Medicare's non-payable items
I. Services category.
1, registration fee, out-of-hospital consultation fee, medical record cost, etc.;
2, consultation fee, examination and treatment expediting fee, surcharge for named surgery, quality and premium fee, self-employed special nurses and other special medical services.
2. Non-disease treatment program category.
1, a variety of beauty, fitness and non-functional cosmetic, orthopedic surgery;
2, a variety of weight loss, fat, height projects;
3, a variety of health checkups;
4, a variety of preventive, health care treatment programs;
5, a variety of medical consultations, medical appraisal.
3, diagnostic and treatment equipment and medical materials.
1, the application of positron emission tomography, electron beam ct, ophthalmic excimer laser therapy and other large-scale medical equipment for the examination, treatment programs;
2, glasses, dentures, eye prostheses, prosthetics, hearing aids and other rehabilitative appliances;
3, a variety of health care for their own use, massage, checking and treatment equipment;
4, the provinces The price department stipulates that the disposable medical use which cannot be charged separately.
Four, treatment program category.
1, all kinds of organ or tissue transplantation of organ or tissue source;
2, in addition to kidney, heart valves, cornea skin, blood vessels, bone, bone marrow transplantation, other organs or tissue transplantation;
3, myopic eye orthopedics;
4, qigong therapy, music therapy, health care, nutrition therapy, magnetic therapy and other complementary therapeutic projects.
V. Others.
1, a variety of infertility and pregnancy, sexual dysfunction diagnosis and treatment program;
2, a variety of scientific research, clinical verification of the diagnosis and treatment program.
So when it comes to medical insurance reimbursement we need to know that material costs are not reimbursable.
The Social Insurance Law of the People's Republic of China
Article 29
The portion of a participant's medical expenses that should be paid for by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and the 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.