Legal analysis: Scope of diagnosis and treatment items for which basic medical insurance pays part of the cost:
(1) Diagnostic and treatment equipment and medical materials
1. Application of X-rays Computed tomography equipment (CT), stereotactic radiation equipment (γ-knife, χ-knife), cardiac and angiography X-ray machines (including digital subtraction equipment), magnetic resonance imaging equipment (MEI), single Examination and treatment items performed by large-scale medical equipment such as photon emission electron scanning equipment (SPECT), color Doppler, and medical linear accelerator 2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy
3. Heart attack Pacemakers, artificial joints, intraocular lenses, artificial organs for internal replacement of blood vessel stents, and materials placed inside the body
4. Disposable medical materials that can be charged separately as stipulated by the provincial price department.
(2) Treatment items
1. Hemodialysis, peritoneal dialysis
2. Kidney, heart valve, cornea, skin, blood vessel, bone, bone marrow Transplantation
3. Heart laser drilling, anti-tumor cell immunotherapy and fast neutron treatment projects.
(3) Examination, treatment items and medical materials of medical instruments and equipment with a single cost of more than 400 yuan.
Legal basis: "Social Insurance Law of the People's Republic of China"
Article 28 complies with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency, The medical expenses for rescue shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.