The examination fee during hospitalization can be reimbursed if it belongs to the examination items within the scope of social security reimbursement.
According to Article 28 of the Social Insurance Law of the People's Republic of China, medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29 of the Social Insurance Law of the People's Republic of China stipulates that the portion of a participant's medical expenses that should be paid out of the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
Social insurance administrative departments and health administrative departments should set up a system for settling medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance by insured persons.
Expanded Information:
The difference between medicare and non-medicare drugs, the reimbursement starting line is also different according to the level of hospitals, the general class A drugs can enjoy full reimbursement, class C will need to be all the out-of-pocket expenses, while the class B reimbursement of 80%, the out-of-pocket expenses of 20% of the rate. Medical insurance reimbursement coverage ratio:
1, outpatient, emergency medical expenses: in the year of the active employees (January 1 ~ December 31) in line with the scope of the basic medical insurance medical expenses exceeding the cumulative total of more than 2,000 yuan part.
2. Settlement ratio: 50% reimbursement for the part of over 2,000 yuan for dispatched staff during the contract period, and 50% out-of-pocket payment by individuals; the maximum amount of outpatient and emergency reimbursement paid to dispatched staff is 20,000 yuan cumulatively in a year.
3, the insured person should properly keep the outpatient medical bills (including the large amount of the following part of the receipt, prescription bottom prescription, etc.) in the designated hospitals, as a voucher for reimbursement of medical expenses.
Baidu Encyclopedia - Social Insurance Law of the People's Republic of China
Baidu Encyclopedia - Reimbursement Scope of Medical Insurance