Can medical insurance reimburse medical examination fees?

Physical examination expenses are generally not covered by medical insurance reimbursement.

Specifically, it includes medical expenses such as registration fees, out-of-hospital consultation fees, medical records fees, expedited fees for examination and treatment, roll call fees, high-quality and low-price fees, self-invited super nurses and other items requiring medical services, non-disease treatment items, various beauty and bodybuilding items, non-functional cosmetic surgery, weight loss, height increase items, health examination, preventive health care diagnosis and treatment items, various medical consultations and medical appraisal items, and other medical examination items are not included. However, it should be noted that personal medical insurance accounts in some areas may be used to pay medical examination fees, which are usually applicable to the insured with employee medical insurance.

Proportion of medical insurance reimbursement:

1. The proportion of medical insurance reimbursement for employees varies according to the hospitalization expenses. 1300 yuan to 30,000 yuan is 85%, 30,000 yuan to 40,000 yuan is 90%, 40,000 yuan to 10000 yuan is 95%, and the part that exceeds 650,000 yuan.

2. The proportion of residents' medical insurance reimbursement is different. The reimbursement rate of the first-level hospital is 65%, and the deductible line is 300 yuan; The reimbursement ratio of secondary hospitals varies according to different expenses. The reimbursement rate of expenses below 6000 yuan is 65%, and the reimbursement rate of expenses above 6000 yuan is 80%. The reimbursement rate of tertiary hospitals is about 65%, depending on the cost and hospital level.

To sum up, in some special circumstances, such as the physical examination of provincial civil servants, there may be certain medical insurance subsidies. But in general, the medical examination expenses cannot be reimbursed by medical insurance.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.