【Medical insurance policy】Q&A of Medical insurance reimbursement for general outpatient expenses

Release time:2022-05-05
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From January 1, 2022, the general outpatient medical expenses of Hainan basic medical insurance can be reimbursed. How much will be reimbursed according to the new policy? What procedures are needed for my reimbursement? The staff of the medical insurance office of Hainan Chengmei Hospital said that eligible general outpatient expenses can be reimbursed directly in our hospital.

1. What is the standard of treatment for general outpatient service?

From January 1, 2022, general outpatient fees can be reimbursed according to regulations. The standard is shown on chart below:

From January 1, 2022, urban employees/urban and rural residents in Hainan Province can require to be directly reimbursed and settled in our hospital for general outpatient care according to the policy. Guaranteed benefits are as follows:

General outpatient clinics

(Level III hospital)

In service

Retired

Urban and rural residents (<60 years old)

Urban and rural residents (>= 60 years old)

Minimum payment standard

100 RMB

100 RMB

100 RMB

100 RMB

Payment standard

1500 RMB/year

2000 RMB/year

500 RMB/year

700 RMB/year

Payment ratio

50%

50%

30%

30%

Tips: Please take your ID card, social security card, medical insurance electronic voucher for medical treatment


2. What procedures are needed for my reimbursement?

A: General outpatient expenses eligible for reimbursement can be reimbursed directly by our hospital. After a normal visit, go to the billing office with the payment slip and the staff will reimburse the expenses that are eligible for reimbursement as a general outpatient visit.

Tips:

If you have any questions on medicare reimbursement, please feel free to call us: 0898— 36791944.