Can outpatient MRI be reimbursed by medical insurance?

Outpatient magnetic resonance examination cannot be reimbursed by medical insurance. Because the reimbursement of nuclear magnetic medical insurance is divided into outpatient and inpatient, the outpatient nuclear magnetic can not be reimbursed, and the inpatient nuclear magnetic can be reimbursed. It is also within the scope of reimbursement for some patients with provincial medical insurance and municipal employee medical insurance to do MRI in outpatient clinics, and hospitalization can also be reimbursed. The expenses for reimbursement of medical insurance shall be paid from the basic medical insurance fund in accordance with state regulations. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation. The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get the necessary material help from society, reduce the burden of medical expenses, and prevent sick social members from becoming poor due to illness. The medical insurance reimbursement process is as follows:

1. The agent submits the reimbursement documents and other materials to the social security agency for application;

2. After receiving the application materials, the accepting department will conduct audit and other work;

3. If the social security agency approves the application, the applicant will be reimbursed after receiving the "Social Medical Insurance Medical Expense Reimbursement Form". When reimbursing, you must bring the following information:

(1) Original ID card or social security card;

(2) The original disease diagnosis certificate issued by the designated medical institution;

(3) original medical data such as outpatient medical records, inspection and test results reports;

(4) The original receipt of outpatient charges of medical institutions with unified finance and taxation;

(5) The detailed list of outpatient expenses printed by the hospital computer or the original payment of prescriptions issued by doctors;

(6) Designated pharmacies: unified original invoices and computer-printed sales lists of taxable goods;

(7) For handling on behalf of, the original ID card of the agent is required.

Legal basis: Article 26 of People's Republic of China (PRC) Social Insurance Law.

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

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.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.