Materials generally domestic reimbursement of 90%, imported reimbursement of 80%, and health insurance reimbursement amount limit, such as material half hip surgery (femoral head replacement) limit of 20,000, the material cost of 30,000, that is, more than 10,000 out of pocket, the 20,000 ninety percent of the reimbursement, the field may be a little lower and to return to the local reimbursement is very cumbersome, this type of surgery can be carried out by the county hospitals. The company's website has been updated with the latest information on the latest developments in the field of medical technology.
Expanded:
Employee health insurance reimbursement
Health insurance reimbursement caricature
I. Basic insurance Scope of treatment items for which fees are not payable
(I) Service item category
1, registration fee, out-of-hospital consultation fee, and medical record cost;
2, consultation fee, expedited fee for examination and treatment (except for emergencies), surcharge on named surgeries, high quality premium fee, and fee for self-invited special nurses, and other specially needed medical services.
(2) non-disease treatment program category
1, a variety of cosmetic (cosmetic life, medical aesthetics) fitness program and messy non-functional cosmetic surgery, orthopedic surgery, etc.;
2, a variety of weight loss, weight gain, height projects;
3, a variety of health checkups;
4, a variety of preventive, health care clinic program
Registration fee, out-of-hospital consultation fee, medical record cost, etc.;
2, consultation fee, examination and treatment expediting fee (except for emergency), surcharge for named surgery, high quality and excellent price fee, self-invited special nurse fee and other special medical services.
(2) non-disease treatment program category
1, a variety of cosmetic (cosmetic life, medical aesthetics) fitness program and messy non-functional cosmetic surgery, orthopedic surgery, etc.;
2, a variety of weight loss, gain weight, increase in height projects;
3, a variety of health checkups;
4, a variety of preventive, health care treatment programs;
5, dental orthodontics, dental porcelain;
6, a variety of medical consultations (excluding psychiatric consultations), medical appraisal.
(C) diagnostic and therapeutic equipment and medical materials
1, the application of positron emission tomography device, electron beam CT, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for the examination and treatment of the project;
2, eyeglasses, dental prostheses, prosthetic eyes, prosthetic limbs, hearing aids, and other rehabilitation appliances;
3, all kinds of health care for their own use, massage, examination, rehabilitation and therapeutic instruments.
(4) therapeutic items category
1, all kinds of organ transplantation or tissue transplantation of organ source 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 orthopaedics;
4, qigong therapy, music therapy, health care of nutrition therapy, magnetic therapy and other supplementary treatment therapy, magnetic therapy and other complementary treatment programs.
(5) Other
1, various infertility (pregnancy), sexual dysfunction diagnosis and treatment programs;
2, various scientific research, clinical verification of diagnosis and treatment programs;
2, basic medical insurance to pay part of the cost of the diagnosis and treatment program range
(1) Diagnostic and treatment equipment and medical materials
1, the application of X-ray computed tomography devices, and the use of medical materials. -ray computed tomography (CT), stereotactic radiography (γ-knife, χ-knife), cardiac and angiography X-ray machine (including digital subtraction equipment), magnetic **** vibration imaging device (MEI), single-photon emission computerized scanning device (SPECT), Color Doppler, medical linear gas pedal and other large medical equipment for examination, treatment projects;
2, extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy;
3, pacemakers, artificial joints, artificial crystals, vascular scaffolds in vivo replacement of artificial organs, in vivo replacement of materials;
4, the provincial price department can be charged separately for the disposable medical materials. .
(B) treatment project category
1, hemodialysis, peritoneal dialysis;
2, kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation;
3, cardiac laser perforation, anti-tumor cellular immunotherapy and fast neutron therapy projects.
Hearing aids and other rehabilitation appliances;
4, a variety of self-use health care, massage, check rehabilitation and treatment equipment.
(C) therapeutic project category
1, all kinds of organ transplantation or tissue transplantation of organ source or tissue source;
2, except for kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissue transplantation;
3, myopic orthopaedics;
4, qigong therapy, music therapy, health care of the nutritional therapy, magnetic therapy and other auxiliary treatment programs.
Baidu Encyclopedia: Medical Insurance Reimbursement Scope