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Can medical insurance reimburse the medical examination fee?

Medical examination expenses are generally not covered by medical insurance reimbursement.

specifically, medical examination items such as registration fee, consultation fee outside the hospital, medical record fee and other medical treatment fees, urgent examination and treatment fees, roll call fees, high-quality and low-price fees, self-employed special-grade nurses and other items requiring medical services, non-disease treatment items, various beauty and bodybuilding items, non-functional cosmetic surgery, weight loss, enhancement items, health examination, prevention and health care diagnosis and treatment items, and various medical consultation and health care items. However, it should be noted that personal medical insurance accounts in some areas may be used to pay for medical examination, which is usually applicable to the insured of employee medical insurance.

reimbursement rate of medical insurance:

1. The reimbursement rate of medical insurance for employees varies according to the hospitalization expenses. The reimbursement rate for expenses ranging from 1,3 yuan to 3, yuan is 85%, that for expenses ranging from 3, yuan to 4, yuan is 9%, that for expenses ranging from 4, yuan to 1, yuan is 95%, and that for expenses exceeding 1, yuan is 95%.

2. The reimbursement rate of residents' medical insurance is different. The reimbursement rate of first-class hospitals is 65%, and the deductible line is 3 yuan. The reimbursement rate of secondary hospitals varies according to different expenses. The reimbursement rate of expenses below 6, yuan is 65%, and that of expenses over 6, yuan is 8%. The reimbursement rate of tertiary hospitals is about 65%, which depends on the cost and hospital level.

to sum up, in some special circumstances, such as the physical examination of provincial civil servants, there may be certain medical insurance subsidies. But on the whole, medical examination expenses can't be reimbursed by medical insurance.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

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.