Acute severe trauma, traumatic brain injury, fractures, dislocations, lacerations, burns, sudden acute abdominal pain, sudden high fever, sudden hemorrhage, vomiting of blood, symbols of internal hemorrhage, diarrhea, severe dehydration, shock, symptoms of apoplexy or coma in the ear, nose, pharynx, eyes, trachea, bronchus, and esophagus in the presence of foreign objects in the eyes of acute pain, redness and swelling, or acute visual impairment of respiratory distress, the onset of a sudden, Symptoms of intense, rapid deterioration after the onset of poisoning, drowning, electrocution, acute urinary incontinence, acute allergic diseases, virulent infectious diseases suspected, and other attending physician or more life-threatening should be emergency rescue.
Medicare card can be reimbursed for the examination program
1, the application of χ-ray computed tomography device stereotactic radiography device γ-knife, χ-knife
2, cardiac and angiography χ-line machine including digital subtraction equipment
3, Nuclear magnetic **** vibration imaging device MRl
4, single photon emission tunica computer scanning device SPECT5, color Doppler, medical linear gas pedal and other large medical equipment for the examination of medical items and single cost of more than 200 yuan times the examination of medical items.
Medicare card reimbursement treatment items
1, extracorporeal vibratory wave lithotripsy treatment, hyperbaric oxygen therapy, medical linear gas pedal treatment, intensive care and rescue of the CCU, ICU ward treatment
2, kidney transplantation, heart valve transplantation, cornea transplantation, skin transplantation, vascular transplantation, bone transplantation, bone marrow transplantation, pancreatic islet transplantation
3, Pacemaker, artificial joints, artificial crystals, artificial larynx, artificial hip joints and other in vivo artificial organ replacement and installation of cardiac bypass grafting, cardiac catheterization balloon dilatation
4, hemodialysis, peritoneal dialysis
5, cardiac laser perforation, anti-tumor cellular immunotherapy, interventional therapy, and fast neutron therapy programs.
6. Treatment programs that cost more than $200 per visit for a single item.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 26 The treatment standards of the basic medical insurance for employees, the new type of rural cooperative medical care and the basic medical insurance for urban residents shall be carried out in accordance with the state regulations.
Article 27 Individuals who have participated in basic medical insurance for employees and whose accumulated contributions have reached the number of years prescribed by the State by the time they reach the legal retirement age shall not pay any more basic medical insurance premiums after their retirement and shall enjoy basic medical insurance benefits in accordance with the State's stipulations; and those who have not yet reached the number of years prescribed by the State may pay contributions up to the number of years prescribed by the State.
Article 28 Medical expenses that conform to the basic medical insurance drug list, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency treatment and rescue, shall be paid out of the basic medical insurance fund in accordance with the state regulations.
Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administrative organization with the medical institutions and drug business units. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses incurred in other places to facilitate the enjoyment of basic medical insurance by insured persons.