Medicare reimbursement is categorized and includes the following items:
1, general medical insurance. It mainly includes outpatient costs, medicine 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 illnesses often bring catastrophic cost payments to patients, which are difficult for the average resident family to bear. Provide coverage for policyholders of major diseases, can be a single, such as malignant tumors, or even malignant tumors in certain types of cancer.
Legal basis:
The People's Republic of China*** and the State Social Insurance Law
Article 23
Employees shall participate in the basic medical insurance for employees, and shall pay the basic medical insurance premiums by the employer and the employee in accordance with the state regulations*** together.
Individual industrial and commercial households without employees, part-time employees who do not participate in the basic medical insurance for employees at their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.
Article 28
Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with the state regulations.