The use of the social security card mainly includes the use of the POS card by the insured employee in the designated hospitals, pharmacies, hospitalization within the scope of medical insurance, according to the actual amount of expenses can be reimbursed a certain percentage of the cost, designated hospitals, outpatient and emergency treatment.
Out-of-pocket expenses are not reimbursed, health insurance belongs to the category of social security, the main items of social insurance, including pension insurance, medical insurance, unemployment insurance, industrial injury insurance, maternity insurance.
Basic medical insurance does not pay the cost of diagnosis and treatment of some non-clinical necessary diagnosis and treatment of items, including service items such as registration fees, non-disease treatment items such as cosmetic surgery, therapeutic equipment and medical materials such as hearing aids, therapeutic items such as magnetic therapy, and other types of treatment such as infertility treatment, and so on.
Expanded:
Medicare non-reimbursable items:
1. Service categories. Registration fee, out-of-hospital consultation fee, medical record cost, etc.; visit fee, examination and treatment of expedited fee, named surgery surcharge, quality premium fee, self-employed special nurse and other special medical services.
2. Non-disease treatment programs. All kinds of beauty, fitness items and non-functional cosmetic, orthopedic surgery, etc.; all kinds of weight loss, weight gain, height projects; all kinds of health checkups; all kinds of preventive, health care diagnosis and treatment programs; all kinds of medical consultation, medical appraisal.
3, diagnostic and treatment equipment and medical materials. Application of positron emission tomography device (PET), electron beam cT, ophthalmic excimer laser treatment instrument and other large-scale medical equipment for examination, treatment programs;) glasses, dentures, eye prostheses, artificial limbs, hearing aids and other rehabilitative devices; a variety of health care for their own use, massage, inspection and treatment equipment; provincial price departments can not be charged separately for disposable medical.
4, treatment program category. Various types of organ or tissue transplantation of organ source or tissue source; in addition to kidney, heart valve, cornea skin, blood vessels, bone, bone marrow transplantation; myopic eye orthopedics; qigong therapy, music therapy, health care nutrition therapy, magnetic therapy and other auxiliary therapeutic projects.
5. Others. Various infertility (pregnancy), sexual dysfunction diagnosis and treatment program; various scientific research, clinical verification of the diagnosis and treatment program.
Baidu Encyclopedia-Medicare Reimbursement Ratio
Baidu Encyclopedia-Social Insurance
Baidu Encyclopedia-Social Medical Insurance Card