Can I apply for medical insurance without being hospitalized for MRI?

Out-of-hospital MRI is self-funded medical insurance and cannot be reimbursed. The analysis is as follows:

1, nuclear magnetic resonance is within the scope of medical insurance reimbursement, and it is generally not reimbursed for outpatient service in large hospitals, but only for hospitalization;

2. Items that are generally not in the medical insurance catalogue include medical services, such as registration fees, home visits, and non-disease treatment items, and medical insurance is not reimbursed;

3. Magnetic resonance imaging (MRI) has become a common image examination method, and MRI is a new image examination technology.

The following items are not covered by medical insurance reimbursement:

1, registration fee, out-of-hospital consultation fee, medical record fee, etc.

2. Special medical services such as visiting fees, expedited fees for examination and treatment, additional fees for roll-call surgery, high-quality and low-cost fees, and self-invited special care;

3. Various cosmetic, bodybuilding and non-functional cosmetic plastic surgery;

4, all kinds of weight loss, weight gain, increase the project;

5. Various health checks;

6, all kinds of prevention and health care projects;

7, all kinds of medical consultation, medical appraisal.

To sum up, whether MRI can be reimbursed, the reimbursement ratio is related to whether the patient is hospitalized and the type of medical insurance. If MRI medical insurance is not hospitalized and reimbursed, hospitalization can be reimbursed.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.