Can the medical insurance card reimburse the medical examination expenses?

The medical insurance card cannot reimburse the medical examination expenses, and the analysis is as follows:

1. Physical examination belongs to the category of public health and cannot be reimbursed by medical insurance;

2. The medical expenses that should be borne by public health are not included in the payment scope of the basic medical insurance fund;

3. Therefore, medical examination items should be solved through public health services and other channels, and personal accounts of medical insurance cards can be paid;

Physical examination is a medical examination of an individual's body. Physical examination does not belong to the treatment of illness or accident, so it is not covered by medical insurance reimbursement.

The following items are not included in the scope of medical insurance reimbursement:

Service item category:

1, registration fee, out-of-hospital consultation fee, medical record fee, etc.

2. Special medical services such as visiting fees, expedited fees for examination and treatment, additional fees for roll-call surgery, high-quality and low-cost fees, and self-invited special care;

Non-disease treatment items:

1, various cosmetic, bodybuilding and non-functional cosmetic and plastic surgery;

2. Various weight loss, weight gain and height increase projects;

3. Various health checks;

4, all kinds of prevention and health care projects;

5, all kinds of medical consultation, medical appraisal.

To sum up, the medical insurance card cannot reimburse the medical examination expenses, and the reimbursement scope of the medical insurance card is limited to the medical expenses above hospitalization caused by diseases and some accidents in designated hospitals.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

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.