The items covered by medical insurance are as follows:
1. Service items: some medical service fees, out-of-hospital consultation fees, medical record costs, etc.; consultation fees, expedited examination and treatment fees, and roll-call surgeries Surcharges, roll-call surgery surcharges, high-quality and low-price fees, self-recruitment of special nurses and other special medical services;
2. Diagnostic and treatment equipment and medically useful materials: application of positron emission tomography equipment, electron beam CT , ophthalmic excimer laser therapy equipment and other large medical equipment for examination and treatment projects. Glasses, dentures, prosthetic eyes, prosthetic limbs, hearing aids and other rehabilitation equipment. Various health care, examination and treatment equipment for personal use. Disposable medical materials that are not separately charged according to the price departments of various provinces;
3. Treatment items: organ sources or tissue sources for various organ or tissue transplants; except kidneys, heart valves, cornea, skin, blood vessels , other organ or tissue transplants other than bone and bone marrow transplantation; orthopedics for myopia; auxiliary treatment projects such as qigong therapy, music therapy, health-care nutritional therapy, magnetic therapy;
4. Other categories: Various scientific research and clinically verified diagnosis and treatment projects, etc.
Legal basis: Article 10 of the "Social Insurance Law of the People's Republic of China"
Employees shall participate in basic pension insurance, and the employer and employee *** shall jointly pay the basic pension insurance.
Individual industrial and commercial households without employees, part-time employees who have not participated in basic pension insurance in the employer, and other flexible employment personnel can participate in basic pension insurance, and the basic pension insurance premiums are paid by individuals.
The measures for pension insurance for civil servants and staff managed with reference to the Civil Servant Law shall be prescribed by the State Council.
Article 11
Basic pension insurance shall be combined with social pooling and personal accounts.
The basic pension insurance fund is composed of employer and individual contributions and government subsidies.
Article 12
The employer shall pay basic pension insurance premiums in proportion to the total wages of its employees stipulated by the state, and record them into the basic pension insurance pooling fund.
Employees should pay basic pension insurance premiums in accordance with the proportion of their wages stipulated by the state and record them into their personal accounts.
Individual industrial and commercial households without employees, part-time employees who have not participated in basic pension insurance in the employer, and other flexible employment personnel who participate in basic pension insurance shall pay basic pension insurance premiums in accordance with national regulations, respectively. Credited to the basic pension insurance pooling fund and personal account.