CT, registration fees, blood test costs are not reimbursed.
Medicare does not pay for the cost of diagnosis and treatment items *** five categories:
The first category is the class of services: registration fee, out-of-hospital consultation fee, medical records cost, etc.; visit fee, examination and treatment expedited fee, named surgery surcharge, named surgery surcharge, quality premiums, self-invited special nurses, and other special medical services.
The second category is the non-disease treatment program category: a variety of beauty, fitness programs and non-functional cosmetic surgery, orthopedic surgery, etc.; a variety of weight loss, weight gain, height projects; a variety of health body can be compensated for; a variety of preventive, health care clinic programs; a variety of medical consultation, medical appraisal.
The third category is diagnostic and therapeutic equipment and medically useful materials: the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser treatment instrument and other large-scale medical equipment for examination and treatment programs. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitative devices. All kinds of self-use health care, massage, examination and treatment equipment. Provincial price departments do not charge separately for disposable medical materials.
The fourth category is the category of therapeutic projects: all kinds of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissue transplantation; myopic orthopedics; qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other complementary therapeutic projects.
The fifth category is other categories: various infertility (pregnancy), sexual dysfunction diagnosis and treatment programs; a variety of scientific research, clinical verification of the diagnosis and treatment programs.
In addition, the basic medical insurance does not pay the cost of: on (transfer) transportation costs, emergency vehicle costs; air conditioning costs, telephone costs, telephone costs, baby warming box costs, food warming box costs, electric stoves, refrigerators, and compensation for damage to public property insurance single number of nurses, nursing costs, cleaning costs, outpatient decoctions; meals; recreational activities and other special needs of the cost of living services. Patients are required to pay for all of the above items.
Medicare refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations in order to provide workers within the scope of coverage with protection for their basic medical needs in the event of illness. The basic medical insurance fund consists of a general fund and individual accounts. The basic medical insurance premiums paid by individual workers are all credited to individual accounts; the basic medical insurance premiums paid by employers are divided into two parts, one of which is credited to individual accounts and the other is used to establish a general fund.
Legal basis:
The People's Republic of China Social Insurance Law, Article 2, the state establishes the basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance system, to ensure that the citizens in old age, disease, industrial injury, unemployment, childbirth and other situations in accordance with the law from the state and society to obtain the right to material assistance. The right to material assistance from the State and society in the event of old age, sickness, work injury, unemployment or maternity.
Article 26: The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28 Medical expenses that conform to the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency and rescue medical expenses shall be paid out of the basic medical insurance fund in accordance with the state regulations.