Can ct medical insurance be reimbursed if it is not hospitalized?

The cost of not being hospitalized for CT is usually not reimbursed through medical insurance. Only CT examination during hospitalization can reimburse part of hospitalization expenses. If the patient has a separate CT examination in the outpatient department, the expenses can usually only be paid by the balance of the personal account of the medical insurance, and cannot be reimbursed by the separate medical insurance.

Whether CT medical insurance can be reimbursed without hospitalization mainly depends on the following factors:

1, medical insurance policy: there are differences in medical insurance policies in different regions, some places can reimburse and some places can't. Therefore, it is necessary to understand the local medical insurance policy.

2. Hospital grade: It may be easier to make reimbursement for CT examination in large general hospitals, while patients in small hospitals may have to bear the expenses themselves. Therefore, it is safer to choose a hospital with designated medical insurance qualifications.

3, disease diagnosis: not all diseases need CT examination, but if the doctor suggested and carried out this examination, and in line with the medical insurance policy, then it is possible to get reimbursement.

Specific operation steps of taking CT and brushing medical insurance:

1. Registration: go to the outpatient department of the hospital to register.

2. See a doctor: After the doctor issues the checklist, he needs to pay the fee first, and then do a CT examination.

3. Examination: Go to the radiology department for CT examination after payment.

4. Payment: After the inspection is completed, you need to go to the outpatient clinic to pay again. At this time, you can use the medical insurance card to pay, and the system will automatically deduct the reimbursement amount from the medical insurance card.

5. Get the report: After paying the fee, you can go to the clinic to get the CT report after waiting for a while.

To sum up, the cost of CT shooting outside the hospital cannot be reimbursed through the medical insurance pooling fund, unless it is carried out during hospitalization. Patients should plan medical expenses reasonably according to local medical insurance policies and personal conditions.

Legal basis:

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

Article 28

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