Can medical insurance be reimbursed if you don't take pictures in hospital?

You can't. According to the scope of medical insurance reimbursement, examination and treatment items such as positron emission tomography (PET), electron beam CT, ophthalmic excimer laser therapeutic instrument, and human information diagnostic instrument are not reimbursed. In addition, social security cannot reimburse medical expenses caused by registration fees, beauty, organ transplantation, fights and other factors. Insured people must pay attention. Therefore, if the insured only took a film and was not hospitalized, the related expenses and social security could not be reimbursed.

The main purpose of medical insurance is to pay for outpatient treatment. When you go to a designated hospital for medical treatment, you can show your medical insurance card to prove your insured identity and registration. Individuals can directly settle the part of medical insurance reimbursement by medical insurance and hospitals, without paying fees first and then reimbursing. Only when the account is settled can the self-funded part be paid with the balance of the medical insurance card or cash.

First, the reimbursement process of serious illness medical insurance

1. Materials required for reimbursement of serious illness medical insurance

1) ID card of the insured;

2) medical insurance or medical insurance card of the insured;

3) Original and photocopy of medical expense settlement list.

2. Serious illness medical insurance reimbursement process

1) The insured shall bring the above materials to the medical insurance department of the local designated hospital to fill in the relevant forms for preliminary examination;

2) Designated hospitals will report the information of insured residents who have passed the preliminary examination to the urban medical insurance agency for review;

3) The insured residents who pass the final examination shall be reimbursed by the urban medical insurance agency for serious illness medical insurance.

Legal basis:

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

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

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.