Job Recruitment Website - Social security inquiry - Are employees reimbursed for medical insurance and physical examination?

Are employees reimbursed for medical insurance and physical examination?

Employee medical insurance cannot be reimbursed.

Medical insurance reimbursement refers to the reimbursement of medical expenses. Physical examination is not a medical expense. There is no medical examination reimbursement for medical insurance, so naturally you can't enjoy medical insurance reimbursement.

The scope of medical insurance reimbursement for employees is as follows:

1, outpatient and emergency medical expenses;

2, to the designated retail pharmacies to buy drugs;

3, emergency rescue observation and income hospitalization, hospitalization within 7 days before the medical expenses;

4, malignant tumor radiotherapy and chemotherapy, renal dialysis, kidney transplantation after taking anti-rejection drugs outpatient medical expenses.

The medical insurance card processing flow is as follows:

1. After receiving the form and filling in the form for registration, the insured unit will send a copy of the application form for social security (citizen) card to the new insured, and instruct the new insured to fill in the application form according to the application rules;

2. Three days before registration, the insured person will take photos at the designated photo studio with his ID card and paste the receipt on the application form.

3. The insured unit shall receive the social security (citizen) card application form registered by the insured person before the next month 19, and collect the social security card fee 20 yuan;

4. Hand in the form, pay the fee and get the card. Generally, these procedures can be concentrated in the designated window of the service hall of the medical insurance center;

5. The insured unit will generally issue the medical insurance card to the insured within one week after receiving the card.

To sum up, if the medical expenses paid by the insured are within the scope of medical insurance drug list, diagnosis and treatment items, etc. , you can bring your identity certificate, social security card or medical insurance card, medical payment documents, hospitalization documents and other materials to the designated hospital or social security agency for settlement.

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 28 of the Regulations on Medical Insurance

Personal accounts are used to pay medical expenses beyond the scope of the overall fund payment; If the personal account is insufficient to pay, it shall be borne by me.