Job Recruitment Website - Social security inquiry - Can employees' medical insurance check-up expenses be reimbursed?
Can employees' medical insurance check-up expenses be reimbursed?
1, health care during pregnancy: including pregnancy check-up, treatment of diseases during pregnancy and nutrition guidance during pregnancy, which can generally be fully reimbursed;
2. Non-invasive prenatal genetic testing: Medical insurance for employees in some areas can reimburse some non-invasive prenatal genetic testing expenses, such as 70% in Guangdong Province;
3. Ultrasound examination: Employees' medical insurance can reimburse some routine ultrasound examination fees, such as B-ultrasound examination, amniocentesis and umbilical cord blood examination.
Medical insurance reimbursement conditions:
1. Confirm the insured status: before seeking medical treatment, you need to confirm that you have participated in local medical insurance, which can be confirmed by means of social security card and medical insurance certificate;
2. Medical category: Medical insurance generally only reimburses therapeutic medical behaviors, such as outpatient service, hospitalization, surgery and examination. Some cosmetic medical behaviors, such as dental beauty and plastic surgery, are usually not covered by medical insurance reimbursement;
3. Medical expenses: Medical insurance will only reimburse medical expenses that meet the requirements, such as medical expenses, medicine expenses, examination expenses, operation expenses, etc. Personal expenses, medical insurance will not be reimbursed;
4. Hospital qualification: Medical insurance will only reimburse the medical expenses of legally operated medical institutions, such as public hospitals and qualified private hospitals. Medical insurance will not be reimbursed for illegal medical institutions or clinics.
To sum up, you can consult your local medical insurance institution or stomatological hospital.
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.
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