Beijing Pratt & Whitney Medical Insurance is the basic medical insurance for urban and rural residents, aiming at providing basic medical insurance for all residents in Beijing. According to the regulations, residents who participate in inclusive health insurance can enjoy reimbursement of medical expenses such as outpatient service, hospitalization and special diseases.
In terms of outpatient reimbursement, the insured person must be a registered resident in Beijing or a non-registered resident who has paid social insurance for more than 1 year in Beijing. The scope of reimbursement includes outpatient medical expenses, outpatient Chinese herbal pieces expenses, outpatient chronic disease management expenses, etc. The reimbursement rate is 50%, that is, when the insured person goes to the outpatient clinic for medical treatment, he/she needs to show his/her national health insurance card and fill out the outpatient reimbursement application form. After confirming the medical expenses, the hospital will directly settle the expenses and credit the reimbursed expenses to the insured's bank card.
Beijing Puhui Health Insurance outpatient reimbursement needs the following materials:
1. Insurance claim: The insured or beneficiary shall fill in the insurance claim form and indicate the insurance contract number.
2. Insurance policy: The insured shall provide the original and photocopy of the insurance policy.
3. Identity certificate: the insured or beneficiary shall provide the original and photocopy of identity certificate.
4. Diagnosis certificate, case and discharge summary: The insured shall provide relevant medical records such as diagnosis certificate, case and discharge summary issued by medical institutions.
5. Expense invoice: The insured shall provide the original and photocopy of the medical expense invoice.
To sum up, Beijing Puhui Health Bao's outpatient reimbursement policy provides certain medical security for the insured and reduces the economic burden. However, it should be noted that the specific reimbursement ratio and limit will vary according to different insurance schemes and individual contributions.
the basis of law
People's Republic of China (PRC) social insurance law
Article 26
It is stipulated that the basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.