Whether medical insurance can reimburse examination fees generally depends on the situation: 1. If it is a general outpatient examination fee, medical insurance usually does not reimburse it, but if there is money in the medical insurance personal account, it can be used to directly pay for general outpatient examination fees; 2

. If it is a special outpatient examination fee, it can be reimbursed by medical insurance. However, there are restrictions on the threshold and reimbursement ratio. If it does not exceed the threshold, it cannot be reimbursed. Moreover, the reimbursement policies vary from place to place, so how to reimburse specifically?

How much can be reimbursed? You also need to consult the local Social Security Bureau.

The materials required for medical insurance reimbursement are as follows: 1. ID card and medical insurance card; 2. Disease diagnosis certificate and outpatient medical records, examination and test result reports issued by designated medical institutions; 3. Charge documents and relevant invoices issued by medical institutions.

The process of applying for medical insurance reimbursement is: 1. After the patient is admitted to the hospital due to illness, patients with medical insurance can register for social security in the hospital with their ID card, medical insurance card and other documents; 2. When the patient settles the medical expenses after being discharged from the hospital, he or she must present the admission registration form and

If the ID card is used to complete the discharge settlement procedures at the hospitalization fee office, there is no need to go to the social insurance center for reimbursement; 3. After review by the relevant departments, the applicant can receive the social medical insurance medical expense reimbursement form for reimbursement, etc.

In addition to basic medical insurance, various regions have generally established mutual aid systems for large medical expenses to cover medical expenses above the maximum payment limit of social pooling funds.

The state has established a medical subsidy system for civil servants.

Legal basis: "Regulations on the Supervision and Administration of the Use of Medical Security Funds" Article 8 The use of medical security funds shall comply with the payment scope prescribed by the state.

The payment scope of the medical security fund shall be organized and formulated by the medical security administrative department of the State Council in accordance with the law.

The people's governments of provinces, autonomous regions, and municipalities directly under the Central Government shall, in accordance with the authority and procedures prescribed by the state, supplement the specific items and standards for medical security fund payment within their respective administrative regions, and submit them to the medical security administrative department of the State Council for filing.