The ct examination is a modern and more advanced medical imaging technology, including scanning ct, enhanced ct scanning and cerebral pool imaging ct. At present, the ct examination has been included in the medical insurance reimbursement scope, however, it is necessary to be hospitalized during the examination costs to be reimbursed in accordance with a certain percentage, the outpatient can not be reimbursed by the medical insurance. In addition, if you are insured by a commercial medical insurance, the reimbursement of the ct examination is subject to the terms and conditions of the insurance policy.
Medical insurance coverage:
1, basic medical insurance drug reimbursement
Our country is now divided into three categories of drugs, which are in the scope of the medical insurance, so only class A drugs can use medical insurance reimbursement, and class B and class C can not be reimbursed;
2, the reimbursement of the basic health care facilities
These are the main reasons for the increase in the number of patients in the hospital.
This reimbursement scope mainly refers to the insured person, in the medical insurance designated institutions for diagnosis and treatment and nursing care, in the process, the incurred bed fee, emergency bed fee, consulting fees, etc.;
3, the basic medical insurance reimbursement of diagnosis and treatment items
Must be safe and effective diagnosis and treatment, the charges are determined by the price department. You need to be treated in a designated medical institution.
Summary, if it is hospitalized during the ct examination fees can be reimbursed, if it is outpatient costs are not reimbursed. Because the rural cooperative medical reimbursement must be hospitalized expenses.
Legal basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in accordance with the basic medical insurance catalog of medicines, diagnostic and therapeutic items, standards of medical service facilities, and those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29
The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.