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Is medicare reimbursed for colds and fevers
Because if you want to be reimbursed by your basic health insurance, you need to pay a minimum amount of money to cover your medical expenses. The starting line is usually in the thousands, and the cost of treating a cold, whether it's buying medicine or getting an IV, is usually not in the thousands, so the treatment of colds is basically out-of-pocket. In addition, in the commercial insurance, simply because of the cold fever and other illnesses caused by the outpatient expenses are usually not reimbursed.
Medical insurance reimbursement conditions:
1, the insured person must be in line with the national provisions of the health insurance participants, that is, in the national health insurance system to pay the corresponding medical insurance costs;
2, medical expenses must be in line with the national health insurance catalog of medical services, including drugs, treatment, examination, surgery, etc.;
3, medical expenses must be in line with the national health insurance catalog of medical services, including drugs, treatment, examination and surgery;
3, the medical expenses must be in line with the national health insurance system, including drugs, treatment, examination and surgery. p>3, medical expenses must be consumed in health insurance designated medical institutions, that is to say, participants can only enjoy health insurance reimbursement services in health insurance designated institutions;
4, medical expenses must be submitted to the health insurance reimbursement application within the specified time, generally required to submit the application within a certain period of time after medical treatment;
5, participants must have sufficient balance of their personal account, otherwise they cannot enjoy the health insurance reimbursement service.
In summary, the process of replacing a health insurance card may vary in different regions and types of health insurance, and the specific process of replacing a card needs to be determined according to the actual situation and policy regulations in the local area.
Legal basis:
Article 2 of the Social Insurance Law of the People's Republic of China
The State establishes a social insurance system for basic old-age pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to obtain material assistance from the State and society in accordance with the law in the event of old age, sickness, industrial injury, unemployment and maternity.
Article 26
The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28
Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.
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