Medicare has always been the public is very concerned about people's livelihood, especially the scope of health insurance reimbursement. I hope it will be helpful to you. First, which does not belong to the medical insurance reimbursement scope at present, not included in the urban basic insurance diagnostic and treatment items directory of diagnostic and treatment items have five categories, including service items, non-disease treatment items, diagnostic and treatment equipment and medical materials, treatment items and so on. Medical insurance is not reimbursed in addition to the cost of orthodontics, but also includes non-disease treatment projects category, namely, all kinds of cosmetic, orthopedic surgery, etc.; a variety of weight loss, fertilization, all the costs of the project; preventive, the project; a variety of non-therapeutic consulting, appraisal of the cost; diagnostic and therapeutic equipment and medical materials, namely, ophthalmology excimer laser therapeutic instrument, such as large-scale equipment for the inspection, treatment projects; a variety of self-use, nudging, inspection and treatment The price part of the provisions of the disposable medical materials can not be charged separately. Second, the medical insurance deductible items 1, service category. Registration fee, medical record cost. Consultation fee, consultation fee (including home bed rounds), examination and treatment expedited fee, name surgery surcharge, high quality premium fee, escort fee, self-requested special nurse fee and other special service costs. 2, non-disease treatment program category. All kinds of beauty, fitness program and some non-functional cosmetic and orthopedic surgery costs. Various weight loss, weight gain, height increase programs. Various health checkups. Various preventive and health care treatment programs. All kinds of medical consultation, medical appraisal project. 3, medical materials. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitation devices. A variety of self-use health care, massage, inspection and treatment equipment. Buried automatic defibrillator (ICD). Provincial and municipal pricing departments can not be charged separately for disposable medical materials. 3, diagnostic and therapeutic equipment. Application of positron emission tomography device (PET), electron beam CT, ophthalmic excimer laser treatment device and other large medical equipment for examination, treatment programs. 4, treatment programs. Organ source or tissue source for all types of organ or tissue transplants. Organ transplants or tissue transplants other than kidney, heart valve, cornea, skin, blood vessel, bone and bone marrow transplants. Orthopedic surgery for myopic eyes. Qigong therapy, music therapy (except for psychiatric patients), health care nutrition therapy, magnetic therapy and other complementary therapeutic programs.5. Other. Various infertility (fertility), sexual dysfunction diagnosis and treatment programs. All kinds of scientific research, clinical verification of the treatment program. All expenses incurred due to fighting, assault, alcoholism, traffic accidents, medical accidents, injury liability accidents, intentional self-injury and self-injury. Medical expenses incurred while going abroad and visiting relatives in Hong Kong, Macao and Taiwan, meetings, study tours, further training and lectures. Except for emergency and first aid, the medical treatment items conducted by the designated medical institution are beyond the scope of the registered medical treatment subjects. Diagnostic and therapeutic programs of the designated medical institution in cooperation with foreign countries. Diagnostic and therapeutic items that are not included in the medical service charge standard stipulated by the provincial and municipal price departments. Third, the medical insurance reimbursement need to bring what information 1, the original ID card or social security card; 2, the original certificate of disease diagnosis issued by the designated medical institution specialist; 3, outpatient medical records, inspection, test results report card and other original medical information; 4, the original receipt of outpatient charges of financial and tax unified medical institutions; 5, the original computer printout of the hospital's list of outpatient costs or the original doctor's prescription payer 6, designated pharmacies: tax unified invoices for the sale of goods and the original computer-printed list; 7, if it is on behalf of a person for the need to provide the original identity card of the agent. The above is the whole content of this article, from which we can learn what does not belong to the scope of medical insurance reimbursement, medical insurance deductible items, and medical insurance reimbursement need to bring what information. They are online 24 hours a day and can answer legal queries at any time.
Legal Objective:Article 28 of the Social Insurance Law conforms to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical services and facilities, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.