Hefei outpatient clinics are reimbursed at their own expense, mainly in accordance with Hefei City’s medical insurance policy. Generally speaking, after outpatient expenses are paid out of pocket, the insured can go to the medical insurance department for reimbursement with relevant vouchers, such as medical expense invoices, diagnosis certificates, etc.
1. Prepare the materials required for reimbursement
1. Medical expense invoice: This is the basic material for reimbursement, and the original invoice must be kept.
2. Diagnosis certificate: A diagnosis certificate issued by a doctor to prove your condition and treatment.
3. Medical insurance card and ID card: used as proof of identity and medical insurance information of the insured.
2. Go to the medical insurance department for reimbursement
1. Insured persons can go to the Hefei Municipal Medical Insurance Bureau or its affiliated medical insurance service center for reimbursement.
2. At the medical insurance window, submit the prepared reimbursement materials and fill out the reimbursement application form.
3. Medical insurance staff will review the submitted materials and verify the authenticity and compliance of medical expenses.
3. Waiting for the issuance of reimbursement
1. After passing the review, the medical insurance department will pay the reimbursement into the insured person's medical insurance account according to the prescribed reimbursement ratio and amount or Designated bank account.
2. Insured persons can check the arrival status of reimbursement through the medical insurance inquiry system or bank inquiry system.
It should be noted that different medical insurance policies and regulations may be different. The specific reimbursement ratio, reimbursement scope and reimbursement process need to refer to Hefei City’s medical insurance policy. In addition, insured persons should try their best to choose medical insurance designated medical institutions when seeking medical treatment to ensure compliance with medical expenses and smooth reimbursement.
In summary:
Hefei outpatient clinics are reimbursed at their own expense. You need to prepare relevant materials and go to the medical insurance department for processing. During the application process, you need to pay attention to the requirements of medical insurance policies and regulations to ensure the compliance of medical expenses and the smooth progress of reimbursement. The reimbursement will be paid into the insured person's medical insurance account or bank account according to the prescribed proportion and amount.
Legal basis:
"Social Insurance Law of the People's Republic of China"
Article 28:
Compliance The basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
"Hefei City Basic Medical Insurance Measures for Urban Employees"
(Note: Since Hefei City's specific medical insurance policies may be adjusted over time and policy changes, it is recommended to check the latest "Hefei Urban Employees Basic Medical Insurance Measures" or relevant medical insurance policy documents to obtain the most accurate information)