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Can I use social security card for general physical examination?
Social security card reimbursement scope:
1, drug reimbursement for basic medical insurance
The types of drugs in China can be mainly divided into Class A, Class B and Class C. The waist circumference of Class A is basically included in the scope of medical insurance funds and reimbursed according to certain standards. 80% of Class B drugs are reimbursed, and the other 20% are paid at their own expense; Class C drugs are self-sufficient drugs and will not be reimbursed. The following drugs do not belong to the basic medical insurance reimbursement scope:
(1) drugs with nourishing and strengthening effects;
(2) Some animals and animal organs and dried fruits that can be used as medicine;
(3) Various wine preparations brewed with Chinese herbal medicines and Chinese herbal pieces;
(4) Fruity preparations and oral effervescent agents in various medicines;
(5) Blood products and protein products (except for special indications and first aid and rescue);
(six) other drugs that are not paid by the basic medical insurance fund as stipulated by the administrative department of social insurance.
2, the basic medical insurance treatment project reimbursement
The basic medical insurance treatment project shall meet the following conditions:
(1) Clinical diagnosis and treatment must be safe and effective, and the cost should be appropriate;
(2) The price department has set the charging standard;
(3) within the scope of designated medical services provided by designated medical institutions for the insured.
3. Reimbursement of basic medical service facilities The reimbursement scope of basic medical insurance medical service facilities includes the living service facilities provided by designated medical institutions and necessary for the insured to receive diagnosis, treatment and nursing, mainly including inpatient bed fees or outpatient (emergency) observation bed fees.
legal ground
"Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law" Article 8.
The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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