A, does not belong to the scope of medical reimbursement including which (a) service category.
1, registration fees, out-of-hospital consultation fees, medical records cost; 2, consultation fees, examination and treatment expedited fees, named surgery surcharge, quality premiums, self-requested special nurses and other special medical services. (B) non-disease treatment program category. 1, a variety of beauty, fitness items and non-functional cosmetic, orthopedic surgery, etc.; 2, a variety of weight loss, weight gain, height projects; 3, a variety of health checkups; 4, a variety of preventive, health care diagnostic and treatment programs; 5, a variety of medical consultations, medical appraisal. (C) diagnostic equipment and medical materials. 1, the application of positron emission tomography device (PET), electron beam cT, ophthalmic excimer laser therapy and other large medical equipment for examination, treatment programs; 2, glasses, dentures, eye prostheses, prosthetic limbs, hearing aids and other rehabilitative appliances; 3, a variety of health care for their own use, massage, inspection and treatment equipment; 4, the provincial price departments can not be separately charged disposable medical. Charges for disposable medical. (D) treatment program category. 1, all types of organ or tissue transplantation of organ or tissue source; 2, in addition to kidney, heart valves, cornea skin, blood vessels, bone, bone marrow transplantation of other organs or tissues; 3, myopic orthopedics; 4, qigong therapy, music therapy, health care of nutritional therapy, magnetism, and other complementary therapeutic projects. (V) Other. 1, a variety of infertility (pregnancy), sexual dysfunction diagnosis and treatment program; 2, a variety of scientific research, clinical verification of the diagnosis and treatment program.Two, medical reimbursement of what special provisions (a) outpatient, stabbing and bruising, work-related injuries, traffic accidents, homicides, assaults, medical malpractice, suicides, self-inflicted injuries and other medical costs are not in the rural medical insurance reimbursement, only hospitalization can be reimbursed. In addition, not all costs of hospitalization can be reimbursed, but only part of the cost of examination items, surgical items and medicines. Only hospitalization in regular hospitals can be reimbursed, and general outpatient clinic expenses are not reimbursed.
(2) The reimbursement rate for hospitalization in a township hospital is the highest, the reimbursement rate for county hospitals is the second highest, and the reimbursement rate for prefecture hospitals is even lower. Some places require that treatment must be provided in hospitals within the participating prefecture-level city in order to be reimbursed. If treatment is to be provided in hospitals outside the participating prefecture-level city, referral certificates from the relevant hospitals at the three levels of the participating townships, counties, and prefectures are required, and the expenses can be reimbursed only if the hospitals are to be treated in other places.Three, medical expense reimbursementThe process of medical expense reimbursement is as follows:
(a) the original of the ID card or social security card; (b) the original of the disease diagnosis certificate issued by the specialist doctor of the designated medical institution; (c) the original of the outpatient medical records, examination, test results report card and other medical information; (d) Financial, tax unified medical institutions outpatient fee receipts original; (e) hospital computer printout of outpatient costs detailed list or the doctor issued a prescription for the payment of the original; (f) fixed-point pharmacy: tax merchandise sales invoices and computer printout of the original list; (vii) if it is a person for the person needs to provide the original identity card. The above is to provide you with a detailed description of the scope of medical reimbursement does not belong to the relevant knowledge, when we are in the doctor, there is a part of the project is not able to reimbursement.