Can the non-inpatient examination fee be reimbursed?

No hospitalization expenses can be reimbursed.

Most inspection expenses can be reimbursed, including the inspection items of color Doppler ultrasound, CT, magnetic vibration and other systems. In addition, liver and kidney function, blood coagulation, blood type, leucorrhea, urine routine, hepatitis markers, hepatitis C antibody, AIDS, syphilis antibody, immune system blood test and blood circulation test can all be reimbursed.

Scope of social security reimbursement:

1. Outpatient expenses: including registration fees, medical fees, examination fees, medicine fees and other expenses incurred in outpatient service;

2. Hospitalization fee: including bed fee, operation fee, treatment fee, examination fee, medicine fee, etc. During hospitalization;

3. Outpatient expenses for special diseases: For special diseases, such as chronic diseases or special drug treatment, social security may provide special outpatient reimbursement;

4. Childbearing expenses: reimbursement of pregnancy check-up, delivery, family planning operation and other expenses;

5. Work-related injury expenses: reimbursement of medical expenses caused by work-related injuries;

6. Drug expenses: According to the social security drug list, the prescribed drug expenses can be reimbursed.

To sum up, most non-inpatient examination expenses, such as routine imaging examination and laboratory examination items, can be reimbursed, but self-funded items, such as outpatient fees, expedited fees, beauty and bodybuilding items, glasses and dentures, and non-specific organ transplantation, are not reimbursed, and patients need to bear the expenses themselves when receiving these services.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

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.