For example, according to the regulations of Anhui Province, if the insured receives general treatment instead of rescue in an emergency, it is not within the scope of reimbursement; Emergency observation rather than hospitalization for further treatment does not belong to the scope of reimbursement.
However, Taiyuan Labor and Social Security Bureau has adjusted the regulations on reimbursement of emergency medical expenses. After emergency treatment in Taiyuan designated hospital, if the insured person is diagnosed and does not need to be transferred for further treatment, it will be regarded as an outpatient service, and the emergency medical expenses will not be reimbursed; If the insured person goes to the designated hospital in Taiyuan City for emergency treatment, or goes out on business, visits relatives or holidays and dies after being rescued, the emergency medical expenses shall be approved and reimbursed according to the relevant provisions; The insured in Taiyuan designated hospital emergency treatment, after diagnosis, need to be transferred for further treatment, emergency expenses shall be reimbursed according to the relevant provisions.
In addition, when the insured reimburses the emergency medical expenses, he needs to provide the details of the emergency medical expenses, otherwise it will not be reimbursed.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.