1. Expenses incurred during hospitalization can only be reimbursed by medical insurance if they are within the scope of the basic medical insurance drug list and diagnosis and treatment items;
2, hospital bed fees, medical expenses in line with the medical insurance drug list, diagnosis and treatment projects, medical service facilities standards, can be paid from the basic medical insurance fund;
3. When the insured is discharged from the hospital, he/she shall submit the hospitalization documents, charging documents, medical insurance cards and ID cards to the affiliated medical institutions for reimbursement;
Even if you go home privately during hospitalization, you can use medical insurance to reimburse you, but the hospital losses caused by it should be borne by yourself.
Scope of reimbursement for hospitalization expenses:
1. Hospitalization bed fee: refers to the accommodation expenses incurred by patients during their hospitalization in the hospital;
2. Treatment expenses: including operation expenses, treatment operation expenses, nursing expenses, etc.
3. Examination fee: covering routine examination fees such as X-ray examination, ultrasonic examination and electrocardiogram;
4. Drug expenses: the drug expenses used by patients during hospitalization;
5. Material cost: medical materials used, such as surgical supplies and disposable medical materials;
6. Special examination and treatment expenses: such as CT, MRI, DSA and other high medical items.
To sum up, hospitalization DSA can be reimbursed, but only expenses within the scope of basic medical insurance can be reimbursed, including bed fees and medical expenses. Insured persons need to bring relevant documents to the handling medical institution for reimbursement when they leave the hospital. Even if you go home privately during hospitalization, you can reimburse it, but you have to bear the loss of the hospital.
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.