Not all surgical procedures and all costs are reimbursed. The exceptions to the basic medical insurance reimbursement program: (a) service items 1. registration fees, out-of-hospital consultation fees, medical records cost, etc. 2. visit fees, examination and treatment of expedited fees, surcharge on the name of the surgery, high quality premiums, special nurses and other special medical services. (B) Non-disease treatment programs 1. Various cosmetic and body-building programs as well as non-functional cosmetic and orthopedic surgeries, etc. 2. Various weight-loss, weight-gain and height-enhancement programs. 3. Various health checkups. 4. Various preventive and healthcare diagnostic and therapeutic programs. 5. Various medical consulting and appraisal. 6. (C) diagnostic and therapeutic equipment and medical materials 1. the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser therapeutic instrument and other large-scale medical equipment for the examination and treatment of the project. 2. eyeglasses, dental prostheses, eye prostheses, prosthetic limbs, hearing aids and other rehabilitative appliances. 3. all kinds of health care for their own use, massage, inspection and treatment equipment. 4. provincial price departments can not be charged separately. Disposable medical materials. (D) Treatment items 1. Organ or tissue sources for all kinds of organ or tissue transplants. 2. Other organ or tissue transplants except for kidney, heart valve, cornea, skin, blood vessel, bone and bone marrow transplants. 3. Orthopedic surgery for nearsightedness. 4. Supplementary treatment items such as qigong therapy, music therapy, health care nutritional therapy, magnetic therapy, and so on. 5. Other 1. (E) Other 1. Various infertility (pregnancy), sexual dysfunction diagnosis and treatment program. 2. Various scientific research, clinical verification of the diagnosis and treatment program.
Legal Objective:Article 28 of the Social Insurance Law of the People's Republic of China is in line with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency and rescue medical expenses, in accordance with state regulations from the basic medical insurance fund. Article 29 of the Social Insurance Law of the People's Republic of China (PRC) states that the portion of the medical expenses of insured persons 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 social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance treatment by insured persons.