Employees can be reimbursed for going to the hospital for checkups

Employees can be reimbursed for checkups at the hospital.

Employee health insurance outpatient examination costs can be reimbursed under certain conditions, but the reimbursement rate is usually lower than the reimbursement rate for hospitalization and major diseases. The outpatient reimbursement rate is usually less than 50 percent, and in most cases it needs to be paid through the participant's personal account funds or cash. Gynecological examinations during hospitalization are reimbursable, while outpatient gynecological examinations in ambulatory situations are usually not reimbursable. Special outpatient examinations can be reimbursed using the health insurance, but are subject to thresholds and reimbursement rates, which vary from region to region. Most routine examination costs, such as ultrasound, CT, magnetic **** vibration, liver and kidney function tests, blood type, urine routine, etc., can be reimbursed through Medicare.

Medicare reimbursement for social security:

1. Outpatient expenses: including registration fee, consultation fee, examination fee, medicine fee, etc.

2. Inpatient expenses: including bed fee, treatment fee, operation fee, medicine fee, examination fee, etc.

3. Outpatient expenses for special diseases: for chronic diseases or special diseases, Medicare may provide special outpatient reimbursement;

4. Drug costs: only drugs included in the medical insurance drug list can be reimbursed;

5. Costs of assistive devices: such as prosthetics, wheelchairs, etc., some of which can be reimbursed according to the regulations;

6. Emergency expenses: reasonable costs incurred in an emergency can also be reimbursed;

7. Rehabilitation and treatment costs: part of the medical insurance plan covers Rehabilitation treatment costs;

8. Chinese medicine treatment costs: including the costs of traditional Chinese medicine, acupuncture, tuina and other traditional Chinese medicine treatment modalities.

In summary, employees can be reimbursed for checkups in hospitals, but the reimbursement rate is usually low and requires the individual to pay a portion of the cost. Gynecological examinations during hospitalization can be reimbursed, while outpatient gynecological examinations in ambulatory situations are usually not. Special outpatient examinations can be reimbursed by the health insurance, subject to thresholds and reimbursement rates, which vary from region to region. Most routine examination costs can be reimbursed by medical insurance, such as color ultrasound, CT, magnetic **** vibration, liver and kidney function tests, blood type, and urine routine.

Legal basis:

The People's Republic of China*** and the State Social Insurance Law

Article 28

Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, medical service facility standards, as well as those for emergency treatment and salvage, shall be paid from the basic medical insurance fund in accordance with state regulations.