Legal analysis: Physiotherapy in hospitals is mostly a means of rehabilitation after surgery. The medical insurance expenses incurred by physiotherapy are generally not within the scope of medical insurance reimbursement and cannot be reimbursed by medical insurance.
If the insured person suffers from coronary heart disease, hypertension, diabetes, malignant tumors, mental illness, liver cirrhosis, kidney dialysis, kidney transplantation, Parkinson's disease, rheumatoid arthritis, systemic lupus erythematosus, breast cancer, endocrine outpatient treatment12
If you have a special disease, you can apply for special disease identification from the city's medical insurance center, apply for a "Special Disease Outpatient Medical Card", and enjoy special disease outpatient treatment.
The expenses incurred by patients with special diseases in outpatient treatment of special diseases can be settled in real time with designated hospitals. During settlement, only the individual out-of-pocket medical expenses stipulated in the policy must be paid, and the rest will be borne by medical insurance.
This situation can be reimbursed, but specific consultation still needs to be carried out with the local Medical Insurance and Social Security Bureau.
Legal basis: "Social Insurance Law of the People's Republic of China" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.