Medicare reimbursement treatment items:
1, extracorporeal vibratory wave lithotripsy treatment, hyperbaric oxygen therapy, medical linear gas pedal treatment, intensive care and rescue CCU, ICU ward treatment;
2, kidney transplantation, heart valve transplantation, corneal transplantation, skin transplantation, vascular transplantation, bone transplantation, bone marrow transplantation, pancreatic islet transplantation;
3, Pacemaker, artificial joints, artificial crystals, artificial larynx, artificial hip joints and other artificial organs in the body replacement and installation of cardiac bypass surgery, cardiac catheterization balloon dilatation;
4, hemodialysis, peritoneal dialysis;
5, cardiac laser perforation, anti-tumor cellular immunotherapy, interventional therapy, and fast neutron therapy programs;
6, single cost more than 200 Yuan times the treatment program.
Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29
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 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.