The principle of reimbursement of medical expenses for retired cadres, the state regulations in the provinces and regions are different, Hunan Province, for example:
A retired cadres incurred the cost of medicines, in addition to the following items and the scope of the retired cadres by the retired cadres of the medical insurance fund to pay the full amount of the co-ordination fund:
(a) a single or compound are not paid for the Chinese traditional Chinese medicinal herbs and medicinal materials: Korean red ginseng, Cordyceps Sinensis, mealy bugs (a) Chinese medicinal herbs and medicinal materials: Korean Red Ginseng, Cordyceps Sinensis, Mealybugs, Dog Bao, Sea Dragon, Hippocampus, Red Ginseng, Monkey Jujubes, Amber, Ganoderma Lucidum, Antelope Horn Tip Powder, Deer Velvet Antler, Horse Treasure, Onyx, Coral, Musk, Crocus sativus, Blood Deposits, Bird's Nest and Wild Ginseng.
(2) Chinese herbal medicines and herbs for which payment will not be made for a single flavor: white sugar ginseng, tortoiseshell, honey, American ginseng, saffron, pearl powder, Zihechuan, blood depletion, all kinds of animal organs (except for hen's gold), and tires, whips, tails and tendons.
(3) Blood and component blood, albumin, and amino acids in western medicines will not be paid for in non-rescue cases.
(d) all pure health products (including "health" food) are not paid.
The medical expenses incurred by retired cadres, except for the following items and scopes, shall be paid by the Retired Cadres Medical Insurance Coordination Fund in accordance with the "Medical Service Price Items in Hunan Province" (Hunan Prices and Services 〔2002〕 No.230):
(1) Treatment items and materials belonging to beauty care and health care; special medical services such as named surgery, named anesthesia, named examination, named nursing care and family medical care services; meals and other medical services such as food and drinks, and non-rescue food with "health" names shall not be paid. (b) Special medical services such as meals, accompanying bed and accompanying nurse fees, transportation fees, living supplies for hospitalized patients; haircutting fees, patients' clothing fees, bathing fees and other personal life care fees, recreational activities, various magnetic therapy supplies, denture and prosthetic materials, medical appraisal and consulting fees, etc. shall not be paid.
(2) Special examinations and treatments, such as CT, dynamic electrocardiogram, ECT (single photon emission tomography), TCD (color Doppler), cardiac catheterization, MRI (magnetic resonance imaging), gamma imaging, organ transplantation, TV laparoscopic surgery, shockwave lithotripsy, radiofrequency therapy, laser therapy, gamma knife therapy, etc., will be covered by a medical certificate. 10%.
(3) The maximum limit for each implanted cardiac pacemaker is 45,000 yuan; the maximum number of vascular stents is three, with the first and second fully paid, the third 30% out-of-pocket, and no payment for more than three; and the maximum limit for other artificial organs and precious materials is 20,000 yuan for each one. Other supporting materials, surgery and treatment costs for the above implantation surgeries shall be paid in full by the Medical Insurance Coordination Fund for Retired Cadres.
Third, the part of the medical service facilities not to be paid: the part of the daily bed charge of retired cadres above the departmental level (including the departmental level) that exceeds RMB 60 yuan or more, and the part of the daily bed charge of retired cadres in general that exceeds RMB 35 yuan or more (except for the resuscitation and intensive care beds).
Fourth, medical and pharmaceutical expenses incurred outside the country and in Hong Kong, Macao and Taiwan are not payable.
V. These provisions shall come into force on the date of promulgation. Before the implementation of these provisions have been in accordance with the provisions of the relevant procedures are valid.
Expanded Information:
General principle: the actual reimbursement according to the regulations. This provision is more complicated, the drugs within the scope of the drug list (each province to develop their own) reimbursement, drugs outside the scope of the current proportion of reimbursement or not reimbursement. To put it simply: for example, heart bypass stents, with imported good, but only at the domestic price to you reimbursement; globulin, normal use is not reimbursed, emergency rescue to reimbursement; bed cost, only according to the standard bed to give reimbursement, high-grade ward expenses out of pocket.
Baidu Encyclopedia - Interim Measures for the Management of Medical Protection for Retired Cadres in Hunan Province