Beijing physical examination reimbursement

Legal Subjective:

The physical examination is generally not covered by medical insurance, but many individual tests can be reimbursed using medical insurance. The following items are not reimbursable by Medicare:(i) Service categories. (1) registration fee, out-of-hospital consultation fee, medical record cost, etc.; (2) out-of-hospital consultation fee, expedited fee for examination and treatment, surcharge for named surgery, quality premium fee, self-invited special nurse and other special medical services. (ii) Non-disease treatment program category. (1) a variety of cosmetic, fitness items and non-functional cosmetic, orthopedic surgery; (2) a variety of weight loss, weight gain, height projects; (3) a variety of health checkups; (4) a variety of preventive, health care diagnostic and therapeutic programs; (5) a variety of medical consultation, medical appraisal. (C) diagnostic and treatment equipment and medical materials. (1) the application of positron emission tomography device (), electron beam c, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for examination and treatment programs; (2) glasses, denture, eye prosthesis, prosthetics, hearing aids and other rehabilitative appliances; (3) a variety of self-use of health care, massage, inspection and treatment equipment; (4) the provincial price departments may not be charged separately for a one-time use of medical.

Legal objective:

The Chinese people*** and the State Social Insurance Law, Article 28 in line with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facilities standards, as well as emergency, rescue medical expenses, in accordance with the provisions of the State to pay from the basic medical insurance fund. Article 29 The part 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 department of social insurance and the administrative department 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. Article 30 of the following medical expenses are not included in the scope of payment of the basic medical insurance fund: (a) should be paid from the workers' compensation insurance fund; (b) should be borne by a third party; (c) should be borne by the public **** health; (d) medical treatment outside the country.