equivalent to the reimbursement of outpatient services (except for the civil servants or the unit of reimbursement policy).

Medicare hospitalization, show your health insurance card, read the card into the health insurance system, pay a deposit (usually a threshold fee), the costs incurred are entered into the system, the system is automatically categorized as out-of-pocket, Category A, Category B, etc., Category B first 10% out-of-pocket, and then into the basic medical care, in accordance with the number of hospitalizations per year (greater than 1 threshold fee is reduced by half), the level of the hospital (threshold fee is different, different proportion of the overall), by the computer to calculate how much should be paid, and the hospital then to the social security system, and then to the hospital. Pay how much money, the hospital and then to the social security of the health insurance center to settle how much money.

Baidu Encyclopedia - Social Health Insurance Card