Hospital which costs medical insurance does not reimburse the scope

Legal Analysis

(I) Services

1, registration fee, out-of-hospital consultation fee, medical record cost, etc.;

2, consultation fee, examination and treatment expediting fee (except for emergencies), surcharge on named surgeries, high quality and excellent price, self-invited special nurses fee, and other special medical services.

(2) non-disease treatment program category

1, a variety of cosmetic (cosmetic life, medical aesthetics) fitness program and messy non-functional cosmetic surgery, orthopedic surgery, etc.;

2, a variety of weight loss, gain weight, increase in height projects;

3, a variety of health checkups;

4, a variety of preventive, health care treatment programs;

5, dental orthodontics, dental porcelain.

(C) diagnostic and therapeutic equipment and medical materials

1, the application of positron emission tomography device, electron beam CT, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for the examination and treatment of the project;

2, eyeglasses, dental prostheses, eye prostheses, prostheses, hearing aids, and other rehabilitation appliances;

3, all kinds of health care for their own use, massage, examination, rehabilitation and treatment equipment.

Legal basis

The People's Republic of China Social Insurance Law Article 30 The following medical expenses are not included in the scope of payment of the basic medical insurance fund: (1) should be paid from the workers' compensation insurance fund; (2) should be borne by a third party; (3) should be borne by the public **** health; (4) outside the country. (d) seeking medical treatment outside the country. If the medical expenses should be borne by a third party in accordance with the law, but the third party does not pay or the third party cannot be identified, the basic medical insurance fund shall pay the expenses first. The basic medical insurance fund first paid, the right to recover from the third party.