Can gastroscope medical insurance be reimbursed?

No, the medical expenses for gastroscopy are reimbursed by medical insurance, and the anesthetic for painless gastroscopy is a self-funded item, which can be reimbursed within 500 yuan. Endoscopy is generally not included in the scope of medical insurance and needs to be paid at its own expense. After the examination, you can go to the township health center to get prescriptions and medicines, and you can partially reimburse them.

What are the items for medical insurance reimbursement?

1, bed fee (the highest is township hospitals 12 yuan/day, and municipal and above medical institutions 15 yuan/day);

2. Drug expenses;

3, inspection fees (inspection, testing, etc. , limit 600 yuan);

4. Treatment expenses (settled according to the facts within 300 yuan, and 50% of the above parts in 300 yuan are included in the scope of reimbursement);

5. Surgery fee;

6. Blood transfusion fee (the maximum amount of surgery or rescue and hospitalization is in 500 yuan);

7, material costs (the maximum limit of 2000 yuan per hospitalization);

8, all kinds of tumor patients with radiotherapy, chemotherapy and renal failure need dialysis outpatient expenses, as hospitalization expenses for compensation. Medical insurance hospitalization reimbursement process:

1. Please fill in the medical insurance admission registration form when you are admitted to the hospital and return it to the toll collection office. Try not to fill it out when you leave the hospital, otherwise it will increase your waiting time for discharge settlement.

2. Go through the discharge formalities at the toll booth with the discharge form.

3. Reimbursement to social security (or neighborhood committees) (including medical insurance in different places), and reimbursement to social security (or neighborhood committees) with hospitalization invoice, discharge certificate and expense list after discharge.

legal ground

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

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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