Legal analysis: generally not reimbursed, outpatient examination costs can not be reimbursed, reimbursement is generally hospitalized medical expenses. The cost of outpatient examination can use the money in the medical insurance card. However, in many more economically developed areas, such as Beijing, Shanghai, Guangzhou and other places, health insurance would have been reimbursed outpatient.
Legal basis: The Social Insurance Law of the People's Republic of China Article 29 (1) The portion of a participant's medical expenses that should be paid for by the basic medical insurance fund shall be settled directly by the social insurance agency with the medical institution and the drug business unit.
"Opinions of the Ministry of Labor and Social Security on the Management of Basic Medical Insurance Diagnostic and Treatment Items for Urban Workers"
I. Basic medical insurance diagnostic and treatment items refer to all kinds of medical technical services and diagnostic and therapeutic items using medical instruments, equipments and medical materials in accordance with the following conditions:
(1) Clinical diagnostic and treatment items that are necessary, safe and effective, and with appropriate costs. Diagnostic and therapeutic items;
(b) Diagnostic and therapeutic items for which the price department has set the charges;
(c) Diagnostic and therapeutic items within the scope of the designated medical services provided by designated medical institutions for the insured.
Third, the Ministry of Labor and Social Security is responsible for organizing the development of the national basic medical insurance diagnosis and treatment scope, using the exclusion method, respectively, the basic medical insurance does not pay the cost of the scope of diagnosis and treatment and basic medical insurance to pay part of the cost of diagnosis and treatment scope. Diagnostic and therapeutic items that are not paid for by basic medical insurance are mainly those that are not necessary for clinical diagnosis and treatment, those whose effects are uncertain, and those that are part of the special-needs medical services. The basic medical insurance to pay part of the cost of diagnosis and treatment programs, mainly some clinical diagnosis and treatment is necessary, the effect of certain but easy to abuse or expensive diagnosis and treatment programs.