First, the query method of medical insurance reimbursement inspection items
1. Inquiry of Medical Insurance Bureau in official website: When you log in to official website, the medical insurance bureau in your area, you can usually find relevant documents about the scope of medical insurance reimbursement under the column of "Policy Documents" or "Service Guide", which will list the reimbursable inspection items in detail.
2. Consultation at the medical insurance service window: Go to the local medical insurance service window and ask the staff about the specific information of the medical insurance reimbursement inspection items. They will provide you with detailed answers according to the latest policies and regulations.
3. Telephone consultation: Call the service hotline of the local medical insurance bureau for telephone consultation on medical insurance reimbursement inspection items. This method is convenient and quick, especially suitable for those who can't go to the medical insurance service window in person.
Two, medical insurance reimbursement inspection matters needing attention
1. Understand the policy changes: the medical insurance policy will be constantly adjusted over time. Therefore, when inquiring about the medical insurance reimbursement inspection items, we should pay attention to the latest policy changes to avoid misunderstanding due to the lag of information.
2. Confirm the reimbursement ratio: Different inspection items may have different reimbursement ratios in medical insurance reimbursement. So besides knowing which items can be reimbursed, we should also pay attention to the specific reimbursement ratio.
3. Keep relevant vouchers: When making medical insurance reimbursement, you usually need to provide relevant medical expense vouchers, such as invoices and inspection reports. Therefore, when conducting a physical examination, you must properly keep these vouchers for future reimbursement.
To sum up:
The query of medical insurance reimbursement inspection items is an important link to ensure that individuals or units make full use of medical insurance benefits. By choosing appropriate inquiry channels and knowing the latest policies, regulations and reimbursement ratio, we can ensure that the reimbursement operation can be carried out correctly when enjoying medical insurance benefits, thus reducing the economic burden. At the same time, keeping relevant medical expense vouchers is also the key to smooth medical insurance reimbursement.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28 provides that:
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.
People's Republic of China (PRC) social insurance law
Article 30 provides that:
The following medical expenses are not included in the payment scope of the basic medical insurance fund:
(a) shall 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.