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Can I swipe my medical insurance card for Shanghai physical examination?
According to the provisions of Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not covered by the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. Therefore, physical examination and other projects should be solved through public health services and other channels.
Because China is in the primary stage of socialism, the economy is growing rapidly, but the overall level is not high. Considering the social and economic affordability, the financing level of basic medical insurance, especially residents' financing level, is low, and the per capita financing level of urban and rural residents' medical insurance is only about 700 yuan. From the overall development of the medical insurance system at this stage, the people's demand for disease treatment, the financing level of the medical insurance fund and the ability to resist risks.
At present, the basic medical insurance system is mainly based on providing basic medical security to the masses, focusing on meeting basic medical needs, and encouraging family doctors and insured persons to promote health management through measures such as paying per head for outpatient services and partially bearing service fees by family doctors. It can't extend the scope of payment to include non-therapeutic and preventive examination items such as health examination.
Extended data:
From the institutional point of view, the problems of disease prevention and health education are gradually solved through the public health service system, the level of disease treatment and security is gradually improved through the basic medical insurance system, and commercial insurance is vigorously developed to meet the different health needs of different groups of people. The state advocates and encourages employers to cooperate with the state to do a good job in the health protection of employees, which is also the social responsibility that employers should bear.
In the construction of public health service system, the state has put forward the task of establishing and improving disease prevention and control system and strengthening health education, and defined the contents of basic public health services. Among them, preventive examinations such as physical examination, which mainly plays a role in disease prevention and control, belong to the category of public health services.
People's Daily Online-Medical Insurance Bureau: There are no conditions to include health checkups in medical insurance for the time being.
Baidu Encyclopedia-People's Republic of China (PRC) Social Insurance Law
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