(1) registration fee, out-of-hospital consultation fee, medical record cost, etc.
(2) visit fee, examination and treatment expediting fee, surcharge for named surgery, quality premium fee, self-invited special nurse 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 of the national basic medical insurance treatment program scope of the diagnosis and treatment program;
(5) a variety of medical consultations, medical appraisal.
3. Diagnostic equipment and medical materials.
(1) the application of positron emission tomography (PET), electron beam cT, ophthalmic excimer laser therapy and other large-scale medical equipment for examination, treatment programs;
(2) glasses, dentures, eye prostheses, prostheses, cochlear implants and other rehabilitative devices;
(3) a variety of self-use health care, massage, examination and treatment equipment;
(4) a variety of health care, massage, examination and treatment of instruments;
(5) a variety of medical consultation, medical appraisal.
(4) the provincial price department stipulates that the disposable medical use cannot be charged separately.
4. Treatment program category.
(1) all kinds of organ or tissue transplantation of organ source or tissue source;
(2) in addition to kidney, heart valves, cornea skin, blood vessels, bone, bone marrow transplantation of other organs or tissue transplantation;
(3) myopic orthopedic surgery;
(4) qigong therapy, music therapy, health care nutritional therapy, magnetic therapy and other auxiliary treatment programs.
5. Specific Drugs
The insurer shall not be liable to pay benefits to the insured person who uses the specific drugs agreed upon in this product under the following circumstances:
(1) The prescription of the drugs does not conform to the scope of payment in the "Shaanxi National Health Insurance Specific Drugs Catalog" of the product (please refer to the First Schedule for details).
(2) Drugs that have not been prescribed by a specialist at a designated basic health insurance hospital or other designated hospital for this product, or have not been purchased at a designated hospital or designated pharmacy.
(3) Drugs prescribed for more than two months at a time, for drugs that exceed the two-month portion of the amount.
(4) The prescription of drugs does not conform to the indications and dosages listed in the specification of the drug approved by the State Food and Drug Administration or the relevant medical materials do not prove that the disease suffered by the insured person is in line with the indications for the use of the specific drug.
(5) The insured person is eligible to apply for charitable assistance in the use of medicines, but because the insured person did not submit the relevant application or submitted incomplete application materials, the application for the assistance program was not passed and the drug costs incurred; the insured person passes the examination of the assistance but does not receive the assistance drugs due to the insured person's reasons, which is regarded as a voluntary relinquishment of the relevant insurance rights and interests of the product by the insured person.
(6) Undertaking experimental or investigational treatments that are not scientifically or medically approved.
6. Other.
(1) Various infertility (pregnancy) and sexual dysfunction treatment programs;
(2) Various scientific and clinically validated treatment programs.
The following medical expenses are not included in the scope of payment of Shaanxi National Health Insurance:
1. Those that should be paid from the Workers' Compensation Insurance Fund;
2. Those that should be borne by a third party;
3. Those that should be borne by the public ****health;
4. Those who seek medical treatment outside of the country;
5. Consumption of sports and fitness and health care, Health checkup;
6. Other expenses that are not paid by the basic medical insurance fund as stipulated by the state.