How to reimburse MRI medical insurance

The reimbursement methods of MRI medical insurance are as follows:

1, NMR can be reimbursed. Medical insurance reimbursement, the total medical expenses, minus the hospital Qifubiaozhun, cut off self-funded drugs and self-funded inspections, and multiply the remaining figures by the reimbursement ratio;

2. MRI examination is within the scope of medical insurance. The reimbursement ratio is related to your reimbursement type, generally 70%;

3. Reimbursement scope: medical expenses: auxiliary examination: 200 yuan for various examination expenses such as electrocardiogram, X-ray fluoroscopy, photography, laboratory test, physiotherapy, acupuncture, CT and nuclear magnetic resonance; According to the national standard, the cost of operation exceeds 1 1,000 yuan 1 1,000 yuan, and the elderly over 60 years old are hospitalized in health centers. Daily compensation for treatment and nursing expenses 10 yuan, with the limit of 200 yuan.

The medical insurance reimbursement process is as follows:

1, the insured shall go through the reimbursement procedures at the designated medical institution;

2. Submit ID card, medical insurance card, disease diagnosis certificate, original medical information and other materials;

3, which belongs to the scope of medical insurance reimbursement, shall be directly settled by medical institutions.

To sum up, MRI medical insurance 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.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

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.