Legal basis: the scope of national basic medical insurance diagnosis and treatment projects
The basic medical insurance fund pays part of the cost of diagnosis and treatment items and the proportion of self-payment.
(a) diagnosis and treatment equipment and medical materials
1.X-ray computed tomography (CT), magnetic resonance imaging (MRI), single photon emission computed tomography (SPECT), single photon emission computed tomography (ECT), cardiac and angiographic X-ray machine (including digital subtraction equipment), color Doppler instrument, left ventricular ultrasound three-dimensional color map, dynamic electroencephalograph, ultrasonic gastroscope, etc. Individual contribution 15%.
2. Extracorporeal shock wave lithotripsy, hyperbaric oxygen chamber therapy, radio frequency therapy, etc. The individual pays 10%.
3. Stereotactic radiotherapy equipment: axe knife (X knife), gamma knife (γ knife) and photon knife, 40% paid by the individual.
4. Disposable medical materials (including implantable materials) whose single price exceeds 1500 yuan (including 1500 yuan) for artificial organs such as pacemakers (the maximum payment limit is 20,000 yuan), artificial lenses, artificial joints, artificial larynx and artificial femoral heads. Individuals pay 10% for domestic products, 15% for sino-foreign joint venture products and 20% for imported products.
(2) Treatment items
1. Hemodialysis and peritoneal dialysis project. Individual contribution 10%.
2. Cardiac laser drilling, anti-tumor cellular immunotherapy and fast neutron therapy projects. Individual contribution 15%.
3. Kidney, heart valve, cornea, skin, blood vessels, bones, bone marrow transplantation, heart bypass surgery and balloon dilatation of cardiac catheter. Individual contribution 15%.