Article 28 of the Social Insurance Law stipulates that "the medical costs of medicines, diagnostic and treatment items, medical service facilities, as well as those of emergency treatment and resuscitation, shall be paid out of the basic medical insurance fund in accordance with the state regulations". That is to say, the medical insurance drug catalog, diagnosis and treatment items catalog, medical service facilities range, is what we often say medical insurance "three catalogs". The "three catalogs" of medical insurance clarify the scope of basic medical insurance and ensure that the insured enjoy basic medical protection. The scope of medical treatment items that are not covered by the medical insurance:
1. Service items: registration fee, out-of-hospital consultation fee, medical record cost, consultation fee, examination and treatment expediting fee, surcharge for named surgery, high quality premium fee, self-employed special nurses and other special medical services.
2. Diagnostic equipment and medical materials: the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser therapy and other large-scale medical equipment for the examination, treatment programs; glasses, dentures, prosthetic eyes, prosthetic limbs, hearing aids and other rehabilitative devices; a variety of health care for their own use, massage, inspection and treatment equipment; provincial regulations can not be charged separately for the disposable medical materials. Materials.
3. Non-disease treatment programs: a variety of beauty, fitness programs and non-functional plastic surgery, orthopedic surgery, etc.; a variety of weight loss, weight gain, height projects; a variety of health checkups; a variety of preventive, health care diagnostic and therapeutic programs; a variety of medical consultation, medical appraisal.
4. Therapeutic projects: all kinds of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues; myopic orthopedics; qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other complementary therapeutic projects.
5. Other: all kinds of infertility (pregnancy), sexual dysfunction diagnosis and treatment program; all kinds of scientific research, clinical verification of the diagnosis and treatment program.
Legal basis
Article 28 of the Social Insurance Law
Medical expenses in accordance with the basic medical insurance drug list, diagnostic and treatment items, medical service facilities, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.