Medicare reimbursement includes the following items:
1. Basic medical insurance drug reimbursement, included in the basic medical insurance coverage of Class A and Class B drugs can be reimbursed.
2. Reimbursement for basic medical insurance treatment programs. The scope of diagnostic and therapeutic items of the basic medical insurance payment program must be determined in accordance with the scope of the basic medical insurance diagnostic and therapeutic items stipulated by the state. If part of the cost of basic medical insurance to pay for the diagnosis and treatment of the catalog, you can first by the insured person to pay out of pocket, in accordance with the provisions of the basic medical insurance to pay.
3, basic medical service facilities reimbursement. The reimbursement of basic health insurance medical service facilities covers the participants in the process of receiving diagnosis, treatment and care must be living service facilities, including outpatient and emergency beds and inpatient beds. The basic medical insurance fund cannot reimburse the transportation fee for referral, emergency vehicle fee, baby warming box fee, food warming box fee, escort fee and companion fee.
Legal basis:
The People's Republic of China Social Insurance Law
Article 28 Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, medical service facility standards, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with 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 between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.