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Can hospitalization with special needs be reimbursed?
Special needs hospitalization can be reimbursed.

Special hospitalization means that patients choose higher-grade medical services in hospitals, including better ward conditions and better medical resources. Although the special hospitalization expenses are relatively high, they still belong to the basic medical services within the scope of medical insurance. According to Article 56 of the Social Insurance Law of People's Republic of China (PRC), the medical expenses incurred by the insured in the designated medical institutions that meet the requirements shall be paid by the basic medical insurance fund according to the regulations.

The scope of reimbursement for hospitalization with special needs is as follows:

The scope of reimbursement for special hospitalization is the same as that for ordinary hospitalization, mainly including medicine expenses, examination expenses, treatment expenses and operation expenses. However, some special items, such as plastic surgery and physical examination, are not covered by basic medical insurance and cannot be reimbursed. In addition, patients also need to abide by medical insurance policies, such as rational drug use and medical treatment according to regulations. Otherwise, the reimbursement amount may be affected.

To sum up, hospitalization with special needs can be reimbursed. When the insured chooses special hospitalization services in designated medical institutions, they can enjoy the corresponding reimbursement treatment according to the proportion and scope of reimbursement of basic medical insurance for medical expenses that meet the requirements.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 56

The insured shall seek medical treatment in designated medical institutions, and the medical expenses that meet the requirements shall be paid by the basic medical insurance fund in accordance with the regulations.