Can MRI be reimbursed?

MRI is covered by medical insurance and can be reimbursed.

However, hospitalization procedures are required, and hospitalization expenses within a certain range can be reimbursed. If you need to have tests or be hospitalized for certain diseases, you can do these tests after going through the discharge formalities, and there will be a certain proportion of reimbursement. However, the checklist generally opened by the outpatient department cannot be reimbursed, and it needs to be checked at its own expense.

Medical insurance reimbursement standards are as follows:

1. Hospitalization: Medical insurance can guarantee hospitalization caused by illness or accident, including medical service fees, medicine fees, materials fees, examination fees, etc.

2. Outpatient treatment: Medical insurance can reimburse medical expenses for outpatient treatment, including registration fees, inspection fees, inspection fees, medicine fees, etc.

3. Physical examination: Medical insurance can reimburse medical examination expenses paid by individuals at their own expense.

It should be noted that there may be differences in different regions and policies, and the specific scope and standard of reimbursement shall be subject to local policies.

Medical insurance reimbursement process:

1. Confirm reimbursement scope: During the treatment, you need to confirm whether your treatment items are within the scope of medical insurance reimbursement;

2. Collect reimbursement materials: collect relevant treatment records, drug receipts, medical expense lists and other relevant materials;

3. Go to the social security department for reimbursement: submit relevant materials for medical insurance reimbursement to the local social security department;

4. Pending review: The social security department will conduct relevant review and comparison to confirm the reimbursement ratio and reimbursement amount; Receive reimbursement: After approval, you can receive medical insurance reimbursement at the designated bank.

To sum up, most of the inspection expenses can be reimbursed, but there are also some self-funded items. Generally speaking, color Doppler ultrasound, ct, magnetic resonance, etc. All kinds of systems can be reimbursed. Check liver and kidney function, coagulation, blood type, leucorrhea, urine routine, hepatitis markers, hepatitis C antibody, AIDS, syphilis antibody, immune system blood test, blood circulation test, etc. Can be reimbursed. The medical insurance card can be used for checking and taking cT photos. Employees who live in other places for a long time must adhere to the principle of economy and prescribe drugs in limited quantities according to regulations. The dosage for acute diseases should be within 3 days, for chronic diseases within 65,438+00 days, and for tuberculosis, hypertension and diabetes, the dosage can be extended to 30 days. Exceeding the above standards, medical expenses will not be reimbursed. Referral of long-term resident workers in different places shall be signed by local designated hospitals and referred step by step according to the principle of territoriality.

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.

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.