Surgical imported materials in line with the basic medical insurance drug catalog, can be reimbursed.
Medical expenses in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency treatment and resuscitation, will be settled directly by the social insurance agency with the medical institutions and drug business units.
What are the items included in the medical insurance reimbursement
The classification of medical insurance reimbursement and the items included are as follows:
1, general medical insurance. It mainly includes outpatient costs, medical costs, examination costs and so on.
2. Hospitalization insurance. It mainly covers daily hospitalization fee, cost of utilizing hospital equipment, surgery cost, medicine cost and so on.
3. Surgical insurance. Provides for all expenses incurred due to necessary surgery required by the patient.
4. Comprehensive medical insurance. Its cost coverage includes all costs of medical treatment and hospitalization and surgery, etc.
5, special disease insurance. Certain special diseases often bring the patient a catastrophic cost payment, the average resident family can hardly afford. Examples include cancer and heart disease. Provide coverage for policyholders of major diseases, can be a single, such as malignant tumors, or even malignant tumors in a certain number of cancers.
I hope the above can help you, if you have other questions please consult a professional lawyer.
Legal basis: "Chinese people's *** and the State Social Insurance Law" Article 30 of the following medical expenses are not included in the basic medical insurance fund to pay:
(a) should be paid from the workers' compensation insurance fund (b) should be borne by a third party (c) should be borne by the public *** health (d) in the overseas medical treatment.
Medical expenses shall be borne by the third party according to law, the third party does not pay or cannot determine the third party, the basic medical insurance fund to pay first. The basic medical insurance fund shall have the right to recover from the third party after the first payment.