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Can medical insurance fund be used for physical examination?

can medical insurance fund be used for physical examination?

medical insurance fund can be used for physical examination under certain circumstances. According to the provisions of the Social Insurance Law of the People's Republic of China, medical insurance funds can be used to pay medical expenses that meet the requirements, including disease treatment, drug expenses, medical equipment expenses, etc. Physical examination is a preventive health examination, which is an important means to prevent diseases and find them early. Therefore, under certain conditions, medical insurance can be used to pay for medical examination.

However, the use of medical insurance funds needs to meet the prescribed scope and conditions. Generally speaking, medical insurance funds are mainly used to pay medical expenses such as disease treatment and drug expenses, while physical examination belongs to preventive health examination and does not belong to the scope of medical insurance reimbursement. However, in some areas or under certain circumstances, the medical insurance policy may have special provisions. For example, for some patients with chronic diseases or high-risk groups, the medical insurance policy may allow the use of medical insurance funds for physical examination.

in addition, it should be noted that the use of medical insurance funds needs medical institutions that meet the items and regulations in the medical insurance catalogue. For some high-end medical examinations, specific medical examinations and other projects, it may be necessary to pay at one's own expense or partially at one's own expense, and medical insurance funds cannot be used.

To sum up, the medical insurance fund can be used for physical examination under certain circumstances, but it needs to meet the items in the medical insurance catalogue and the prescribed medical institutions, and it needs to meet the scope and conditions of use of the medical insurance fund. The specific situation needs to be combined with the local medical insurance policy to understand.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China stipulates: "Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations."

article 16 of the basic medical care and health promotion law of the people's Republic of China stipulates: "the state establishes and improves the health education system, carries out health education for the whole people, popularizes health knowledge and healthy lifestyle, and improves citizens' health literacy and health level."