Does medical insurance reimburse medical examination fees?

Medical insurance reimburses medical examination expenses.

Medical insurance can reimburse medical examination expenses because medical examination belongs to preventive medicine, and the domestic medical insurance system generally includes the scope of preventive medicine. According to the domestic medical insurance policy, medical insurance can cover a certain range of preventive medical expenses, including medical examination expenses.

The specific process of medical insurance reimbursement of medical expenses is as follows:

1. Know the medical insurance policy in advance: Before the medical examination, it is recommended to know the local medical insurance policy, including the medical examination items, reimbursement ratio and limit;

2. Select designated medical institutions: according to the medical insurance policy, select designated medical institutions that meet the medical examination requirements. There may be designated medical institutions or specific hospitals in different regions;

3. Go through the medical insurance reimbursement procedures: after the medical examination, provide medical institutions with medical insurance-related materials, such as social security cards and valid identity documents, and fill out the medical insurance reimbursement application form;

4. Submit reimbursement application: submit the completed medical insurance reimbursement application form and related expense documents (such as medical examination invoices and expense details). ) to medical institutions;

5. Medical insurance reimbursement review: medical institutions review the submitted reimbursement applications and reimburse them according to the proportion and limit stipulated in the medical insurance policy.

Some physical examination items for medical insurance reimbursement are as follows:

1, blood routine, urine routine, liver function;

2. Renal function, blood lipid and blood sugar;

3, electrocardiogram, chest X-ray, breast ultrasound, B-ultrasound;

4, gynecological examination, andrology examination and other projects.

To sum up, medical insurance can reimburse medical examination expenses, and the specific reimbursement ratio and process need to be determined according to local medical insurance policies. It is suggested to know the relevant medical insurance policies before the medical examination, select qualified medical institutions for medical examination, and go through the medical insurance reimbursement procedures according to the prescribed procedures in order to enjoy the medical insurance reimbursement treatment for medical examination expenses.

Legal basis:

Paragraph 1 of Article 41 of People's Republic of China (PRC) Social Insurance Law

The medical insurance fund can be used to pay medical expenses, including preventive medical expenses. As a preventive medical behavior, physical examination can be reimbursed within the scope of medical insurance.

"People's Republic of China (PRC) medical insurance regulations" article twenty-sixth

This article clearly defines the scope of medical insurance, including preventive medical care. According to this regulation, medical examination items and expenses that meet the requirements of medical insurance policy can be reimbursed through medical insurance within a certain proportion.