In 2025, the outpatient reimbursement limit for flexible employment medical insurance in Hechi, Guangxi, varies depending on different situations. For general outpatient services at grassroots designated medical institutions, the maximum annual overall payment is 300 yuan; for 38 types of outpatient special chronic diseases such as hypertension, coronary heart disease, and diabetes, after application and approval, the medical expenses within the payment scope of outpatient special chronic diseases are paid proportionally by the overall planning fund and individuals; for outpatient special drugs, there are also corresponding regulations. Here is a detailed breakdown:

1. General Outpatient Reimbursement: When insured individuals receive outpatient treatment at the selected grassroots designated medical institutions, for the medical expenses that meet the payment scope of basic medical insurance, each person can receive a maximum of 300 yuan in overall planning funds per year. This is applicable to the general outpatient expenses of flexible employment insured individuals, helping to reduce the financial burden of daily minor illnesses and outpatient consultations.

2. Outpatient Special Chronic Disease Reimbursement: If flexible employment insured individuals suffer from 38 types of outpatient special chronic diseases including hypertension, coronary heart disease, diabetes, etc., they can apply at qualified hospitals. After the approval of the expert group and the selection of the medical institution, for the medical expenses that meet the payment scope of outpatient special chronic diseases, they are paid by the overall planning fund and individuals in proportion. However, it should be noted that the medical security administrative department of the overall planning area may appropriately adjust the reimbursement ratio for renal dialysis in patients with chronic renal insufficiency, outpatient treatment of malignant tumors, and anti - rejection treatment after organ transplantation based on factors such as the fund's affordability, the economic affordability of insured individuals, and the correspondence between rights and obligations, while ensuring the balance of fund revenues and expenditures.

3. Outpatient Special Drug Reimbursement: Since June 2022, Guangxi has established a separate outpatient co - ordination payment system, incorporating drugs suitable for outpatient treatment, with long - term use, high - cost treatment courses, clear clinical pathways, and low clinical substitutability into the scope of basic medical insurance for outpatient special drugs. For insured individuals in Hechi who use eligible outpatient special drugs at designated medical institutions and pharmacies, a separate outpatient co - ordination payment is implemented. After dynamic adjustments, the number of drugs paid separately has increased from 33 to 72. Among them, 36 drugs for rare diseases benefit patients with 27 types of rare diseases such as multiple sclerosis, narcolepsy, and Gaucher's disease. For employees' medical insurance, there is no deductible line. The reimbursement ratio for on - the - job employees is 70%, and for retirees, it is 75%, with the overall planning fund payment limit being 80,000 yuan per year; for residents' medical insurance (including some flexible employment insured individuals who participate in residents' medical insurance), there is no deductible line, and the reimbursement ratio is 50%, with the overall planning fund payment limit being 40,000 yuan per year.

In general, the outpatient reimbursement policy for flexible employment medical insurance in Hechi, Guangxi in 2025 is designed to provide better medical security for flexible employment groups. Different types of outpatient expenses have corresponding reimbursement regulations. It is recommended that flexible employment insured individuals understand the local medical insurance policy in detail, select designated medical institutions and drugs in accordance with the regulations, and go through relevant procedures in a timely manner to fully enjoy the medical insurance benefits.