Can medical insurance reimburse medical examination?

Physical examination belongs to the category of public health and cannot be reimbursed by medical insurance. According to the provisions of the Social Insurance Law, the medical expenses that should be borne by public health are not included in the payment scope of the basic medical insurance fund, so the medical examination items should be solved through public health services and other channels, and can be paid by the personal account of the medical insurance card. Physical examination is a physical examination of an individual, but for whatever purpose, physical examination is not a treatment due to illness or accident, so it is not within the scope of medical insurance reimbursement, but if you buy basic medical insurance, you can pay it with medical insurance account.

The following items are not included in the scope of medical insurance reimbursement:

1, service project class.

(1) Registration fee, out-of-hospital consultation fee, medical record fee, etc.

(2) Special medical services such as visiting fees, expedited fees for examination and treatment, additional fees for roll call surgery, high-quality and low-cost fees, and self-invited special care;

2. Non-disease treatment projects.

(1) all kinds of beauty and bodybuilding, as well as non-functional plastic surgery and orthopedic surgery;

(2) various weight loss, weight gain and height increase projects;

(3) various health checks;

(4) all kinds of preventive health care and diagnosis projects;

(5) all kinds of medical consultation and medical appraisal.

3, diagnosis and treatment equipment and medical materials.

(1) Examination and treatment projects of large-scale medical equipment such as positron emission tomography scanner, electron beam C and ophthalmic excimer laser therapeutic instrument;

(2) glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation devices;

(3) all kinds of self-use health care, massage, examination and treatment equipment;

(4) The provincial price department stipulates that one-time medical treatment cannot be charged separately.

If there is no reimbursement, do you need a medical examination?

Physical examination is mainly to understand personal health, so even at one's own expense, physical examination is needed, but there are many physical examination items, which need to be different according to different people. Mainly renal function, blood routine, liver function, electrocardiogram, chest X-ray and abdominal color Doppler ultrasound. After a series of examinations, we can know the general situation of the body and whether the body is in an abnormal state. It is recommended that people over 50 have a physical examination once a year, which is a very critical detail.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.