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Can hospitalization in the special needs ward be reimbursed?
Can hospitalization in the special needs ward be reimbursed?

Generally, the hospitalization medical expenses in special-needs wards cannot be reimbursed. The special ward belongs to the scope of special medical services, belongs to high-end medical services, and is not covered by medical insurance, so it cannot be reimbursed.

However, the specific reimbursement situation may be different due to different regions and policies. In some areas or in some cases, certain reimbursement policies may be provided, but generally speaking, the hospitalization expenses of special needs wards need to be solved at their own expense or through commercial insurance.

It should be noted that different regions may have different policies. If you have any questions or need to know the relevant policies in detail, it is recommended to consult the local medical insurance department or relevant departments.

To sum up, in-patient medical expenses in special-needs wards are generally not reimbursed, but the specific reimbursement situation may be different due to different regions and policies. It is recommended to consult relevant local departments to obtain accurate information.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "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." At the same time, Article 30 of the Law stipulates: "The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) those that should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party. " Therefore, the hospitalization expenses of special needs wards are generally not covered by medical insurance. Article 28 of the Social Insurance Law of People's Republic of China (PRC) stipulates: "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."

Article 14 of the Insurance Law of People's Republic of China (PRC) stipulates: "After the insurance contract is established, the insured pays the insurance premium according to the agreement, and the insurer begins to assume the insurance liability according to the agreed time."

Article 107 of the Contract Law of People's Republic of China (PRC) stipulates: "If a party fails to perform its contractual obligations or fails to perform its contractual obligations, it shall bear the liabilities for breach of contract such as continuing to perform, taking remedial measures or compensating for losses."