Can be reimbursed. First, the insured person can use the medical insurance card to purchase medicines in all designated medical institutions and designated retail pharmacies, and their medical expenses can be directly settled by the card. Among them, the purchase of medicines is not counted as social coordination, all paid by the individual account, if the amount of individual account is exhausted, you can pay in cash;
second, if the medical expenses incurred in non-designated medical institutions and non-designated pharmacies, in addition to meet the emergency, referral and other prescribed conditions, is not payable by the medical insurance;
third, it is worth noting that the medical expenses must be in line with the basic medical insurance drugs catalog, diagnosis and treatment items, and the medical insurance company. It is worth noting that medical expenses must comply with the scope and payment standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, and medical service facility standards before they can be paid for by the medical insurance in accordance with the regulations. The excess part cannot be paid by the medical insurance;
4. For the medical expenses that meet the scope of medical insurance payment, it is necessary to distinguish whether they belong to the scope of payment of the integrated fund or the scope of payment of the individual account. Only the part of the medical expenses that exceeds the minimum payment standard will be paid by the integrated fund on a pro rata basis, up to the maximum payment limit, if the medical expenses belong to the scope of payment of the integrated fund.
Expanded Information:
Reimbursement conditions Article 28 of the Social Insurance Law stipulates that medical expenses in line with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations. According to the basic requirements for the payment of basic medical insurance benefits in China, participants who go to the medical insurance organization to reimburse themselves for the medical expenses incurred in visiting the doctor generally have to comply with the following conditions: (1) Participants must go to the designated medical institutions of the basic medical insurance to visit and purchase medicines, or go to the designated retail pharmacies determined by the social insurance organization to purchase medicines out of the prescribed medical prescriptions issued by doctors of the designated hospitals. (2) Medical expenses incurred by insured persons in the course of seeking medical treatment must be in accordance with the scope and payment standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, and standards of medical service facilities, in order to be paid by the basic medical insurance fund in accordance with the regulations. (3) The portion of medical expenses that meet the scope of payment of the basic medical insurance and are above the starting standard and below the maximum payment limit of the social medical insurance fund shall be paid by the social medical insurance fund in a uniform proportion. Reimbursement ratio1、Outpatient and emergency medical expenses: the part of medical expenses that meet the scope of basic medical insurance in the year (January 1~December 31) of an active employee that accumulates more than 2,000 yuan. 2、Settlement ratio: the part of the dispatched personnel's medical expenses that exceeds 2,000 yuan during the contract period is reimbursed by 50%, and the individual pays 50% out of his own pocket; the accumulated outpatient and emergency reimbursement of the dispatched personnel in an annual period is up to 20,000 yuan. Participants should properly keep the outpatient medical bills (including receipts and prescription bottoms for the parts below the large amount) of the fixed hospitals as the vouchers for reimbursement of medical expenses. 4. Outpatient medical treatment for three kinds of special illnesses: when a participant suffering from malignant tumors undergoes radiation therapy and chemotherapy, renal dialysis, or anti-rejection medication after renal transplantation needs to be treated in an outpatient clinic, a "certificate of diagnosis of illness" will be issued by the second- or third-level fixed hospitals that the participant is treated in. Diagnostic certificate of disease", and fill in the "Medical Insurance Special Disease Declaration and Approval Form", and report it to the District Medical Insurance Center for approval and filing. Outpatient medical treatment and medicine collection for these three special diseases are limited to the approved designated hospitals, and cannot be purchased at designated retail pharmacies. If the medical fees incurred meet the scope of the outpatient special disease regulations, they will be settled with reference to hospitalization.5. Inpatient medical care. You have to pay enough medical insurance for 20 years before you can enjoy the medical insurance reimbursement after retirement. The scope of the reimbursement rate of medical insurance varies from place to place, please refer to the local policy regulations. Baidu Encyclopedia - Medical Insurance