Other non-payment scope
1. should be paid from the industrial injury insurance fund.
2. It shall be borne by a third party.
3. Health expenses that should be borne by the public.
4. Go abroad for medical treatment.
5. Physical fitness, health care consumption and physical examination.
6 other expenses not paid by the basic medical insurance fund stipulated by the state. If it has a significant impact on economic and social development, it can be temporarily adjusted through legal procedures.
Definition of related expenses
Out-of-pocket expenses refer to the expenses borne by individuals within the scope of basic medical insurance and serious illness insurance, including those below the deductible line, those paid in advance by category B, those paid in proportion by individuals, those above the capping line, those over-priced in the catalogue, those paid by patients according to diseases and bed days, those paid in advance by the insured before settlement according to regulations, and those paid in proportion to those who are transferred to other places for medical treatment upon approval.
Out-of-pocket expenses refer to expenses that are not listed in the catalogue of basic medical insurance and serious illness insurance and are all paid by patients, including drugs, medical services, medical materials and medical devices that are not listed in the catalogue.