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Can MRI be reimbursed by medical insurance?
Magnetic resonance imaging is covered by medical insurance and can be reimbursed. The expenses for reimbursement shall be paid from the basic medical insurance fund in accordance with state regulations. The specific reimbursement ratio is related to the individual reimbursement type, generally around 70%.
Compensation conditions of nuclear magnetic resonance:
1. Reimbursement policy: The medical insurance policies in different regions are different, and it is necessary to determine whether reimbursement can be made and the reimbursement ratio according to the regulations of the local medical insurance bureau;
2. Visiting the hospital: MRI examination must be carried out in the designated hospital of medical insurance, and non-designated hospitals may not be reimbursed;
3. Medical necessity: MRI requires a checklist issued by a doctor to prove that this examination is out of medical necessity;
4. Personal account: In some areas, NMR allows personal medical insurance account payment, but the local medical insurance department should be consulted for details;
5. Reimbursement process: Patients need to submit examination results, expense lists and other related materials, and make reimbursement according to the medical insurance reimbursement process.
To sum up, MRI examination can be reimbursed within the scope of medical insurance, and the reimbursement ratio is generally 70%, but the specific amount is affected by medical grade, medication and other factors.
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.
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