The first category is the service item category: part of the medical service fee, out-of-hospital consultation fee, medical record cost, etc.; visit fee, examination and treatment expedited fee, named surgery surcharge, named surgery surcharge, quality premium fee, self-employed special nurse and other special medical services.
The second category is the category of non-disease treatment programs: see the following analysis.
The third category is the category of diagnostic and therapeutic equipment and medically useful materials: the application of positron emission tomography device (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 rehabilitation 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 types of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow 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 scientific research, clinical verification of the diagnosis and treatment program.
Legal Basis: The People's Republic of China*** and the State Social Insurance Law
Article 28 is in line with the basic medical insurance drug directory, diagnostic and therapeutic 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 The part of the medical expenses of the insured 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 to facilitate the enjoyment of basic medical insurance by insured persons.