1, prepare outpatient reimbursement materials: including the original ID card and social security card, the original certificate of diagnosis of disease issued by a specialist doctor of the designated medical institution of the third level or second level of hospitals, outpatient clinic, examination, test results report card and other original medical information, financial, tax unified medical institution outpatient fee receipts, the original hospital The original computer-printed list of outpatient expenses or the original payment prescription issued by the doctor, the original fixed-point pharmacy: the original unified invoice for tax merchandise sales and the original computer-printed list, as well as the original ID card of the person acting on his behalf.
2. Go to the relevant department of the local social security center to apply for processing, after examination, the materials are complete and meet the conditions, instant processing.
The conditions for outpatient reimbursement under Chengdu's health insurance include:
1. Insured persons can be directly reimbursed for outpatient expenses when they visit outpatient medical institutions that meet the conditions for networked billing with the electronic voucher of their health insurance, or with their social security cards.
2. The e-voucher needs to be activated in advance for the first time, and the activation channels include the Chengdu Health Insurance Public Number and the National Health Insurance Service Platform.
3. When reimbursing outpatient expenses, participants should first deduct the amount allocated to the individual account of the health insurance in the current social security year, and then approve the amount to be reimbursed.
The significance of outpatient reimbursement of Chengdu health insurance lies in:
1. Improvement of the level of medical protection for the insured: outpatient reimbursement can reduce the burden of medical expenses on the insured, improve the level of medical protection, and reduce the risk of poverty due to illness.
Promoting the improvement of the medical insurance system: outpatient reimbursement is an important part of the medical insurance system, which can promote the improvement and development of the medical insurance system, improve the efficiency of the use of the medical insurance fund, and better safeguard the rights and interests of the majority of the participants in the medical care.
2. Promoting the improvement of medical service quality: the implementation of the outpatient reimbursement system can promote the medical institutions to improve the quality of service, improve the level of medical technology, and better meet the medical needs of the insured.
3. Enhancing the sustainability of the healthcare system: through outpatient reimbursement, it can promote the rational allocation of medical resources, enhance the sustainability of the healthcare system, and provide better medical services for more people.
In summary, Chengdu health insurance outpatient reimbursement can reduce the financial burden of the patient's family, so that more families can enjoy the benefits of health insurance, to avoid the occurrence of poverty due to illness. It can also allow more people to enjoy the protection of health insurance, narrowing the gap between urban and rural areas, the rich and the poor in medical insurance, and promoting social justice.
Legal basis:
The People's Republic of China*** and the State Social Insurance Law
Article 23
Employees shall participate in the basic medical insurance for employees, and shall pay the basic medical insurance premiums by the employing unit and the employees in accordance with the state regulations*** together.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.