Doing CT examination, belonging to the hospitalization of the necessary examination, can be reimbursed through the medical insurance card, if the outpatient examination needs CT examination, also can be reimbursed with the medical insurance card, the specific local social security bureau to provide.
Taking Zhengzhou as an example, according to "Zhengzhou urban residents basic medical insurance approach (for trial implementation)" Article 25 The insured residents in the designated medical institutions in accordance with the provisions of the hospitalization medical expenses, the starting standard of the cost of the first by the individual to pay; starting standard of the cost of the maximum payment limit of the following by the coordinated fund and the proportion of the insured residents to bear the cost of the individual.
The starting standard of the integrated fund for residents' medical insurance hospitalization is divided into different categories of designated medical institutions: 300 yuan for designated medical institutions of the first category; 600 yuan for designated medical institutions of the second category; and 900 yuan for designated medical institutions of the third category. The insured residents hospitalized in different categories of designated medical institutions to meet the provisions of the medical expenses incurred in the starting standard above the maximum payment limit below, in accordance with the following ratio:
A class of designated medical institutions (including community health service institutions), the integrated fund to pay 60%, the individual to bear 40%;
Two categories of designated medical institutions, the integrated fund to pay 55%, the individual to bear 45%;
Two categories of designated medical institutions, the integrated fund to pay 55%, the individual to bear 45%;
Two types of medical institutions, the integrated fund to pay 45%;
Two types of medical institutions, the integrated fund to pay 45%.
The third type of designated medical institutions, the coordinated fund will pay 50%, and the individual will pay 50%;
The insurance year of the residents' medical insurance is calculated according to the natural year, and the maximum payment limit of the coordinated fund is 25,000 yuan (including the costs of inpatient and outpatient prescribed diseases) in one natural year.
Expanded Information:
Article 31 of Zhengzhou Urban Residents' Basic Medical Insurance Measures (for Trial Implementation): The medical expenses incurred by insured residents for medical treatment shall not be paid by the integrated fund under any of the following circumstances:
(1) Treatment abroad or in Hong Kong, Macao or Taiwan;
(2) Suicide, self-inflicted injuries (except for mental illnesses);
(3) Brawling, drunkenness, drug abuse and other crimes resulting from the violation of the Law of Punishment for Public Security. crime or violation of the Public Security Administration Punishment Law caused by injury or illness;
(d) traffic accidents, accidental injuries, medical malpractice, etc. by the other party to bear the responsibility for the compensation of medical expenses;
(e) belonging to the scope of payment of industrial injury insurance (including occupational diseases) or maternity insurance;
(f) according to the relevant provisions of the non-payment of the other circumstances.
Baidu Encyclopedia - Measures for Basic Medical Insurance for Urban Residents in Zhengzhou City (for Trial Implementation)