The physical examination is not covered by Medicare.
In accordance with the national regulations of the basic medical insurance treatment program scope, the medical insurance will not pay the fee for non-disease treatment projects include:
1, a variety of cosmetic (cosmetic life, medical cosmetic) fitness program and messy non-functional cosmetic surgery, orthopedic surgery, etc.;
2, a variety of weight loss, gain weight, increase in height project;
3, a variety of health Physical examination;
4, a variety of preventive, health care treatment programs;
5, dental orthodontics, dental porcelain;
6, a variety of medical consultation (excluding psychiatric consultation), medical appraisal.
Expanded Information:
1, hospitalization
Reimbursement scope:
Medicine: auxiliary examination: EKG, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic **** vibration and other examination fees limit of 200 yuan;
Surgical costs (with reference to the national standard, more than 1,000 yuan is reimbursed by 1,000 yuan reimbursement). For elderly people over 60 years old hospitalized in health centers, treatment and nursing fees are reimbursed 10 yuan per day, with a limit of 200 yuan.
Reimbursement rates: town health centers reimburse 60%; secondary hospitals reimburse 40%; tertiary hospitals reimburse 30%.
2, health insurance reimbursement ratio of major diseases
Where the hospitalized patients participating in the cooperative medical treatment of a one-time or annual cumulative reportable medical expenses exceeding 5,000 yuan of segmented compensation, that is, 5,001-10,000 yuan compensation of 65%, 10,001-18,000 yuan compensation of 70%.
Town-level cooperative medical inpatient and uremia outpatient hemodialysis, oncology outpatient radiotherapy and chemotherapy compensation annual limit of 11,000 yuan.
Baidu Encyclopedia-Medicare Reimbursement Scope