Can the medical examination be reimbursed?

Physical examination is generally not covered by medical insurance, but many individual examinations can be reimbursed by medical insurance. If you go to the physical examination center for physical examination, you can't take medical insurance, but if you go to the regular reimbursement point hospital clinic, you can take medical insurance by hanging different departments. However, in some hospitals, a person can only hang up to three department numbers a day, and can also check once every few days, and can also check all parts of the body. If there are problems, they can be treated in time.

When can social security be reimbursed?

Social medical insurance reimbursement is after discharge or transfer.

Designated medical institutions should report the expense list, hospitalization list and related materials of patients discharged from hospital last month to the medical insurance agency before 10 every month, which will be used as the basis for monthly pre-allocation and year-end final accounts after examination;

The medical insurance agency pre-allocated the hospitalization and outpatient co-ordination expenses for special diseases last month;

In fact, the medical examination is no longer within the scope of reimbursement. However, if you find that you have a special disease during physical examination and need medication, you can go to a designated medical institution to buy medicine, so the expenses incurred can be directly used by the medical insurance card, which is equivalent to reimbursement of medicine expenses. If the situation is serious and requires hospitalization, there will be related reimbursement expenses.

legal ground

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

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be 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.