Outpatient examination costs are not reimbursable; hospitalized examination costs are reimbursed on a case-by-case basis.
On the question of reimbursement of examination costs, outpatient examinations are basically not reimbursable, on the one hand, the scope of reimbursement, on the other hand, does not comply with the provisions of the examination costs. The most common outpatient tests are X-rays, blood tests, CT scans and other out-of-pocket expenses, which are not covered by the medical insurance and are to be borne by the insured person, and are not reimbursed by the basic medical insurance.
The costs of hospitalization are covered by medical insurance, and according to the relevant laws and regulations, the costs of medicines, diagnostic and treatment items, medical services and facilities, as well as the costs of emergency treatment and rescue, are paid out of the basic medical insurance fund in accordance with the national regulations. Costs incurred for hospitalization examinations include the costs of examination items, medical materials and treatment drugs. Whether these costs can be reimbursed through medical insurance depends on the specific medical insurance policy and the actual situation.
Precautions for reimbursement of examination costs
Choosing a designated medical institution: In order to ensure smooth reimbursement of medical insurance, the patient should choose a hospital that meets the requirements of a designated medical institution for inpatient treatment.
Following the medical insurance policy: Patients should follow the medical insurance policy during the hospitalization to ensure that the examination items and medicines are within the scope of reimbursement. If in doubt, consult the hospital health insurance office or social security office.
Keeping the medical insurance card safe: The medical insurance card is an important voucher for patients to enjoy the reimbursement of medical insurance, and should be kept properly to avoid loss or damage.
Pay attention to the reimbursement conditions of commercial medical insurance: If you buy commercial medical insurance, you should pay attention to the reimbursement conditions and rates in the insurance contract to ensure that you can get reimbursed smoothly in case of an accident.