Universal is an enteral nutrition agent, which is mainly used for people with gastrointestinal dysfunction or unable to get enough nutrition. It can provide comprehensive nutrition and maintain normal physiological functions of human body.
The basic medical insurance does not pay the cost of diagnosis and treatment projects * * * five categories.
The first category is service items: some medical service fees, out-of-hospital consultation fees, medical record production fees, etc. Special medical services such as visiting fees, expedited fees for examination and treatment, additional fees for name-calling surgery, additional fees for name-calling surgery, high-quality and good-price fees, and self-invited special care.
The second category is non-disease treatment items: see the following analysis for details.
The third category is diagnosis and treatment equipment and medical useful materials: inspection and treatment projects carried out by using large-scale medical equipment such as positron emission tomography (PET), electron beam CT and ophthalmic excimer laser therapeutic apparatus. Glasses, dentures, artificial eyes, artificial limbs, hearing AIDS and other rehabilitation appliances. All kinds of self-use health care, examination and treatment instruments. Disposable medical materials that are not charged separately as stipulated by the provincial price department.
The fourth category is treatment project category: organ source or tissue source of various organ or tissue transplants; Transplantation of organs or tissues other than kidneys, heart valves, corneas, skin, blood vessels, bones and bone marrow; Orthopedic surgery for myopia; Qigong therapy, music therapy, health nutrition therapy, magnetic therapy and other auxiliary treatment projects.
The fifth category is other categories: all kinds of scientific research and clinical verification diagnosis and treatment projects.
In addition, the expenses not paid by the basic medical insurance also include: transportation expenses and emergency expenses; Infant incubator fee, food incubator fee, nursing fee, washing fee and outpatient decocting fee; Special living expenses such as meals. Patients should pay for the above items when seeking medical treatment.
What are the non-disease treatment items for medical insurance reimbursement?
1, various cosmetic plastic surgery projects: such as acne, scar cosmetic, laser cosmetic, cosmetic tooth washing, hair transplant, etc.
2. Orthopedic treatment items: stuttering, dentition disorder, denture restoration (including post crown, crown fitting, denture installation), dental implantation, nasal snoring surgery (except respiratory distress), flat feet and other items (except congenital torticollis, cleft lip and palate, sequelae of polio).
3. Various bodybuilding treatment items: such as losing weight, gaining weight and increasing height.
4. Various physical examination items: such as employee physical examination and disease investigation.
5. Various preventive and health care projects: such as vaccination and fitness.
6. Various medical consultation and health prediction diagnosis and treatment items: such as various disease consultation fees (except psychological consultation conducted by secondary and tertiary mental health prevention and control institutions), including pulse meter, microcirculation tester, meridian diagnostic instrument (including computer diagnostic instrument of traditional Chinese medicine) and vital information diagnostic instrument.
7. Various medical appraisal items: such as labor ability appraisal (diagnosis and appraisal of workers' labor, work-related injuries and occupational diseases), judicial appraisal of mental patients, medical accident appraisal, and various inspection expenses.
I hope the above content can help you. If in doubt, please consult a professional lawyer.
Legal basis:
Article 4 of People's Republic of China (PRC) Social Insurance Law
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Article 58
The employing unit shall, within 30 days from the date of employment, apply to the social insurance agency for social insurance registration for its employees. If the social insurance has not been registered, the social insurance agency shall verify the social insurance premium it should pay.
Employees-free individual industrial and commercial households who voluntarily participate in social insurance, part-time employees who do not participate in social insurance in the employing unit and other flexible employees shall apply to the social insurance agency for social insurance registration.
The state establishes a national unified personal social security number. Personal social security number is a citizen's identity number.