Medical insurance can not reimburse the scope

1. Medical expenses for self-medical treatment, self-purchased medicines, non-reimbursable medicines stipulated by public medical care and medical expenses not in accordance with family planning; 2. Parts within the scope of reimbursement but exceeding the limit; 3. Other expenses such as outpatient treatment, meals, consultation fees, hospitalization fees, companion fees, nutritional fees, ambulance fees, transfusion fees, cold and heating fees, and special nursing care; 4. Orthopaedic, prosthetic, cosmetic surgery, dentures, naming Surgical fees, organ transplantation, consultation fees, etc.; 5. Medical expenses for car accidents, alcoholism, suicide, fights, workplace accidents and medical malpractice.

Legal basis

Article 8 of the Measures for the Administration of Publicly-funded Medical Care? Scope of self-financed expenses. In addition to the scope of expenses specified in Article 7, the patient's own expenses. Examples are as follows: I. All kinds of self-financed medicines which are not reimbursed by the public medical treatment, shaped package medicines, and unauthorized purchased medicines. Registration fee, consultation fee, meal fee, special nutrition fee, hospitalization escort fee, special nursing fee, baby fee, incubator fee, maternity hygiene fee, bottle charge, Chinese medicine decoction fee (including medicine guide fee), heating fee, air conditioning fee, telephone fee, electric stove fee; TV fee and refrigerator fee in the ward. Medical consultation fee, medical insurance fee (refers to the additional insurance fee charged during medical treatment), quality premium (refers to the special clinic opened by the hospital) fee, qigong fee (excluding qigong treatment fee). Physical examination, preventive medication, inoculation, infertility examination and treatment fees organized by non-publicly-funded medical management departments. V. All kinds of cosmetic, orthopedic and bodybuilding surgeries, treatment and disposal, medicine and other costs, as well as all costs of using orthopedic and bodybuilding equipment. Sixth, the medical expenses, emergency vehicle fees, consultation fees and consultation transportation costs. Medical expenses for all kinds of meetings. All kinds of magnetic therapy supplies. Nine, without the introduction of the designated medical unit or the approval of the public medical institutions, to find their own medical units or physicians to treat the medical expenses. Medical expenses for convalescence, rehabilitation and recuperation without the approval of the public medical institution. XI. All expenses incurred due to disability caused by fighting, assault, alcoholism, traffic accidents, medical accidents and so on. Medical expenses incurred during family visits, study tours, further training and lectures abroad. Other expenses that should not be reimbursed in the public medical fund as stipulated by the local public medical management department.

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