"The basic medical insurance drug list" specific provisions:
According to the list of basic medical insurance, industrial injury insurance and maternity insurance drugs in Jiangsu Province, the expenses of Class A drugs are paid according to the provisions of basic medical insurance, and the personal burden ratio of Class B drugs is divided into five grades: Class B drugs 5%, Class B drugs 10%, Class B drugs 20%, Class B drugs 30% and Class B drugs 40%. Class C (including the scope of the catalogue) and the basic medical insurance fund for drug expenses outside the limited payment scope will not be paid, and individuals will take care of themselves. In line with the scope of personal medical account and self-funded supplementary insurance payment, it shall be implemented in accordance with relevant regulations.
The basic medical insurance fund will not pay the "medical service" fee (Class C):
(1). Comprehensive medical services: registration fee, medical examination fee, ambulance fee, escort bed fee, consultation fee, oxygen supply by intravenous oxygen generator, family visit fee, perinatal health visit, infectious disease visit, family visit fee, health file establishment, disease health education, corpse care fee, etc.
(2) Medical diagnosis and treatment: ① Autopsy and antiseptic treatment. (2) the diagnosis and treatment of various infertility (pregnancy) and sexual dysfunction. ③ protein chip method for experimental diagnosis of autoimmune diseases, molecular biological diagnosis of genetic diseases, molecular pathological diagnosis technology, etc. (4) Medical identification and various scientific clinical verification diagnosis and treatment projects. ⑤ Positron emission computed tomography (PET), electron beam CT, photography and video monitoring. ⑥ Items not priced by provincial price departments (except special medical materials). ⑦ Collection, operation and preservation expenses of various donors.
(3). Clinical diagnosis and surgical items: ① Non-therapeutic transplantation items belonging to cosmetic category. ② Orthodontics, Orthognathic, Dental Implantation, Prosthodontics and other diagnosis and treatment projects. ③ Diagnosis and treatment projects involving artificial eyes, hearing AIDS, glasses and myopia. (4) all kinds of beauty and bodybuilding projects, weight loss, weight gain and height increase projects, as well as non-functional plastic surgery and orthopedic surgery. (5) Special services. ⑥ Projects with uncertain curative effect, scientific research and clinical verification and other diagnosis and treatment projects have not been carried out.
(4) Diagnosis and treatment of traditional Chinese medicine and ethnic medicine: magnetic hyperthermia, massage for internal diseases, traditional Chinese medicine steam bath, plantar reflex therapy, medical qigong therapy, dialectical diet guidance, decoction and so on.
(5) Special medical materials: ① Disposable medical materials that cannot be charged separately as stipulated by the price and health departments. ② It belongs to beauty, bodybuilding and health care projects and special medical materials for non-functional cosmetic plastic surgery. ③ Medical materials used in self-funded projects that are not included in the scope of payment. ④ The organ source or tissue source of various organ or tissue transplants.
(6) Life service items and service facilities: ① TV fee, telephone fee, food incubator fee, electric stove fee, refrigerator fee, and compensation fee for damaged public property. (2) meals. (3) Hospitality and other special life service expenses.
(7). Others: provincial prices, medical service items, prices not specified by the health department and other medical expenses.