Do you need to go to the Medical Center for social security reim

Physical examination generally does not belong to the scope of medical insurance, but many single examination can use medical insurance reimbursement. The following items are not included in the reimbursement scope of medical insurance:

1. service items:
   

   1. registration fee, out of hospital consultation fee, medical record cost, etc

   2. special medical services, such as visiting fee, urgent examination and treatment fee, roll call operation surcharge, high quality and good price fee, self employment of special nurses, etc
      

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   non disease treatment items:

   1. all kinds of beauty, bodybuilding items, as well as non functional plastic surgery, orthopedic surgery, etc

   2. all kinds of weight loss, weight gain and height increase items

   3. all kinds of physical examination

   5. various preventive and health care diagnosis and treatment projects

   6. all kinds of medical consultation and appraisal
      

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   diagnosis and treatment equipment and medical materials:
   

   1. examination and treatment items of large medical equipment such as positron emission tomography (PET), electron beam CT, ophthalmic excimer laser therapeutic apparatus, etc

   2. glasses, dentures, artificial eyes, artificial limbs, hearing aids and other rehabilitation equipment

   3. all kinds of self used health care, massage, examination and treatment equipment

   4. disposable medical supplies which are not separately charged according to the regulations of provincial price departments
      

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   treatment items:

   1. organ source or tissue source of various organ or tissue transplantation

   3. transplantation of other organs or tissues except kidney, heart valve, corneal skin, blood vessel, bone and bone marrow

   4. myopia correction

   6. Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects
      

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   Others:

   1. diagnosis and treatment items of various infertility (pregnancy) and sexual dysfunction

   2. various scientific research and clinical verification diagnosis and treatment projects

   3. 

      < H2 > extended data:
      

      medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for the workers within the scope of insurance

      the basic medical insurance fund is composed of pooling fund and indivial account. All the basic medical insurance premiums paid by the employees are included in their personal accounts; The basic medical insurance premium paid by the employer is divided into two parts, one is transferred into the indivial account, and the other is used to establish the overall planning fund

      on January 12, 2016, the State Council issued the "opinions on the integration of basic medical insurance system for urban and rural residents" to promote the integration of medical insurance system for urban residents and new rural cooperative medical system, and graally establish a unified medical insurance system for urban and rural residents nationwide

      on December 20, 2016, the Ministry of human resources and social security held a video conference on the national networking of basic medical insurance and the direct settlement of medical treatment in different places, and signed a letter of responsibility with 22 provinces, including Beijing, which applied for the first batch of national networking of basic medical insurance and the direct settlement of medical treatment in different places across provinces, marking that the work of direct settlement of medical treatment in different places across provinces has officially entered the implementation stage

Physical examination generally does not belong to the scope of medical insurance, but many single examination can use medical insurance reimbursement

1. Reimbursement scope:

service items:

1. Registration fee, out of hospital consultation fee, medical record cost, etc

2. Special medical services, such as visiting fee, urgent examination and treatment fee, name calling operation surcharge, high quality and good price fee, self employment of special nurses, etc

2. Treatment items:

1. Organ source or tissue source of various organ or tissue transplantation

2. Transplantation of other organs or tissues except kidney, heart valve, corneal skin, blood vessel, bone and bone marrow

3

3. The application scope of medical insurance card includes:

1

2. In the outpatient service of the designated hospital, the personal account funds on the medical insurance card can be used to pay the relevant expenses (i.e. swipe the card),

3. It can also be used to pay the hospitalization expenses borne by indivials in the hospitalization expenses

therefore, the scope of medical insurance card does not include the payment of medical examination fees

The medical examination of social security card cannot be reimbursed< br />

Physical examination is not covered by medical insurance

according to the scope of basic medical insurance diagnosis and treatment items stipulated by the state, the non disease treatment items that medical insurance does not pay for include:

1, various beauty (life beauty, medical beauty) bodybuilding projects, random non functional plastic surgery, orthopedic surgery, etc

2. All kinds of weight loss, weight gain and height increase items

5, orthodontics, dental porcelain

scope of medical insurance exemption:

1. Self medical treatment (no designated hospital or no referral form), self purchased drugs, drugs that cannot be reimbursed according to public medical regulations and medical expenses that do not conform to family planning

2. Outpatient treatment expenses, visiting expenses, hospitalization expenses, board expenses, accompanying expenses, nutrition expenses, blood transfusion expenses (except those with family blood storage, which shall be reimbursed according to relevant regulations), cooling and heating expenses, rescue expenses, special care expenses and other expenses

3. Medical expenses of traffic accident, fight, suicide, alcoholism, instrial accident and medical accident

5

extended data:

physical examination into medical insurance, system design is prudent, Ministry of human resources and social security statistical bulletin in 2015 shows that the balance of urban workers' medical insurance fund is more than 600 billion yuan, personal account accumulation is 442.9 billion yuan, there is a lot of money precipitation. In fact, many places have explored the use of personal account balance for the purchase of physical examination services

however, e to the uneven food and hunger of the three kinds of basic medical insurance, it may lead to a strange phenomenon that the members of a family who participate in the residents' medical insurance and the new rural cooperative medical system do not have enough money, while the members who participate in the employees' medical insurance can not spend money, which needs to be changed

therefore, it is advisable to transform the personal account into a family health account, which is specially used to compensate family members for the expenses of purchasing health examination, vaccine, fitness, etc., and the whole family can help each other and live within their means. In this way, it will not violate the positioning of basic medical insurance, but also revitalize the huge personal account balance funds