Can gastroscopy be reimbursed by medical insurance, and can medical insurance reimburse you for gast

No, the cost of medicine required for gastroscopy is covered by medical insurance, and the anesthetic part required for gastroscopy is a self-paid item, which can be reimbursed within 500 yuan. Gastroscopy is generally not covered by medical insurance, so this is at your own expense, and you can be partially reimbursed for taking a prescription to a township health center to get medicine after the examination.

What are the items reimbursed by medical insurance?

1. Bed fee (up to 12 yuan per day for township health centers and up to 15 yuan per day for medical institutions at or above the municipal level);

2. Drug fees;

3. Inspection fee (inspection, laboratory test, etc., limit of 600 yuan);

4. ** fee (within 300 yuan will be settled according to the actual settlement, and the part above 300 yuan will be included in the reimbursement scope by 50%));

5. Surgery fee;

6. Blood transfusion fee (operation or rescue, the maximum limit of each hospitalization is 500 yuan);

7. Material fee (the maximum limit of each hospitalization is 2,000 yuan);

8. The outpatient expenses of radiotherapy, chemotherapy and renal failure of patients with various tumors requiring dialysis shall be compensated as hospitalization expenses. The process of reimbursement for hospitalization by medical insurance:

1. Please fill in the medical insurance admission registration form and pay the ** fee when you are admitted to the hospital, and try not to fill it out when you are discharged, otherwise it will increase your waiting time for discharge settlement.

2. Go to the charging office with the discharge slip to go through the discharge settlement procedures.

3. Go to the social security (or neighborhood committee) for reimbursement (including foreign medical insurance), and after being discharged from the hospital, you can go to the social security (or neighborhood committee) for reimbursement with the hospitalization invoice, discharge certificate, and expense list.

Legal basis

Social Insurance Law of the People's Republic of China

Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

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 the provisions of the State.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Answer: Hello, dear, happy to serve you. As long as you are hospitalized, you can apply to the good medical insurance, but the good medical insurance has a deductible of 10,000 yuan, that is, after deducting your social medical insurance self-payment, no more than 10,000 yuan will not be reimbursed.

Answer the difference between good medical insurance and medical insurance: difference 1: different rates to mention the difference between good medical insurance and no medical insurance The biggest difference is the difference in the rate, we take 0 weeks - 50 years old as an example, look at the difference between the payment of social security and no social security under the first insurance

There is a certain difference in the reimbursement ratio: from the perspective of terms, regardless of whether there is good medical insurance or not, the compensation ratio (regardless of whether the social insurance is inside or outside) has reached 100%, but the differences are: (1) There is social insurance participation and no national medical insurance reimbursement:

If the patient needs to make a claim, but the patient is insured as a participant in social medical insurance, but does not receive medical treatment and settle as a participant in social medical insurance, only 60% of the amount payable will be paid; (2) No social security: 100% reimbursement is allowed.

Gastrointestinal endoscopy can be reimbursed by medical insurance.

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Medical insurance can generally reimburse reasonable and necessary medical expenses incurred due to illness or accident, including inpatient medical expenses, outpatient and emergency medical expenses before and after hospitalization, etc., so medical insurance can usually reimburse the medical expenses incurred in hospitalization for gastrointestinal endoscopy.

Legal basis

Gastroscopy medical insurance can be reported for rough sales. Reimbursement process for medical insurance:

1. The insured person shall bring the discharge summary, invoice, medication schedule, and certificate of remote medical treatment issued by the unit to the local social security agency for reimbursement;

2. For hospitalization fees, drug fees, etc., you can go directly to the medical insurance office of the hospital to go through the settlement procedures.

The role of health insurance:

1. It can stabilize social life;

2. Redistribution can be realized;

3. It can promote economic development; Hezhen.

4. In most areas, buying a car and buying a house is linked to social security, and it is required that only after paying social security for a certain period of time can you buy a car or a house locally;

5. The purpose of work-related injury insurance, including the payment of ** expenses, living care expenses, disability allowance and disability allowance;

6. For the purpose of maternity insurance, you can enjoy maternity leave, maternity allowance and maternity subsidy.

Article 4 of the Social Insurance Law of the People's Republic of China.

Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with the law have the right to inquire about payment records and records of individual rights and interests, and to request social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise the payment of this single Chongxiang.

Usually it is reimbursed, but it depends on what gastroscopy you do. **Gastroscopy, which is gastroscopy under anesthesia, is special and is not covered by medical insurance.

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